Patient Safety Flashcards
Breeches in patient safety (2)
communication breakdown
-during handoff reports, communication members of the health care team or between facilities
poor teamwork or collaboration
-lack of mutual respect between disciplines, unequal sharing or decision making power between disciplines
lack of patient centered care
poor reporting of medical errors
Improving Patient safety - QSEN
quality safe education for nurses
6 competencies of QSEN
patient centered care teamwork and collaboration safety informatics evidence based practice quality improvement
CHAMP Behaviors
communicate clearly
handoff effectively (SBARR)
attention to detail - STAR (stop, think, act, review)
mentor each other
practice and accept a questioning attitude
Fall risk assessment - how often is a patient evaluated
every 8-12 hours
Levels of fall risk assessment
low risk, medium risk, high risk
How many side rails can be up on a patient’s bed?
2-3
4 is a restraint
Nursing Interventions
side rails bed/chair alarms special colored socks indicate hopital staff that the patient is a high fall risk signs outside patient room Evaluation of medication 1:1 patient observer
Skin care assessment - how often?
every 8 hours
looking for skin breakdown
Patient rating for skin assessment
low (15-18), medium(13-14), high risk(10-12)
SBARR
Situation - why are you calling? Identify patient and yourself? Background Assessment Recommendations Readback
Hourly Rounds - 5 P’s
check on every patient every hour
- pain (assess/intervene)
- potty (bathroom needs)
- position (in bed.chair.ambulate)
- possessions/periphary (call bell close, telephone, drink)
- pump (check IV pump)
How do you know if your patient is aspirating?
- coughing after drinking think liquids
- purposeful swallowing
- pocketing food in their mouth after swallowing
Bedside swallow evaluation by nurse (BEST)
- evaluate a patients risk for aspiration
- puree food trial (1st)
- liquid trial (2nd)
- failure at any stage the nurse should stop and refer for a speech therapy eval
RACE
PASS
Rescue anyone in immediate danger
Alarm/Activate fire code
Confine the fire by closing the doors and windows
Evacuate patients and other people to a safe area
Pull, Aim, Squeeze, Sweep
