CNO Competencies
This CNO standard requires nurses to work with the healthcare team to prevent future medication errors
What is collaborator?
This technique uses uppercase letters to differentiate drugs with similar names
What is Tallman Lettering?
This error-prevention strategy requires two clinicians to separately verify a medication before administration to reduce the chance of mistakes
What is an independent double check?
This is the first action a nurse should take after a medication error has been made, ensuring the patient's safety and well-being
What is to monitor or assess the patient?
What are the "Five Rights" of medication administration?
What is the right patient, right dose, right route, right time, right medication?
These two patient identifiers should be checked before administering a medication to ensure safety
What are the patient's name (wristband) and date of birth?
What nursing standard focuses on using current evidence to ensure safe and effective care?
What is Evidence-Based Practice?
After ensuring patient safety, this must be completed to document the medication error for quality improvement purposes
What is an incident report?
This competency applies knowledge of pharmacology and principles of safe medication practice
What is clinician?
This model uses layers of defence to prevent errors from occurring, like slices of cheese in a sandwich
What is Reason’s Swiss Cheese Model?
What safety strategy should a nurse use when encountering a medication order that is unclear or potentially incorrect?
What is clarify the order with the prescribing physician before administering?
This type of reporting system allows healthcare workers to report near-misses and errors anonymously without fear of punishment. What is this system called?
What is a non-punitive reporting system?
This CNO competency describes demonstrating self-awareness and promoting a culture of safety through reflective practice
What is a leader?
This practice involves reviewing medication orders for accuracy and clarity before administration to reduce the risk of errors
What is medication reconciliation?
A nurse working at a hospital with paper charting administers the wrong medication because the drug names are: “Celebrex” & “Celexa”. What changes can be made to prevent similar errors from occurring
What are tallman lettering, barcode administration, adopting an electronic health record, implementing a double-check system, enhancing labelling practices?
Scenario - ways of knowing
Empirical, Aesthetic, Personal, Ethical, Emancipatory