Okay, I am a tad late at posting! However, better late than never!!
So after mind mapping in class I think that I am going to be directed in the route of medical protocols within Domestic Violence shelters in RI. I think if I was able to create a policy for something as simple as medication administration or the use of identification when administering meds.
I wrote a paper for my pediatrics class last semester about medication delegation in schools and school nurses. I am going to take a few blurbs from my paper so you folks can all see where I think I am headed.
"Delegation is defined as by the American Nurses Association as "the transfer of responsibility for the performance of an activity to another, with the former retaining accountability for the outcome." (American Nurses Association, 2005). Delegation is a complex process, which is left up to the school nurse to decide which tasks to delegate to UAP. School nurses also need to follow the five rights to delegation. These five rights consist of the right task, right circumstance, right person, right direction and communication, and right supervision and evaluation"
- I think that the last line is really important.
"491 school nurses who report using UAP, 363 (76.9%) report that the UAP receive inservice education on medication administration"Many of these programs last less than two hours and occur annually. (p. 375). It is alarming to think that the school nurse who is in school for at least four years for their bachelor's degree, plus they have extra schooling that is needed for their education degree or teaching certificate, would pass off a task to someone with only two hours of medical education per year.
With receiving such little education about medication and its administration, it is not uncommon for there to be medication errors. "UAP also are more than three times as likely as a school nurse is to make a medication error" (McCarthy, et al., 2000 p. 376). , "491 school nurses who report using UAP, 363 (76.9%) report that the UAP receive inservice education on medication.
So, I know I am not going to be in schools. As a part of my research I'd be interested to see if there were any sort of rules or guidelines that should be in place in the shelters.
Another problem I am facing is that I do not want to lose sight of the topic of domestic violence. I know we said last time that my topic wasn't really surrounding domestic violence, but I'd like to tie that in some how. Maybe I could use it to make a catchy opening to my presentation, paper, or something.
Ideas are more than welcome!
I think you would definitely be able to create a creative opening where you focus on a woman that has escaped a dangerous relationship, and gets to a shelter, where the medical procedures (or lack there of) are equally as life threatening, or something like that. You could also bring the creativity back in a conclusion where the medication process is fixed.
ReplyDeleteI think you could tie in the domestic violence by surveying the women and their feelings of the protocols as they exist now and what they feel would be safer. This could definitely tie into your research about med protocols and allow you to put some of the women's personal stories into the mix. Even though you may not be doing the research on domestic violence so to speak you are still doing research which would benefit the lives of women and children who are victims of domestic violence.
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