Quality Improvement
The most important component of care coordination
What is Communication?
Law that governs nursing in each stage. The "legal source for nursing."
What is the Nurse Practice Act?
Safer, more appropriate healthcare; Decreased wait times; Reduced healthcare costs; Improved communication; Fewer unnecessary/duplicated tests & procedures;
What are the benefits of care coordiation?
Instructions to include when delegating tasks.
What are clear & specific parameters?
Example: "Let me know immediately if Mrs. Smith's temperature is above 100.4 degrees."
When behind schedule, this is what the nurse should do to catch up and resolve the problem.
What is identify which tasks/meds/interventions are the priority and do those first?
Outcomes & Patient Satisfaction
What are indicators for quality?
Enforces the Nurse Practice Act (what nurses can & cannot do)
What is the Board of Nursing?
Held to improve communication between healthcare team members and to discuss client's care.
What is interdisciplinary team conferences?
Non-nursing, routine tasks (bathing, ambulating, transferring with hoyer lift, 24-hr urine collection).
What tasks can be delegated to Unlicensed Assistive Personnel?
Useful in establishing priorities
What are Maslow’s hierarchy (ABCs) of needs?
National standardized, publicly-reported survey of patient’s perspectives of hospital care
What is Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS)?
Level of excellence; serves as a guide for practice (what a reasonable nurse would do)
What is a Standard?
Do this when client's new need identified after hospital admission?
What is notify provider & make referral (dietitian, PT, OT, social worker) as needed?
Most stable patient
Who should be delegated to the LPN?
The highest priority in airway assessment.
What is obstruction?
EVERYONE!
Who is responsible for Quality Improvement?
This step of the American Nurses Association's nursing process involves collecting data.
What is Assessment?
To oversee patient from admission to discharge (including securing community resources).
What is the role of the Case Manager?
Maintenance teaching, maintenance assessment, routine meds, ostomy care, simple wound care, urinary catheters, NG/g-tubes, trachs
What can be delegated to LPNs?
Abnormal respiratory rate, cyanosis, use of accessory muscles
What are signs of breathing difficulty?
Safety event that did or could have caused serious harm to patient
What is a Sentinel Event?
This step of the American Nurses Association's nursing process involves performing the plan of care (giving a med, changing a dressing, applying O2, inserting an NG tube, etc).
What is Implementation?
During patient transfers & hand-offs.
When is communication especially important?
BONUS- How can we make these safer?
Give face-to-face SBAR report to receiving nurse.
Central lines, caustic meds, piggy back IV, IV pushes, initial assessment, initial teaching
What cannot be delegated to LPNs?
Signs of Circulation Problems
What are cool, blue extremities, abnormal capillary refill time, decreased LOC