1. Mary Mckay DNP, ARNP, CNE Jill Sanko, PhD, MS, ARNP-BC, CHSE-A
Bridging the Gap: Making Medication Administration Safer Through Simulation Enhanced Pharmacology Education for Pre licensure Nursing Students
Mary Mckay DNP, ARNP, CNE
Jill Sanko, PhD, MS, ARNP-BC, CHSE-A

2. Acknowledgement
This research study was supported by a grant from the Florida Blue Foundation

3. Background- Medication Errors
Medication errors continue to be the number one cause of nursing related errors (Joint Commission, 2012).
Novice nurses are particularly susceptible to making medication errors.
Gap exists between didactic and clinical performance

4. UM School of Nursing Reporting System

5. Background- Simulation
There is some evidence, promoting the utility of simulation to teach medication-administration (Pauly-O’Neill & Prion, 2013)

6. Methodology IRB approval was obtained
A quasi-experimental design with longitudinal follow up was used to explore the relationship between simulation-enhanced pharmacology education, self reported and observed medication administration errors in pre- licensure nursing students.

7. Methodology Total of 4 scenarios were developed.
Mrs. Morrison is a 67 year old woman who a history of hypertension. She was admitted to the hospital yesterday with complaining of right leg pain. She has been diagnosed with a DVT . Orders have been written for a heparin bolus and drip.
Weight Based Protocol

8. Critical Actions Calculates the Heparin bolus per protocol Vital signs
IDs the patient
Performs the appropriate HH
Dons the appropriate PPE
Draws up the appropriate number of ml for the dosage ordered
Determines the amount of time IV Push
Checks orders and labs
Explains to the patient what they are doing
Checks with a second nurse
Administers IV push meds as correct rate
Follows with saline flush slowly

9. Methodology Intervention Control Didactic Pharmacology Course
Two Simulation Sessions
Four Medication Scenarios
Observation of Subsequent simulation: 308, 320, 411, 453

10. Observed Errors

11. Reporting Errors By Group

12. Observation Tool

13. Inter Rater Reliability
Ran on a total of 5 cases with both raters
Spearman’s rho
Range:
Average: 0.822

14. Competence and Confidence Tool

15. Competence / Confidence Results

16. Discussion Study Limitations
Simulation based educational opportunities may provide pre licensure nursing students with opportunities to practice and gain medication administration competency essential for the provision of safe patient care.

17. References
Shearer, J. ( 2013 ). High fidelity simulation and safety :An integrative review. Journal of Nursing Education. 52(1)
Pauly-O’Neill, S., Prion, S., & Nguyen, H. (2013). Comparison of quality and safety education for nurses related student experiences during pediatric clinical and simulation rotations. Journal of Nursing Education. 52(9)