A client with two IV sites has the following orders. Calcula…

A client with two IV sites has the following orders. Calculate the total fluid intake for the past 8 hours from 0700 to 1500. The patient has the following IV Fluid and medications orders: D5.45NS at 60 ml/hr continuously (even when the IVPB’s are infusing) gentamycin (Garamycin) 80 mg in 100 ml D5W IVPB every 8 hours, scheduled at 0200, 1000, and 1800 Ciprofloxacin (Cipro) 400 mg in 250 ml NS IVPB daily is scheduled at 0900 Cimetidine (Tagamet) 300 mg IVPB in 50 ml NS every 4 hours, scheduled at 0400, 0800, 1200, 1600, 2000, and midnight The patient has the following oral intake: 8 fl oz coffee; 4 fl oz orange juice; 240 ml 2% milk; 150 ml soup; and 3 glasses of water (each glass = 180 ml each) Calculate the total fluid intake for the past 8 hours from 0700 to 1500.

You are the charge nurse of a medical-surgical unit. Recentl…

You are the charge nurse of a medical-surgical unit. Recently, your hospital implemented Bar Code Medication Administration (BCMA) to reduce medical errors and promote safety. You learn that some nurses are overriding the system. Some RNs do not awaken the patients to scan their barcodes before administering an IV push medication and scan the chart label instead. Some RNs have overridden the barcode warning, assuming that it was a technological glitch. Other RNs are charting that medications were given when they have been left at the bedside. Your staff members state that they understand that BCMA reduces errors, but it is more time consuming and there are equipment issues.(10 points) List 3 driving factors which would facilitate this change moving forward and 3 restraining factors which might be hindering the change.(10 points) Describe 3 strategies you could employ now to promote Lewin’s refreezing stage of the new BCMA system.