S3 M2 Safety Flashcards
Continuity of care
Appropriate uninterrupted care between different facilities
ISBARR
Introduction Situation Background Assessment Recommendation Read-back
CUS words
Concerned
Uncomfortable
Safety risk
What act encourages care coordination by undermining the fee-for-service model that encourages multiple procedures
Patient Protection and Affordable Care Act
Nurse navigator
Central point of contact for all components of care
i.e.: surgery, medicine, oncology, social work, patient edu, community support - for a cancer patient
Can be any kind of patient
Patient navigator
Same thing as nurse navigator but can be anyone
Primary distinction is that a patient navigator does NOT have a clinical background and focuses of support aspects of care
Medication reonciliation
List of all medications the patient takes regularly or is prescribed by provider
The form is checked and filled out AGAIN with each transfer
Discharge planning begins at
Admission
Discharge planning
Preparation for patient departure and continuity of care
Discharge planning can become a transfer to another facility is the patient has
Lack of knowledge of the treatment plan Social isolation Recently diagnosed chronic disease Major surgery Prolonged recuperation from major surgery or illness Emotional or mental instability Complex home care regimen Financial difficulties Lack of available or appropriate referral sources Terminal illness
REM and NREM sleep are both increased by
physical activity
Don’t exercise within a _ hour window of sleep
3
Will hinder it
Sleep can be aided by l-triptophan and complex carbohydrates so have a snack like… 1 hour before bed
peanut butter and toast
cheese and crackers
Thoughtful prectice
Using clinical reasoning and reflective practice to guide thoughtful action and person-centered processes
What goes in the S of sbar
What is going on with patient
current vital signs
What goes in the B of sbar
Patient history
What goes in the A of sbar
What is the problem right now
What goes in the R of sbar
What does the patient need in the future
When conducting a safety assessment check wounds, IV site/tubing, fall risk and what else
The room for safety concerns
What tests should you review before taking a PT
Labs
Meds
Forms ie allergies vaccinations admission etc
Bed side report can improve
Safety
Patient Experience
Nursing Satisfaction
Time management
The code of ethics is part of
ANA
Core competencies
1) patient-centered care
2) teamwork and collaboration
3) evidence-based practice
4) quality
improvement
5) informatics
Safety
Protection from harm for patients and providers
using SYSTEM EFFECTIVENESS as well as INDIVIDUAL PERFORMANCE
Joint commission national patient safety goal #2
Implementation of standardized approach to communication
Like SBAR, CUS, IPASS the BATON
Purpose of standardizing comms
Having succinct accurate information
Bedside reporting provides opportunity for PT and fam to provide
Input
Benefits of organizing data
Nothing is missed or over looked
Enables critical thinking BEFORE starting comms
SHARE
Standardize critical content
Hardwire content in system
Allow opportunity for questions
Reinforce quality and measurement
Educate and coach
Inadequate sleep and extended work hours will increase
Risk of errors
Duty to patients is our first duty according to
ANA
and
Board of nursing
Circadian rhythm
Sleep/wake cycel
Sleep deprivation
Lack of a block of quality sleep (7-8h/day)
Time of task
results in
Fatigue during prolonged concentration
mind fatigue
Do’s of sleep
Regular shedule
Relaxing routine
Cool, dark, quiet environemt
Don’ts of sleep
Don’t go to bed hungry
Don’t exercise
Don’t read/eat/watch TV in bed
Don’t consume alcohol, caffeine, heavy/spicy foods before bed
If you are too tired to practice contact
Safe Harbor
