One of the medical errors that can be observed in the clinical setting is medication error. There are a lot of factors why medication error happened. First, it is because of the wrong documentation because of a wrong usage of abbreviations. Abbreviation indeed will help save time and effort in documenting, but the wrong usage of it may cause a mild to sometimes serious medication error. Fortunately in the clinical settings that I am working with this semester, medication error for the abbreviation reason is less likely to happen because of the use of a computer in documenting. The clinic uses a computer from the very first activity done for the patient until sending an electronic prescription to the pharmacy. Electronic documentation prevents error secondary to the usage of computer versus using a pen in documenting. For example, a number “4” might sometimes be confused with a number “9”, a “0” might be confused to letter “u” that stands for units. Medication error is likely to happen if handwriting is the source of confusion. Second, not every facility that uses electronic documentation is successful in implementing the safe practice. There will always come to a point that it is because of human error. One example I can cite is documenting the right route of an injection. Believe it or not, I see healthcare professionals who are still confused about where her or his left and right and where patient’s left and right side of the body is. With this dilemma, this will result in a confusion that will further result in an error in documentation or in a worst case, error in medication administration. In the clinical setting that I am working with right now, they handle the situation pretty decently. The medical assistant who gives the injection is always paired up with another medical assistant to help check and review each other’s work before each vaccination. I find this team up very helpful in maintaining safety in the practice setting. I believe that they do this to prevent mild consequence from happening while also preventing serious catastrophe to transpire.
The first day of summer semester was also the first day of my clinical practicum. The feeling was unexplainable as it was the experience I have been waiting for – the start of the chapter where I get to experience the feeling of being a NP, well at least a student NP. That day, I was thinking that only a few steps to take; I will be able to reach the goal of finishing the program. On my first day of clinical, I get to meet my preceptor, Dr. Rosemary Reyes. Their clinic caters the healthcare needs of the uninsured and some who have little coverage from their insurance. They focus on primary care, women’s health, and pediatrics. During my first day, Dr. Reyes toured me around the facility and introduced me to all the staffs, including medical assistants, receptionist, phlebotomists, office staff, and two physician assistants, which were about 25-30 of them. Honestly, Dr. Reyes did not directly go over with me her expectations and concerns of working with a NP student. But she indirectly stated it to me when we were doing the rounds and while seeing patients. She expected me to do what is good, do no harm, connect with patients with respect, provide privacy at all times, and listen and address patient’s concerns appropriately. On my first day, she gave me the opportunity to start doing a physical exam to the patient. I was a tad bit nervous but her presence and support made the experience comfortable and worthwhile. When she communicates with the patients, I noticed that she raised vital questions within the patient’s problem. She formulated the questions clearly that made it easy for the patient to answer the questions. She used the same language and words that patient can understand. Additionally, she gathered and assessed the information by using all the answers of the patient to the questions to precisely interpret the situation and the problem of the patient that made her come up with well-reasoned conclusions and solutions. Though there were a lot of conclusions and solutions, she weighed them and ended up getting the best of all the best decisions out there. On my first day, I saw a majority of patients who come into the clinic to follow up with their laboratory result secondary to diabetes, hyperlipidemia, or sometimes, mixed diabetes and hyperlipidemia. Also, I often see cases of patients who seek medical help due to pain. Due to that, the drugs that I frequently saw that are listed in the FNP formulary are Meloxicam, Metformin, and Atorvastatin. Finally, my first day of clinical was an experience I would never forget. One tip that I want to share with my colleagues is to come prepared. In the clinic, you do not know who will come to seek medical help from you. But at the end of the day, I realized that as long as you know you have the knowledge that you can use to apply in the clinical setting to help treat patients, you know that you will do the right thing. Always keep your head up and don’t forget to smile.