What are the first five?
1. Hand Hygiene
2. Identifying pt/Introducing self
3. Questioning allergies
4. Privacy
5. Educate
What does SBAR stand for?
Situation, Background, Assessment, and Recommendation
What is our job as a nurse when it comes to safety?
To protect and/or reduce preventable
injury or illness
How do you show that you care to a patient?
Active listening
Eye contact
Taking your time
Having empathy/compassion
How long do you wash your hands for?
15-20 secs
What is the last five?
1. Bed in low position, wheels locked, top siderails up.
2. Call bell within reach.
3. Alarms activated?
4. “Is there anything else I can do for you? I will be back in _______.”
5. Wash hands
Why do we use SBAR?
To communicate critical information clearly, concisely, and in a structured format.
Explain RACE and PASS?
Rescue, Alarm, Confine, Evacuation or extinguish
Pull, Aim, Squeeze, Sweep
How do you show advocacy?
Making sure pt has what they need
Fighting for their rights and wants
Making sure they have their appointments
Why do you use a paper towel to turn off facet?
Infection prevention
Why don't we use the abbreviations on the "do not use list"?
Because they can be mistaken for something else?
Who can we use SBAR with?
Any healthcare professional
Explain the differences between medical and surgical Asepsis?
Medical Asepsis – clean technique – involves practices or procedures that reduce the number and transfer of pathogens.
• Standard and Transmission Based Precautions
• Surgical asepsis – sterile technique – practices used to render and keep objects and areas free from microorganism
What is the best way to teach your patient?
Teach back method
What is the order of putting on PPE?
gown
mask
googles
gloves
What does DDx mean?
Differential Diagnosis
Explain each component of SBAR?
Describe which PPE to use for Standard, contact, droplet and airborne precautions?
Standard: gloves
Contact: gloves, gown
Droplet: gloves, gown, mask w/ shield or googles
Airborne: gloves, gown, N95, googles
Name 3 things that put your patient at risk for safety/fall risk?
◦ Age greater than 65
◦ History of falls
◦ Impaired vision or balance
◦ Altered gait or posture, impaired mobility
◦ Medication regimen
◦ Postural hypotension
◦ Slowed reaction time, weakness
◦ Confusion or disorientation
◦ Unfamiliar environment
◦ Identify risk for falls, fires, poisoning, suffocation and choking, firearm injuries
What is the order for taking off PPE?
gloves
googles
gown
gloves
What does OD/OS/OU mean?
Right eye/Left eye/Both eyes
When was SBAR developed?
The SBAR template was first developed by the United States military in the 1940s and was used extensively after the war in nuclear submarines then by aviation crews and firefighters.
Infection Chain
Infectious agent
Source
Portal of exit
Mode of transmission
Portal of entry
Susceptible host
What are the 5 steps in the nursing process?
Data Collection (LPN)/Assessment (RN)
◦ Diagnosis
◦ Planning
◦ Implementation
◦ Evaluation
While completing your skill competencies (both handwashing and PPE together), how many times are you performing hand hygiene?
4-5 times