Medication Variance Report

Answer
Medication Variance Report
Part A: Event Details
Date:
Time:
Person reporting variance:

Type of Variance (Circle/highlight ONE that most closely represents the result of variance)
Wrong drug Wrong dose Wrong administration rate
Wrong time Wrong frequency (Number of doses) Wrong administration route
Other (please explain)

Did the variance reach the patient (circle/highlight one)? Yes No

Please list supervisor/manager/healthcare provider notified

Part B: Patient Outcome Category (Please circle/highlight one)
An error occurred but did not reach the patient
The error would result in the need for increased patient monitoring, but no harm to patient
The error would result in the need for treatment/intervention and cause temporary patient harm
The error would result in permanent patient harm
The error would result in a near-death event (i.e. cardiac arrest or anaphylaxis)
The error resulted in patient death

Medication Variance Report

Question
NR 224/226: Fundamentals
Case Study Grading Rubric

Criteria Highest Level of Performance
High Level of Performance
Satisfactory Level of Performance
Unsatisfactory Level of Performance

Identification and analysis of the main issues

(6 points) Identifies & answers all the questions in the case study. Insightful and thorough analysis of all the questions.
6 points
Identifies & answers most of the questions in the case study. Thorough analysis of most of the questions.
4 points Identifies & answers some of the questions in the case study. Superficial analysis of some of the questions.
2 points Identifies & answers few of the questions in the case study. Incomplete analysis of the questions.
0 points
Links to Course Readings and Additional Research
(2 points) Excellent research into the issues with clearly documented links to class (and/or outside readings).
2 points Good research and documented links to the material read.

1 point
Limited research and documented links to any readings.

0.5 points Incomplete research and links to any readings.

0 points
Writing style
(2 points) Writing demonstrates a sophisticated clarity, conciseness, and correctness: includes thorough details and relevant data and information; extremely well-organized. No citation or APA format errors.
2 points
Writing is accomplished in terms of clarity and conciseness and contains only a few errors; includes sufficient details and relevant data and information: well-organized. One citation or APA format error
1 point Writing lacks clarity or conciseness and contains numerous errors; gives insufficient detail and relevant data and information; lacks organization. Two citations or APA format errors.

0.5 points Writing is unfocused, rambling, or contains serious errors; lacks detail and relevant data and information:
Poorly organized. Three or more citations or APA format errors.

0 points

Medication Variance Report

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