Benner's Theory - 5 levels
What is a novice?
no experience
eg: new grad RN
Are Standards of Care and Standards of Practice the same thing?
YES
Can the nursing profession set standards and regulate itself?
YES
Basic ways to reduce medication errors
5 Rights
Barcode Scanning
Significance of EHR
link electronic written orders with EHRs regionally and nationally
Advanced Beginner 🌱
- kinda acceptable performance
- can make judgements
Who establishes Standards of Care and Practices?
Joint Commission
ANA
National League for Nursing
Nursing organizations provides what?
Governance for the nursing profession
How to promote better outcomes in our work environments
just culture - balance blame-free environment and accountability.
what is quality, according to IOM (institute of medicine)?
degree to which health services for individuals and populations increase the likelihood of defines health outcomes and are consistent with current professional knowledge
📅 Competent
2-3 years of experience
can organize and plan
knows what's important and not
What is the Nurse Practice Act?
- each state has their own nurse practice act
- goal: to protect the public
What organization created the Code of Ethics?
ANA
Define problem, Measure data, Analyze data, Improve with solution, Control - start measures to sustain and change/ monitor the process to make sure goals are met.
what is quality improvement?
systemic and continuous actions to leads to measurable improvement in healthcare services and health status of targeted patient groups
🔮 Proficient
3-5 years
perceives entire situation instead of parts
has holistic understanding of pt
able to make good, makes-sense decisions
focus on long-term goals
Responsibility vs Accountability
responsibility - perform assigned task reliably and dependably, to the best they can
accountability - guides performances
What are some standards of professional performance for nurses?
- maintain collegiality with peers
- collaborate w/ care team
- pursue education
What is Lean Six Sigma?
methodology to reduce waste and provide consistency in quality of care delivered to pts
what is quality management?
evaluating processes to correct problems before harming a patient and to prevent errors in treatment. Goal is to have care be cost effective
🧙♀️ Expert
- performance is fluid, flexible, highly proficient
- understands situations and demands
- highly intuitive and analytic in new situations
What keeps us nurses accountable?
1. specialized education
2. body of knowledge - EBP
3. Oriented to service - driven to help others
What is Chain of Command and example?
hierarchy in organization
- CNO, Director of Service Lines, Unit Managers, Charge Nurses, Staff Nurses
What is the goal of Lean 6 Sigma?
eliminate waste to maximize value
What is a sentinel event?
unexpected event involving death or serious physical or psychologic injury or the risk of
eg: losing a limb, procedure on wrong limb, unanticipated death of a full term infant, d/c infant to wrong family