...National Patient Safety Goals in Acute Care Modified for Behavioral Health Nursing (Dr. Deb) Goal: - Explore impact of national patient safety standards on an acute care unit. - Utilize national patient safety standards to evaluate patient safety in acute care. - Value application of national patient safety standards in an acute care environment. Clinical Objective: - Utilize the 2013 National Patient Safety Goals for hospital care to identify safety concerns on the clinical unit throughout the clinical day. - Apply the nursing process to prevent environmental safety hazards in an acute care facility. Instructions: - During the clinical day, note your observations. - List recommendations for nursing practice based on your observations. -Type and submit this activity sheet in Mental Health Dropbox by assigned date. National Patient Safety Goal Selected Examples Goal met or not met? -Describe observations Recommendations Goal #1 Improve the accuracy of patient identification -Use at least two client identifiers when providing care, treatment and services. -Use 2 identifiers per facility policy when administering medication, blood components or collecting specimens for clinical testing. -Acceptable identifiers may include the individual’s name, ID number, or other person-specific identifier. -Focus on how medication administration differs on an acute behavioral health unit. Goal # 2 Improve the effectiveness of communication...
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...Attitude is a reflection of values and principles based on patient care. Behavior is multifaceted and complex, stemming from a response to factors that are outside a purely ‘scientific’ understanding of infection and not simply understood as a deficit in knowledge. These call for educational interventions that consider beliefs, values and social understanding of pathogens and infection (Jackson, et al). It is not enough to have knowledge about the prevention of healthcare-acquired infections, but also the correct approach towards the right actions that are focused on patient safety. As far back as 1860, Florence Nightingale emphasized the importance of hygiene, cleanliness and standards of care, yet despite this, infections in hospitals and other healthcare settings continue to be a major concern for health services (Department of Health, (DH), 2009). In spite of recognizing the importance of hand washing in reducing transmission of microorganisms, compliance by healthcare professionals is often poor and protective equipment is not always used appropriately (Jackson, et al). Part of the problem is that healthcare workers are not always aware of the fields of contamination that surround them and inadvertently carry pathogens on their person and potentially go on the infect patients. While hand hygiene is certainly a crucial measure to prevent healthcare acquired infections, evidence suggests that transmission and infection occur as a result of additional unsafe movements...
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...NU 415 Leadership and Management for RN’s Week 2 Discussion Board student response to Denise Cata by Kathryn Moultrie Good evening Denise, I found your post on QSEN competencies and they impact our practice interesting. For me as a nurse in a specialty, competencies (prior to QSEN), either demonstrated or verbalized has always been mandatory especially in critical care. Some critical care positions prefer nurses to have critical care registered nurse certification (CCRN), which I maintained until 2004, being a travel nurse affected the requirement’s for sitting or maintaining the examine and certification, one aspect of travel nursing I regret. I was difficult for me as well to choose one competency. I feel all patient-centered care, teamwork...
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...Describe the benefits that information management and electronic information systems brings to delivery of informed, safe, and quality healthcare. Discuss how healthcare informatics might be integrated into the pre-licensure nursing curriculum. Provide two examples of teaching strategies utilizing the following: Electronic health record as a learning tool A teaching strategy from the QSEN project specifying a specific student assignment relevant to nursing informatics. Conclude your discussion with a well-developed reflection on the significance of healthcare informatics to 21st century nursing education. In response to the Institution of Medicine call to improve the quality of healthcare the Quality and Safety Education for Nurses (QSEN) initiative was started. The QSEN initiative consisted of the development of quality and safety competencies that serve as a resource for nursing faculty to integrate contemporary quality and safety content into nursing education. Nurses are on the front line of patient safety. It is important for the nursing profession to realize all the benefits healthcare informatics can offer to ease their jobs and improve patient safety. Introducing health care informatics into the nursing curriculum will prepare the student for new and innovative technologies on the horizon in the healthcare community. Safety benefits are consistent with the use electronic health record. If electronic medical records are being used by the nurse, the physician...
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...irregular rhythms, ambient light, phototherapy or electromagnetic interference, skin pigmentation along with other limitations (Engel & Kochilas 2015). Select one (1) of the six QSEN competencies and discuss how this competency can be used to make pulse oximetry screening in the newborn a reality to improve patient outcomes. QSEN competency, quality improvement can be used to make pulse oximetry screening in the newborn a reality to improve patient outcomes. Data can be screened to evaluate trends of false positives, protocol violations, missed screens and parental decline of screening. A pulse oximetry program can be established in the hospitals for screening data. Quality improvement can ensure the care using evidenced based practice, improve performance, review data for pulse oximetry performance and improve compliance with pulse oximetry participation (Dolansky & Moore 2013). Another way to improve newborn outcome with pulse oximetry monitoring is to make sure the device is applied appropriately. If the nurse is unsure of where to put it or how it is applied, the nurse should ask a team member for assistance so that the patient has the best outcome. Having an accurate reading with a newborn is important. Reference: Dolansky, M., & Moore, S. (2013). Quality and Safety Education for Nurses (QSEN): The key is systems thinking. Retrieved from http://www.nursingworld.org/Quality-and-Safety-Education-for-Nurses.html Engel, M., & Kochilas,L. (2015). Pulse oximetry screening:...
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...TITLE PAGE Therapeutic Communication And Nursing Considerations As a nurse, one must expect to be faced with diverse situations. From teaching patients of varied educational backgrounds to explaining a difficult diagnosis, it is the place of the nurse to build a proper relationship and provide therapeutic communication to each person in the most effective manner possible. This paper first describes the fundamental elements of the communication process, and second, reviews the three levels of communication with nursing applications. Third, this paper differentiates between verbal and nonverbal communications, and furthermore describes the nurse’s focus in the nurse-patient relationship. This paper outlines therapeutic and non-therapeutic communication techniques, with regard to cultural diversity and patients with alternative communication needs. The Communication Process “Communication is an interactive process between two or more persons who send and receive messages to one another”(Varcarolis, 2010, p. 175). “Two common elements of every communication exchange are the sender and receiver. The sender initiates the communication. The sender is a person who has a need or desire to convey an idea or concept to others. The receiver is the individual to whom the message is sent. The sender encodes the idea by selecting words, symbols, or gestures with which to compose a message. The message is the outcome of the encoding, which takes the form of verbal...
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...of their own communication skills. References Burchum, J.R. & Rosenthal, L.D. (2016). Lehne's pharmacology for nursing care. (9th ed.). St. Louis: Elsevier Saunders. Staff, M. C. (2016). Iron deficiency in children: Prevention tips for parents. Mayo Clinic. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/iron-deficiency/art-20045634 Miller, J. L. (2013). Iron Deficiency Anemia: A Common and Curable Disease. Cold Spring Harbor Perspectives in Medicine, 3(7). doi: http://doi.org/10.1101/cshperspect.a011866 Özdemir, N. (2015). Iron deficiency anemia from diagnosis to treatment in children. Turkish Archives of Pediatrics/Türk Pediatri Arşivi, 50(1), 11–19. http://doi.org/10.5152/tpa.2015.2337 QSEN institute. (2018). QSEN competencies. Retrieved from...
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...In this paper, is describing an initiative step to integrate simulation into an undergraduate nursing program. The aim is to structured a clinical practice lab as an summative simulation to enhance the student competencies, using this method as a teaching strategies leads the students to practice with realistic events with out harming the patient. According to the report The integration of simulation across the curriculum as an active learning educational outcome has demonstrated to improve the knowledge, skills and attitude among the pre-licenses nurse ( ). Although, this practice permit the pre-licenses nurse to reflex on their ongoing competencies performance in the clinical practice simulation lab. This perspective goal on using...
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...3. What did you learn from this situation about yourself, your beliefs, or assumptions? I learned something about myself. I learned that as long as the patient has a heartbeat and is on a ventilator, I will continue to maintain the same level of respect, care, comfort, and communication that I would give any other patient. 4. Describe the significance of this learning experience in terms of the competencies associated with the course or QSEN objectives. One of the QSEN nursing clinical competencies includes creating nursing practices, which integrate caring characteristics into patient-centered care as well as with other healthcare professionals. 5. Describe how this might be useful in the future? I believe this will be a useful tool that I should continue to integrate into my practice. I think that regardless of the situation this tool will give me a professional and respectful quality that I can always fall back on regardless of the obstacles or moral dilemma’s that may arise in my...
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...and Collaborative Teamwork is Essential to Nursing Today A. Safe healthcare environments i. Reduction of errors made in delivery of care ii. Collaboration of more knowledge B. Produces safe healthcare providers iii. Encourages further learning iv. Assists in the prevention of mistakes III. Reasons for Evidence Based Practice C. Enhanced patient/quality care v. Reduction in variation of nursing care vi. Utilization of proven research for change vii. Change from tradition based to science based model D. Empowering nurses viii. Expanding nursing skills/critical thinking ix. Improvement in job satisfaction IV. Ways QSEN Promotes Nursing Professionalism E. Initiative x. To integrate quality and safety competencies into nursing education. F. Goal xi. Nursing professionals are provided with the knowledge and tools needed to deliver safe, effect, and patient-centered care. G. Focus xii. Improvement in high quality, safe nursing care delivery from all nurses. H. Phase I xiii. Knowledge, skills, and attitudes that nurses must possess to deliver safe and effective care are identified. I. Phase II xiv. Graduate level quality and safety competencies for nursing education and proposed targets are defined. J. Phase III xv. Faculty...
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...The benefit of a bedside report will synchronize all the knowledge, priorities, and updates to healthcare practitioners, patient, and family. During the bedside report, if there is an occurrence of unknown information regarding that patient diagnosis, treatment and management, a patient can easily acquire answers by questioning directly to the healthcare practitioners. The strategy of bedside reporting supports QSEN competency of KSA, in which knowledge is distributed equally to patient, family and health care practitioners and allowing everyone to be on the same page regarding patient’s...
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...information is easily accessible. Quality improvement is important because it improves the quality of care for patients in the healthcare system. The EHR helps with safety because you are able see what has been done with the patient and to guide your care around interventions that have already been done instead of having to look through a paper chart. The best case scenario would be to have a national EHR, but this would be expensive and time consuming. However, someday through informatics and evidence based practice, this will happen. I feel that the time that is spent in learning how to use an EHR is less important than the safety that the EHR would provide the patient in having information that is needed to treat the patient all in one place (QSEN Competencies,...
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...Population Health Intervention Outline Population Health Intervention Outline Statement of Need: There is an increased risk of overexposure to the sun in the pediatric population, which can significantly increase their chance of developing skin cancer in their lifetime. There is no existing prevention program within the school system identified. I. Overview of Selected Population A. School Age Children 1. Ages 5-12 2. Grades K-6th 3. Ethnicity-White, Hispanic, Korean , African American B. Location 1. Wilson Elementary School 2. Montgomery, Alabama II. Disease Specific Data A. Skin Cancer 1. Importance- 1 million cases reported a year in the U.S 2. Increased risk of melanoma-deadliest form of skin cancer 3. Cases of melanoma increased by 172.2% since 1975 4. 450 new cases of melanoma in 2013 5. Pediatric melanoma increased by 2% per year since 2011 B. Risk Factors 1. Ultraviolet radiation and solar radiation accumulation 2. Over-exposure to sunlight during childhood 3. Light-skin, light colored eyes 4. History of sunburns 5. Family history III. Setting A. Classrooms in public school, playground B. Audience- students, caregivers, teachers, parents IV. Suggested Interventions A. Education interventions-handouts, posters, B. Behavioral interventions-limit sun exposure, wear hats, sunblock C. Environmental interventions-shade structures, trees D. Policy development...
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...was changing a nurse’s role (Johnson, 2010). This would require changing the old nurse roll to a more involved role using critical thinking, clinical judgment and nursing process (Creasia, 2011). The focus on other topics beyond the provision the NCLEX-RN would need to alter the test to encompass a more diverse multitude of questions that would be considered critical thinking (Johnson, 2010). The impact of the IOM report on transforming education is to incorporate more consistent competencies among nursing schools (Johnson, 2010). By providing nursing facilities with strategies to integrate quality and safety content into their curricula, with an interactive course work focused on a six core Quality and Safety Education for Nurses (QSEN), competencies. Using a Train the Trainer approach that helps to lead the institutions faculty to incorporate, to teach and mentor students, to train faculty to accomplish these goals (Barnsteiner, et al., 2012). They introduced a process approved to Educational Rigor of Curricula Development: Draft Modules: including papers, references, glossary, resources. Internal Review: reviewed by AACN and Authors. External Review: by expert...
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...Medication Administration March 12, 2014 Medication Administration Without a doubt, the single biggest aspect of healthcare that needs to improve with regards to safety is medication administration. We, as healthcare providers, are human and therefore human errors will happen, but we still must strive to limit these errors to the best of our abilities. The QSEN Competency definition of safety reads, “minimizes risk of harm to patients and providers through both system effectiveness and individual performance” (QSEN.org 2014). I understand this as we are obligated to minimize the risk to all patients and fellow healthcare professionals through our own practice, but also by perpetuating an environment that does the same. It is not only our job to be safe in our own practice, it is also our obligation to promote safety in other’s practice. In turn a system becomes effective with regards to safety. Over the course of the last week I’ve realized how difficult it can be to provide safety in medication administration. I’ll tell you how being my own patient and how deciphering the world of medications opened my eyes to how difficult medication administration is for the patient and the healthcare provider. My first observation as I started this exercise of being patient and nurse was that I must be very sick because I’m taking a lot of medications. This is actually quite typical of many patients that we might care for though. Some issues that can arise from this fact is that...
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