Can someone look at my paper and correct grammar, punctuation, help it flow bett

Question

Can someone look at my paper and correct grammar, punctuation, help it flow better, and the flow the paper?

To whom it may concern,

                I am writing this letter because I failed to meet the minimum requirements for satisfactory progress related to demonstration of competency & progress in the PN program. On, January 24, 2018, I made several medication error not administering the right amount of pills for levetiracetam, Tamsulosin and not administer insulin to the patient in the given allotted time frame. On , January 24, I didn’t administer insulin in the time frame I was given because I looked at the wrong date, time and thought it was already administered by the primary nurse.

                Insulin is important to a patient because when they digest food, the body converts most of the food they eat into glucose. Insulin allows this glucose to enter all the cells of the body and be used as energy. When someone has diabetes, the body doesn’t make enough insulin or can’t use it properly, so the glucose builds up in their blood instead of moving into the cells. People who have type 2 diabetes need to take insulin to help control their blood sugar levels. The goal of taking insulin is to keep their blood sugar level in a normal range as much as possible to stay healthy. Insulin is a scheduled medication , that is administered at least 2 insulin shots a day for good blood sugar control. Some people need 3 or 4 shots a day.

                When administering insulin it is important to be consistent when administering insulin close to the same time every day. If you vary the time of the injections significantly, it can still “stack” the doses, or cause one dose to overlap with the other. The result is too much insulin circulating in your bloodstream, putting the patient at risk of developing low blood glucose. When administering insulin, a patient should be administered a rapid acting, and a long acting insulin before a meal. Rapid-acting insulin starts working more quickly than other types of insulin. Rapid acting insulins should be administered 15–30 minutes before a patient starts to eat, because it is highly effective at reducing the high postmeal blood glucose commonly associated with high-carbohydrate meals. It begins working within 15 minutes and leaves the body after 3 to 5 hours. Long-acting insulin is an insulin that should also be taken along with rapid acting insulin once a day because rapid-acting insulin can control blood sugar levels for only a few hours, and log acting starts working in about 1 hour and lasts 20 to 26 hours.

                Administering the right amount of pills for levetiracetam, and Tamsulosin is also important. Levetiracetam is a medication that treats seizures. Missing a dose or under calculating a dose can trigger seizures in people with both well-controlled and poorly controlled epilepsy. Also, missing doses of medicine can also lead to falls, injuries and other problems from seizures and changes in medicine levels. So, it is very important to make sure to administer the right dosage to prevent seizure occurring or harmful accident happening to patients that are taking the medication.

Tamsulosin is a medication that treats symptoms of benign prostatic hyperplasia (BPH). BPH is a common condition as men get older. With BPH, the prostate becomes enlarged but isn’t cancerous. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems. Tamsulosin is a medication that relaxes the muscles in the prostate and bladder neck, making it easier to urinate. Not giving the prescribed dosage will affect the flow of urine. So, it is important to always give the proper dose to avoid furthering urination problems.

                Steps I will take to avoid “Near misses” and dosage errors:

To reduce medication errors and harm I will use the “The Five Rights of Medication Administration”: the right patient, the right drug, the right dose, the right route, and the right time.

To reduce medication error with insulin administration, I am going to wear a wrist watch that has the date and time on it so I can make sure I am administering the medication on the right day and time.

Also, to reduce medication error with insulin administration I will check with the primary nurse to see If he or she has already administered the medication, as well review the MAR to see if someone has initialed the box that indicates the medication has been administered, and speak with the patient to see if he or she has received their daily insulin shot.

To reduce medication errors when administering pills, I will review the information I had obtained from the patient record and compare it to the Mar to make sure it is the right dose. If it isn’t the right dose, and there is a discrepancy, I will let the primary nurse know, and find out if the dose has changed or it was written wrong in the Mar, or record.

I will take my time and , I will double check and recheck information that I am given to make sure I reduce the possibility of a medical error.

When administering pills using the bingo pill board I will look closely at the medication name, medication dosage, how many pills to administered against the MAR to ensure I am giving the right amount of pills and dosage.

Also, When look over the MAR to administer medication make sure I look over the complete medication box, to make sure I have the right medication name, how many pills should be administered and what dose is the medication provided against the bingo board to assure I am giving the right amount of pills.

Explanation / Answer

To whom it may concern,
I am writing this letter because I failed to meet the minimum requirements for satisfactory progress related to demonstration of competency & progress in the PN program. On, January 24, 2018, I made many medication errors, not administering the right amount of pills for levetiracetam, Tamsulosin and not administering insulin to the patient in the given allotted time frame. On, January 24, I didn’t administer insulin in the time frame I was given because I looked at the wrong date, time and thought it was already administered by the primary nurse.
Insulin is important to a patient because when they digest food, the body converts most of the food they eat into glucose. Insulin allows this glucose to enter all the cells of the body and be used as energy. When someone has diabetes, the body doesn’t make enough insulin or can’t use it properly, so the glucose builds up in their blood instead of moving into the cells. People who have type 2 diabetes need to take insulin to help control their blood sugar levels. The goal of taking insulin is to keep their blood sugar level in a normal range as much as possible to stay healthy. Insulin is a scheduled medication, that is administered at least 2 insulin shots a day for good blood sugar control. Some people need 3 or 4 shots a day.
When administering insulin it is important to be consistent and close to the same time every day. If you vary the time of the injections significantly, it can still “stack” the doses, or cause one dose to overlap with the other. The result is too much insulin circulating in your bloodstream, putting the patient at risk of developing low blood glucose. When administering insulin, a patient should be administered a rapid-acting, and a long-acting insulin before a meal. Rapid-acting insulin starts working more quickly than other types of insulin. Rapid-acting insulin should be administered 15–30 minutes before a patient starts to eat because it is highly effective in reducing the high post-meal blood glucose commonly associated with high-carbohydrate meals. It begins working within 15 minutes and leaves the body after 3 to 5 hours. Long-acting insulin is an insulin that should also be taken along with rapid-acting insulin once a day because rapid-acting insulin can control blood sugar levels for only a few hours, and log acting starts working in about 1 hour and lasts 20 to 26 hours.
Administering the right amount of pills for levetiracetam, and Tamsulosin is also important. Levetiracetam is a medication that treats seizures. Missing a dose or under calculating a dose can trigger seizures in people with both well-controlled and poorly controlled epilepsy. Also, missing doses of medicine can also lead to falls, injuries and other problems from seizures and changes in medication levels in the blood. So, it is very important to make sure to administer the right dosage to prevent seizure occurring or harmful accident happening to patients who are taking the medication.
Tamsulosin is a medication that treats symptoms of benign prostatic hyperplasia (BPH). BPH is a common condition as men get older. With BPH, the prostate becomes enlarged but isn’t cancerous. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems. Tamsulosin is a medication that relaxes the muscles in the prostate and bladder neck, making the process of urination easier. Not giving the prescribed dosage will affect the flow of urine. So, it is important to always give the proper dose to avoid further urination problems.

Steps I will take to avoid “Near misses” and dosage errors:
To reduce medication errors and harm I will use the “The Five Rights of Medication Administration”: the right patient, the right drug, the right dose, the right route, and the right time.
To reduce medication error with insulin administration, I am going to wear a wristwatch that has the date and time on it so that I can make sure, I am administering the medication on the right day and time.
Also, to reduce medication error with insulin administration I will check with the primary nurse to see If he or she has already administered the medication, as well review the MAR to see if someone has initialed the box that indicates the medication has been administered, and speak with the patient to see if he or she has received their daily insulin shot.
To reduce medication errors when administering pills, I will review the information I had obtained from the patient record and compare it to the MAR to make sure it is the right dose. If it isn’t the right dose, and if there is a discrepancy, I will let the primary nurse know, and find out if the dose has changed or it was written wrong in the MAR, or record.
I will take time, double check and recheck the information that I have given to make sure to reduce the possibility of a medication error.
When administering pills using the bingo pill board I will look closely at the medication name, medication dosage, how many pills to be administered against the MAR to ensure I am giving the right amount of pills and dosage.
Also, when checking the MAR to administer medication, I will look over the complete medication box, to ensure the right medication name, how many pills should be administered and what dose of the medication is provided against the bingo board to assure I am giving the right amount of pills.

Please Note: Review the rights of drug administration.Add five rights to right documentation, right history and assessment, right drug approach and right to refuse, right education and information and right drug-drug interaction and evaluation.

Related Questions

Navigate

• Browse (All)
• Browse C
• Subjects

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.