M 8 Safety

Question 1

Clinical judgement

Answer 1

Based on critical thinking and nursing knowledge
Applied to clinical situations

Question 2

Clinical judgment is acquired best through

Answer 2

Experience

Question 3

When to use Clinical Judgement

Answer 3

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

Question 4

Clinical judgement positives

Answer 4

Safety
Quality
Client centeredness
Positive outcomes
EBP

Question 5

Clinical judgement negatives

Answer 5

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

Question 6

Nursing process

Answer 6

Assessment
Diagnosis
Planning
Implementation
Evaluation

Question 7

Examples of sentinel events

Answer 7

Wrong side surgery
Med errors
Criminal sentinel events

Question 8

Why sentinel events happen

Answer 8

Inadequate comms
Incorrect assessment
Inadequate leadership/training

Question 9

Do you have to report sentinel to the joint commission

Answer 9

NO, but are encouraged too

Question 10

A major sentinel event categories is

Answer 10

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

Question 11

Preventing wrong site surgery

Answer 11

Sign in
TIME OUT
Sign out

Question 12

Med error sentinel event causes

Answer 12

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

Question 13

Most common med to have issues with

Answer 13

Insulins
Anticoagulants
Opioids

Question 14

Criminal sentinel event examples

Answer 14

Impersonation
Abduction
Rape/assault

Question 15

Prevention strategies for sentinel events

Answer 15

Checklists
No interruption zones like a med room
Safety checks
Education

Question 16

Ethical delema

Answer 16

Choosing between TWO undesirable outcomes

Question 17

Why do nurses face ethical delemas

Answer 17

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

Question 18

Utilitarianism decision making

Answer 18

Greatest good for most people

Question 19

Rights based decision making

Answer 19

Individuals have inherent rights

Question 20

Duty based decision making

Answer 20

Duty to do a task or refrain from one

Question 21

Intuitionist based decision making

Answer 21

Goals are weight on case-by-case bases

Question 22

Autonomy

Answer 22

self determination

Question 23

Beneficence

Answer 23

Doing good

Question 24

Nonmaleficence

Answer 24

Not doing bad

Question 25

Paternalism

Answer 25

An individual assumes all decision making for another person

Question 26

Utility

Answer 26

Good of many outweighs individual needs

Question 27

Justice

Answer 27

Right to fair treatment

Question 28

Veracity

Answer 28

Truth

Question 29

Fidelity

Answer 29

Keep promise

Question 30

Confidentiality

Answer 30

Keep info private

Question 31

How to solve an ethical dilemma

Answer 31

Utilize structure problem solving
Adequate data collection
Examine alternatives

Question 32

How can leaders promote ethical decisions

Answer 32

Separate legal from ethical
Have an ethics committee
Use review boards
Foster ethical work environment

Question 33

Who participates in quality improvement

Answer 33

Everyone

Question 34

Core of quality improvement

Answer 34

PT and Staff safety

Question 35

QI goals are set by

via

Answer 35

WHO, TJC

Benchmarks - new approaches, or best practices

Question 36

QI is an _ process

Answer 36

Ongoing

Question 37

As we progress through career QI goals

Answer 37

Change
from individual as a nurse

to group as a nurse leader

Question 38

FOCUS PDCA

Answer 38

Find process
Organize team
Clarify knowledge
Understand variables
Select plan

Plan
Do
Check
Act

Question 39

TJC current QI goals

Answer 39

Acute MI
Children’s asthma
Psych services
Immz
Stroke
DVT