M 8 Safety Flashcards

1
Q

Clinical judgement

A

Based on critical thinking and nursing knowledge
Applied to clinical situations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Clinical judgment is acquired best through

A

Experience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When to use Clinical Judgement

A

Challenging med dosage
When to admin med
Assess pt med status
Assess pt suicide risk
Effective communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Clinical judgement positives

A

Safety
Quality
Client centeredness
Positive outcomes
EBP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Clinical judgement negatives

A

Death/sentinel event
Unsafe environment
Bad pt outcomes
Breakdown in judgement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Nursing process

A

Assessment
Diagnosis
Planning
Implementation
Evaluation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Examples of sentinel events

A

Wrong side surgery
Med errors
Criminal sentinel events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why sentinel events happen

A

Inadequate comms
Incorrect assessment
Inadequate leadership/training

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Do you have to report sentinel to the joint commission

A

NO, but are encouraged too

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A major sentinel event categories is

A

Wrong site surgery
Removal of unaffected limb, organ or body part,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Preventing wrong site surgery

A

Sign in
TIME OUT
Sign out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Med error sentinel event causes

A

Order confusion
Drug name similarity
Narrow therapeutic index
Patient response
Nurse fatigue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Most common med to have issues with

A

Insulins
Anticoagulants
Opioids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Criminal sentinel event examples

A

Impersonation
Abduction
Rape/assault

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Prevention strategies for sentinel events

A

Checklists
No interruption zones like a med room
Safety checks
Education

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ethical delema

A

Choosing between TWO undesirable outcomes

17
Q

Why do nurses face ethical delemas

A

Need to do the best good for all
PT
DR
Organization
At thesame time

18
Q

Utilitarianism decision making

A

Greatest good for most people

19
Q

Rights based decision making

A

Individuals have inherent rights

20
Q

Duty based decision making

A

Duty to do a task or refrain from one

21
Q

Intuitionist based decision making

A

Goals are weight on case-by-case bases

22
Q

Autonomy

A

self determination

23
Q

Beneficence

A

Doing good

24
Q

Nonmaleficence

A

Not doing bad

25
Paternalism
An individual assumes all decision making for another person
26
Utility
Good of many outweighs individual needs
27
Justice
Right to fair treatment
28
Veracity
Truth
29
Fidelity
Keep promise
30
Confidentiality
Keep info private
31
How to solve an ethical dilemma
Utilize structure problem solving Adequate data collection Examine alternatives
32
How can leaders promote ethical decisions
Separate legal from ethical Have an ethics committee Use review boards Foster ethical work environment
33
Who participates in quality improvement
Everyone
34
Core of quality improvement
PT and Staff safety
35
QI goals are set by via
WHO, TJC Benchmarks - new approaches, or best practices
36
QI is an _ process
Ongoing
37
As we progress through career QI goals
Change from individual as a nurse to group as a nurse leader
38
FOCUS PDCA
Find process Organize team Clarify knowledge Understand variables Select plan Plan Do Check Act
39
TJC current QI goals
Acute MI Children's asthma Psych services Immz Stroke DVT