NUR 300 Case Study Since the recognition of patient safety as a healthcare priority by the World Health Organization (WHO) in 2007, healthcare organizations have put many efforts in ensuring the quality of services and the safety of the patients. The Quality and Safety Education for Nurses (QSEN) are recommendations meant to equip nurses with the necessary skills, knowledge, and attitudes that are critical to the improvement of patient care quality and safety (Sherwood & Barnsteiner, 2013). In the current case, Mary has new nurses who want to become part of her team in the ICU. Integrating new nurses into the ICU department requires helping them on how to efficiently execute their mandates without compromising on the quality benchmarks in place …show more content…
In this case, according to Bertch (2012), the various ways of ensuring quality such as following evidence-based practices should be mentioned. Additionally, the various safety measures that should be observed in the ICU unit should be focused on this critical step. Each of the new nurses should be given an opportunity to air her views on the best …show more content…
Specifically, Mary and her new and seasoned nurses should agree on the best method that they would use in implementing the skills. In the view of Pilcher (2009), the process should come out of a collaboration among the nurses and should not be the single choice of one of them. In conclusion, the guarantee of patient safety, as well as the provision of quality services, has been the concern of most healthcare organizations. Nurses in the ICU Department ought to have plans on how they will ensure they follow the fundamental principals contained in the QSEN safety competencies. In integrating new nurses in the ICU, Mary ought to make sure that the seasoned nurses understand the skills to follow and the best strategies that can ensure effective implementation of the policies. Doing so would ensure that the nurses work in collaboration and maintain or improve the quality and safety
According to PAULA GRALING who is a DNP, RN, CNOR, FAAN CLINICAL NURSE SPECIALIST, DEPARTMENT OF SURGERY, INOVA FAIRFAX MEDICAL CAMPUS ,FALLS CHURCH, VA; “Nurses become the champion of change should work with your doctor to develop an atmosphere of mutual respect and stroke and other medical colleagues. We need to get used to using the vocabulary and evaluation tool that is used to measure the quality of the communication. Nurses, thoughtful, in the case of stakeholders for collaboration and interdisciplinary teamwork can we create and maintain with our environment and safety culture.”
There are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
This paper will discuss the influence and function of the differentiated essential competencies (DECs) for graduates of Texas nursing programs. It will outline the competencies of each nursing educational level, mainly, the associate degree nursing (ADN) and the baccalaureate degree nursing (BDN) programs. These competencies were revised and approved by the Texas board of nursing (TX BON) to assure public safety. So, they are the foundation of the nursing education programs and serve as a guide for professional nurses to provide safe, competent, and patient-centered care. The DECs have twenty-five competencies grouped under four main nursing roles.
Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,
In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and
Fundamentals of Nursing National Patient Safety Goals are the foundation of the nursing department. Without these goals in place, the patient will not be receiving patient-centered care. As nursing students, it is important to understand these goals, as well as the DMACC program student learning objectives. EOP SLO Safe Practice Safe Practice is doing what is best for the patient and their autonomy. Safe practice involves many different aspects, such as the patient’s comfort, pain level, physical health, mental health, psychosocial needs, and that all their possessions are accounted for.
Patient safety component explains how important it is that as nurses, patients safety is kept as a priority. It is our job to help minimize risk of harm
Optimum care and patient safety is a nurse’s main goal, and therefore, affects each and every nurse. With falls being such a critical part of a patient’s hospital stay as well as the nursing profession, nurses must perform adequate assessment and implementation
Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
“More highly educated nursing workforce is critical to meeting the nation’s nursing needs and delivering safe, effective patient care….. Without a more educated nursing workforce, the nation’s health will be further at risk (Tri-council for Nursing, 2010).” As the acuity of the patient increases daily, so is the need for increases of higher education for nurses. The factor of increasing complexity of patient health require higher education for the liability of safe practice, thus is an agreeable requirement for employers to place upon the employees. Acquiring a bachelor’s degree is only an improvement for everyone.
They need to learn the various pieces and functions of communication in diverse areas of nursing. According to Garrett (2016), to maintain patient safety communication should be consistent, comprehensive, transparent, concise, and appropriate, consequently, leading to interacting and connecting with patients who demonstrated to improve results, reduce costs, and improve the patient’s understanding. A study conducted by Daly (2017), states that they are four themes nurses should utilize in their daily practice: 1. Prioritise people, 2. Practise effectively, 3.
As such, safety, delegation, and quality of care are dependent on one another. In other words, effective teamwork among the nursing
In recent years patient safety in the clinical setting has become both an international and national necessity, with an ever growing emphasis on patient safety in policy development, legislative improvements and upgrading the standards of care globally. Promoting patient safety and quality of care are integral to the delivery of healthcare in Ireland. Safety is a fundamental aspect of care and it is essential to diagnosis and treatment of patients. All healthcare professionals are obligated to treat, help, comfort and care for patients and to excel in the provision of health services for anyone who needs them. The primary responsibility for nurses as patient advocates, is delivering safe and effective care.