NURS FPX 4905 Assessment 3
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Technology and Professional Standards
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Capella University
NURS FPX4905
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The issue of medication management in the Skilled Nursing Facilities (SNFs) is acute due to chronic diseases, polypharmacy, and insufficient staffing of RNs. During my practicum, I have been an observer primarily, and a BSN-prepared nurse would be at the forefront of the quality improvement process, ensuring safe delegation. The Nurse Practice Act puts more emphasis on the responsibility of the RN to deliver medications safely, supervising the LPNs and CNAs, and adherence to the scope of practice.
These functions overlap with the norms of the American Nurses Association (ANA), in which the key focus is placed on the concepts of safety, evidence-based practice, and professional responsibility. The technological tools that the BSN-prepared nurses apply to this setting are also EHRs and medication administration systems that minimize the number of errors and improve communication.
Clarifying Role in Change Process
The current role as a student nurse has been anchored on the observation of the interdisciplinary collaboration and identification of the role of the professional standards in determining medication safety at the SNF. These experiences demonstrated that such risks as polypharmacy and chronic disease can be reduced through the correct evaluation, teamwork, and safe delegation, though I cannot entirely attribute this to direct care. According to literature, the correct nursing practices and interprofessional collaboration are the secrets to the reduction of medication-related errors and improvement of the outcomes in long-term care facilities (Kuppadakkath et al., 2023).
Some of the systemic issues that I was able to recognize in this observation are delayed RN assessment and poor medication observation, which may also lead to the risk of adverse outcomes. I also noted that the problem of communication failure among nurses, physicians, and pharmacists results in medication safety complications. The insights contribute to the need for the hierarchical progress of the working process and the conventional procedures to enhance the safety of geriatric patients at risk.
My practice as a BSN-prepared RN would involve conducting quality improvement initiatives, jointly working with the pharmacists in medicine reconciliation, and participating in evidence-based practice to reduce errors. Such technology-based interventions as bar-code medication administration and EHR alerts would also be prescribed by me to increase the safety and efficiency of the workflow.
The research demonstrates that nursing leadership and health technologies adoption are the answers to enhanced medication safety and patient care outcomes (Cachata et al., 2024). I would be actively engaged in enforcing safe practices by ensuring that the practices are reinforced at all times. The interventions would help to encourage teamwork and accountability within the care team. Last, my practice would include initiating and sustaining changes that will improve medication management and patient outcomes.
Interprofessional Collaboration Implementation Overview
The interprofessional collaboration is a pressing concern in the SNF since the geriatric residents are often facing a variety of chronic issues, which complicates their needs and renders them a multi-level problem. My practicum experience revealed that Registered Nurses (RNs), Licensed Practical Nurses (LPNs), Certified Nursing Assistants (CNAs), physicians, pharmacists, therapists, and social workers collaborate in terms of medicine management and care planning.
However, the problem of the fluctuating staffing of RNs and interdisciplinary communication presents risks to the delayed assessment and interdisciplinary care (Charan et al., 2025). As a learner, I was an eyewitness to such interactions and realized the importance of frequent teamwork in ensuring patient safety. As a BSN-ready RN in the future, I would improve group coordination by facilitating interdisciplinary huddles, sharing EHR documentation, and participating in quality improvement conversations. All these interventions will ensure continuity of care, reduce medication errors, and promote holistic and person-centered outcomes in vulnerable geriatric patients.
Benefits
Interprofessional collaboration within an SNF is important since it enhances patient safety, reduces the disjointed nature of care, and promotes the holistic approach of treatment. The medical and functional needs of the elderly residents will be addressed appropriately with the collective knowledge between nurses, physicians, pharmacists, and therapists.
Besides, teamwork offers the communication process itself, builds mutual respect, and alleviates staff burnout through the process of sharing work and solving problems (Horvath, 2024). This collaboration with the patient encourages better management of chronic illness, fewer medication errors, and better quality of life. Lastly, interprofessional collaboration contributes to continuity of care, as well as person-focused practice within the SNF setting.
Government Agency Practice Guidelines
The SNFs possess a number of government and regulatory bodies that determine the standards and regulations of the facilities to attain safe, effective, and patient-centered care. The Centers for Medicare and Medicaid Services (CMS) plays a significant role because it establishes reimbursement policies, quality provisions, and person-centered care provisions (Erickson et al., 2020). They give recommendations centered on medication safety, reduction of unwarranted re-hospitalization, and value-based care models. Similarly, SNFs are accredited by the Joint Commission and promoted to adhere to evidence-based practice, ongoing staff training, and patient safety (Ibrahim et al., 2022). Compliance with these agencies implies that the facilities offer quality care and remain eligible to fund and accredit it.
Nursing-sensitive outcomes include falls, pressure injuries, and medication-related errors, which are also provided by the National Database of Nursing Quality Indicators (NDNQI). These indicators will help SNFs to track quality, trends, and start making certain improvement efforts. The standardized testing, increased continuity of care, and monitoring with data are the implied attributes of governmental recommendations that could help to reach improved results among geriatric populations (Wong et al., 2020). Based on these standards, BSN-prepared nurses will be capable of contributing to quality assurance and encouraging the practices of safe and coordinated care. Lastly, the requirements of such agencies facilitate clinical excellence and the sustainability of organizations.
Assumptions
There are a number of assumptions attached to the proposals on how medication management in SNFs is to be improved. Facilities are also supposed to be resource-endowed in terms of personnel, finance, and technology to allow implementation. The other assumption is that the healthcare sector practitioners are prepared to adopt the application of evidence-based practice, interprofessional teamwork, and training programs.
Additionally, the aged patients and their relatives are supposed to receive coordinated care with the assistance of standardized procedures (Valverde et al., 2021). Finally, we have the assumption that the compliance of their guidelines by such agencies as CMS and The Joint Commission is directly connected with safety, efficiency, and patient outcomes.
Clinical Technology Addressing Practice Issues
The technology is vital in the SNFs, which offer safe medication handling and treatment of the aged in general. Electronic Health Records (EHRs) are widespread when it comes to documenting patient history, treatment programs, and medication giveaways, which allows providers to communicate better (Janett and Yeracaris, 2020).
Errors can be minimized using technology applied in medication administration, e.g., bar-code scanning systems to confirm that the patient is correct and the medication dosage is accurate. The telehealth applications are increasingly used as well to engage specialists with the residents who may not be present on-site (Talal et al., 2020). Such tools can be very helpful in enhancing the safety and continuity of care.
No matter what the benefits are, there are several challenges that limit the effective use of technology in the SNF setting. Understaff training is likely to lead to the inappropriate usage of digital systems, leading to errors in documentation and ineffective workflow. The unavailability of sophisticated technologies, such as bar-code medication administration, creates safety practice gaps (Valverde et al., 2021).
Moreover, a deficit in the integration of systems in disciplines of study could lead to delays in communication between nurses, pharmacists, and physicians. The lack of usage of digital tools can also impact the elderly due to a lack of digital literacy. These issues prove that additional training, integration, and accessibility must be invested.
With all these problems, technology continues to have a positive impact on SNFs, in that it assists in becoming more precise and efficient with regard to care delivery. EHRs have also improved the medication reconciliation process, reducing the development of polypharmacy complications. The timely consultations are also enhanced as telehealth has minimized unnecessary transfers to the hospitals.
Early warning signals can be sent out with the help of vital signs and chronic condition monitoring tools and then used to encourage proactive interventions (Talal et al., 2020). The application of such technologies in the case of BSN-prepared nurses presupposes safer and evidence-based care, as well as the growing satisfaction of residents. Lastly, technology improves quality and safety in geriatric care, which is well-implemented.
Summarizing Available Technology with Pros and Cons
The literature demonstrates the active use of a range of technologies in Skilled Nursing Facilities (SNFs) in order to provide high-quality care and patient safety. Electronic Health Records (EHRs) may assist in enhancing the communication between providers, documentation, and medication reconciliation. Barcode medication administration systems assist in reducing patient error by ensuring the correct patient, drug, and dosage are administered at the point of care.
The telehealth services increase access to specialists, and the digital monitoring devices monitor the chronic condition and vital signs of residents (Zheng et al., 2020). These technologies allow providing timely interventions, improving continuity of care, and improving clinical decision-making. The technology integration in general improves the evidence-based and patient-centered practice.
However, there are no restrictions or obstacles to the use of technologies in SNFs. The problem of privacy and confidentiality also arises when passing information over health electronically, and in this case, during telehealth sessions, more so. Low digital literacy or the inability to access supportive resources holds other residents. Disciplinary system integration may also lead to the breakdown of communication and disjointed care (Valverde et al., 2021).
Moreover, the employees usually voice dissatisfaction with a lack of training or reluctance to implement new technologies, so efficiency and adoption become less efficient. The budget limitation is also able to limit further investment in advanced systems such as bar-code scanning. These barriers provide evidence of the relevance of training, funding, and facilities in order to convert the greatest benefits of technology in geriatric care.
Technology Implementation Issue, Challenges, and Solutions
Implementation of high technology in SNFs: Bar-code medication administration, telehealth services, and digital monitors have several issues. The cost of equipment, software, and maintenance is prohibitively high, and facilities with small funds do not typically have access to it (Talal et al., 2020). Resistance due to lack of adoption by staff because of unfamiliarity or fear of work overload may slow system adoption and reduce system effectiveness.
Electronic systems also present barriers to use due to privacy issues and challenges of data security, which make it hard to use them. In addition, there is low staffing of RNs, which makes it difficult to provide adequate supervision of the new technology implementation.
In order to address these concerns, the facilities ought to request grants, partnerships, and government funds to support investments associated with technology. Resistance to change in staff may be mitigated through a slow roll-out process that involves pilot testing, and trust and mastery of digital tools may be achieved through the ongoing training programs. One of the privacy and confidentiality issues can be addressed by making the HIPAA-compliant platforms and the consent process transparent (Elkourdi et al., 2024).
On the basis of interdisciplinary cooperation and regular feedback meetings, the staff members will be in a position to shape the application of technology within the framework of the clinical needs of the facility. Lastly, leadership and engagement of staff and employees are key factors in ensuring that technology improves safety, efficiency, and patient outcomes in geriatric care.
Conclusion
This discussion has identified the problems of medication management in SNFs, particularly regarding polypharmacy, inadequate staffing of RNs, and communication gaps. The first place in the quality improvement leadership, promotion of safe delegating, and introduction of technology to reduce mistakes were all emphasized as the contributions of BSN-prepared nurses. The quality standards and government guidelines turned out to be crucial to the process of facilitating interprofessional collaboration, which was deemed a necessity in care safety and coordination.
Despite the fact that technology is offering good solutions, cost, training, and integration of the systems ought to be put into consideration so as to implement them appropriately. Lastly, the nursing leadership and technology-driven practices will be promoted, which will enhance the degree of safety, quality, and outcomes among vulnerable geriatric groups.
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NURS FPX 4905 Assessment 3
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References for
NURS FPX 4905 Assessment 3
Below are the references for NURS FPX 4905 assessment 3 Technology and Professional Standards:
International Journal of Environmental Research and Public Health, 21(8), 968–968. https://doi.org/10.3390/ijerph21080968
Charan, G. S., Kalia, R., Dular, S. K., Kumar, R., & Kaur, K. (2025). Journal of Education and Health Promotion, 14(1). https://doi.org/10.4103/jehp.jehp_462_24
Ibrahim, S. A., Reynolds, K. A., Poon, E., & Alam, M. (2022). British Medical Journal, 377, 1–11. https://doi.org/10.1136/bmj-2020-063064
Janett, R. S., & Yeracaris, P. P. (2020). Electronic medical records in the American health system: challenges and lessons learned. Ciência & Saúde Coletiva, 25(4), 1293–1304. https://doi.org/10.1590/1413-81232020254.28922019
Talal, A. H., Sofikitou, E. M., Jaanimägi, U., Zeremski, M., Tobin, J. N., & Markatou, M. (2020). Journal of Biomedical Informatics, 112(1). https://doi.org/10.1016/j.jbi.2020.103622
Wong, E., Chau, L., Yu, Y., Leung, R., Lai, P., Lo, J., & Lee, S. (2020). Nursing sensitive outcome indicators Chapter Twelve. https://wfccn.org/wp-content/uploads/2020/06/Chapter-12_pp120-139_FINAL.pdf
Capella Best Professor to Choose for
NURS FPX 4905
Jill Alred – PhD, MSAD, BS
Kristine Broger – DNP, MSN, MHA, BSN
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