How Medication Errors in Nursing Can Compromise Patient Safety

Medication errors in nursing homes are medical errors, and they are common enough that the medical field has set an error rate.

According to the Nursing Home Abuse Guide website, nursing home facilities must have medication error rates that are below five percent.

Medical Error Definition: What Is a Medication Error?

Medication errors are inaccuracies made during medication preparation or administration. Errors either fail to follow a doctor's order, pharmaceutical manufacturing instructions or the medical field’s accepted standards for the particular medicine's use.

Typically, a nurse or nurse staff member will administer medication through a med pass, which means pushing a cart from resident to resident to dispense the medication. Depending on the state’s requirements, an unlicensed nursing staff member may be able to dispense medication under a nurse's general supervision. However, some states have stricter regulations, and nurses must directly dispense the medication.

What Are Some Medication Error Examples?

The following examples are the ways that administering medication can result in error:

• Slicing or crushing medication that should not be divided or crushed. Capsules, tablets or other medications often have "do not crush" instructions.
• Failing to provide adequate fluid with medications. Often medicines come with instructions that patients should take it with a required amount of fluid. Not drinking enough fluid can sometimes harm the patient.
• Failing to take sufficient food or antacids. Some medicines must be taken with food. Others require patients to take an antacid before taking the medicine. Proper fluids, food and antacids instructions should be followed.
• Failure to shake or mix the medication. When a staff member doesn't shake or mix the medicine, the patient may be at risk for receiving too much or too little of the medication. For example, insulin must be mixed without air bubbles prior to administering it.
• Not following standard protocols for medications uses with ENFs (enteral nutritional formulas). The elderly often drink an ENF to supplement nutrition or when they are unable to eat very well. Specific guidelines and protocols exist for administering medication with ENFs. Patients may experience harm when staff members fail to follow proper guidelines.

Of course, more obvious medication errors would involve dispensing the wrong medication, giving the wrong dosage or failing to administer the medication to the patient at all.

If your loved one was harmed due to a medication error, we hope this information helps you to recognize it and get in touch with us.

Sackstein Sackstein & Lee, LLP has extensive experience handling forms of medical malpractice such as medication errors in nursing homes. By discussing your situation in a free consultation, you can find out about the prospects of pursuing legal action.

Dehydration and Malnutrition in New York Nursing Homes

Dehydration and malnutrition are one of the most common types of nursing home abuse.

What Is Dehydration?

Dehydration is rapid loss of body fluid, and according to the American Medical Association, a weight loss in excess of three percent of the individual's body weight qualifies as rapid weight loss.

What Can Lead to Dehydration?

• Lack of access to beverages
• Medication side effects
• Illness
• Physical changes in the elderly person's body

An individual may experience fluid weight loss as a result of the following:

What Are the Signs of Dehydration?

The most serious signs of dehydration include vomiting, trouble breathing and seizures. Anyone with symptoms like these should be given emergency treatment immediately because these symptoms can be life-threatening.

Other symptoms of dehydration include:

• Thirst
• Chills
• Appetite loss
• Fatigue
• Dark colored urine
• Dizziness or lightheadedness
• Dry mouth
• Flushed face

What Is Malnutrition?

When nursing home residents do not eat balanced meals or get enough food, they can become malnourished.

How Does Malnutrition Occur?

Dental problems may make it difficult for a resident to eat certain foods. Some elderly persons are unable to feed themselves. When staff shortages exist, those who cannot feed themselves may end up not eating.

In addition, when food is not properly stored or the home serves bland foods or unappetizing meals, residents may not want to eat. Spoiled, ruined or bland foods can result in malnutrition.

Depression can also be a reason that a nursing home resident is not eating well because depression often results in appetite loss. Medications can also cause for lack of appetite.

Reference: Nursing Home Abuse Center

When to Seek Legal Help

If you suspect that nursing home neglect has resulted in dehydration or malnutrition, and the situation is serious, seek legal help. An experienced attorney can investigate and evaluate whether nursing home abuse exists and help you take legal action.

At Sackstein Sackstein & Lee, LLP, we offer a free initial consultation to discuss and evaluate the circumstances involved with your injury.