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1. Compare the major categories of adverse drug events (ADEs).
2. Evaluate the barriers to and benefits of reporting ADEs.
3. Solve medication dosage calculations.
4. Analyze actual medication errors to avoid the pitfalls.
5. Demonstrate how available tools and strategies can assist with error prevention and safe medication use.
6. Develop new skills to predict high risk medication error scenarios.

Through the teachings of real-life scenarios, expert Rachel Cartwright-Vanzant, Ph.D., MS, LHRM, CCRN-K, will walk you step-by-step through the following topics to transform your nursing practice.

Insights from a Legal Nurse Consultant

• What the current data says…will amaze you!
• Consequences of unsafe practice
  • Patient injury or death
  • Loss of trust
  • Corrective action – Understanding what that means
  • Suspended license
  • Loss of license
  • Litigation
• Types of Medication Errors
  • Commission
  • Omission

Med Error Contributors: Identify Safety Precautions for YOUR Practice

• Ineffective communication
• Experience level – Beginner vs. expert
• Interruptions and distractions
• Shift length, patient acuity, and workload
• Systems errors: Lack of safety nets
• Similar drug names
• Failure to follow policies or guidelines
  • Taking short cuts
  • Ordering: Electronic, written, verbal
  • Order processing: Pharmacy review
  • Beyond the 8 Rights of Medication Administration
• Review actual cases of medication errors: What went wrong?

Drug Calculation Errors: A Deadly Mistake!

• Common errors and how to avoid them
  • Mathematical calculations
  • Metric vs. imperial systems
  • Units of measure and conversions
• Tools and policies to avoid making math errors
• The tragic and deadly stories…

Identify the Greatest Risk Potential for Errors

• High risk medications – Insulins, opioids, anticoagulants, etc.
• Drip titration
• Predict high risk patients for adverse reactions
• Must-know insights on reversal agents

Reporting ADEs

• Barriers to reporting
• Internal reporting system
  • Just Culture
  • Professional accountability
  • Incident reports – learning from past experiences

Minimize the Risk of Making a Life-Threatening Mistake: Individual and Systems Approaches

• Time management tools
• Think critically
• Facility safety nets
• Electronic tools
• Use the safety tools available
  • Institute for Healthcare Improvement
  • Agency for Healthcare Research and Quality
  • Institute for Safe Medication Practices (ISMP)
• Be a STAR! An easy philosophy to guide your safe, medication administration practice

Rachel Henderson, PhD, MS, RN, HCRM, is an expert speaker on topics focused on legal aspects of healthcare, nursing documentation, and regulatory compliance. Her 22 years as a legal nurse consultant, inpatient clinical nurse specialist and healthcare risk manager (HCRM) bring life to her presentations by sharing real case scenarios. She is a member of the National Speakers Association (NSA) and past president of the Florida Speakers Association (FSA). She is a published author in peer-reviewed journals and textbooks. In addition to owning a medical and legal consulting business, she has her PhD in Public Policy and Administration: Law and Policy. Rachel works with law firms and healthcare organizations, evaluating medical records for compliance with standards of care and applicable regulations. She has been an expert witness for medical negligence cases for both the plaintiff and the defense.
Speaker Disclosures:
Financial: Dr. Rachel Henderson has employment relationships with Medical Legal Concepts, Florida SouthWestern State College, and Palm Beach State College. She receives royalties as a published author. Dr. Henderson receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Rachel Henderson is a member of the American Association of Critical Care Nurses, the American Society of Healthcare Risk Managers, and the American Society of Professionals in Patient Safety.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Nurses
• Nurse Practitioners
• Nurse Educators
• Legal Nurse Consultants
• Pharmacists
• Risk Management
• Paralegals
• Attorneys