QI
PDSA stands for?
Plan
Do
Study
Act
ISBARR
Introduction
Situation
Background
Assessment
Recommendation
Readback
THis type of stress might come from having your house burn down or your car break down
situational
These are the 3 domains of learning
Cognitive
Affective
Psychomotor
Tanners model of clinical judgment
Noticing
Interpreting
Responding
Reflecting
What is a sentinel event?
"Never event". A safety event that results in death or permanent harm to the patient.
Med error, wrong site surgery, etc
How do you actively listen?
Eye contact
Pay attention
Do not chart
Good posture
This is good stress
Eustress
These are the 5 rights of teaching
Right time, context, content, goal, method
Nursing process steps
Assess
DIagnosis
Plan
Implement
Evaluate
What is just culture?
Change the system and not blame the nurse
Stages of the nurse-patient relationship?
Preinteraction
Orientation
Working
Termination
This type of stress related to changes in the life span (marriage, divorce, birth, etc)
Developmental
How is teaching adults different from teaching children
Want to know why
Past experience
Autonomous
Clinical judgment model
Recognize cues
Analyze cues/prioritize hypothesis
Generate solutions
Take action
Evaluate the outcomes
Commission vs omission
Commission- Doing something incorrectly. "I did something wrong".
Ex: Med error
Omission- Failing to do something that should have happened. "I failed to do something necessary"
Ex: Forgetting to give a med, not turning a patient.
Barriers to good communication?
Deflection
False reassurance
Opinions
Arguing
Passive aggresive statements
Failing to clarify
Sympathy
Judgment
Unprofessionalism
Closed ended questions
Factors that influence adaptation
Support system
Hardiness
Perception of stress
Overall health
Factors that affect learning
Motivation
Time
SPace
Feedback
Repetition
Amount
Complexity
COmmunication
Culture
Developmental stage
Health literacy
2 cups = mls
480 mls
Ways to prevent errors?
2 patient identifiers.
7 rights of med admin.
Good communication.
Time out in surgery.
Using ISBARR
Using barcodes.
Reduce distractions
What is incongruent language?
Verbal and non verbal do not match
3 stages of general adaptation syndrome
1. Alarm
2. Resistance
3. Exhaustion/Recovery
What are the four learning styles
Visual
Auditory
Tactile
Kinesthetic
20mg/kg for a 20 kg person
400 mg