Patient Care Delivery
Requires skilled and experienced staff to be successful
What is Total Patient Care
Early recognition of adverse events/complications/errors
Escalating care when it is necessary for timely interventions
Promoting error reporting
What are strategies to improve patient safety by the nurse
A nurse manager in the PACU completed their monthly report and evaluation of post-op surgical incision infections.
What is an Outcome Audit
Regulating and Accreditation Agency, setting standards for quality improvement and patient safety
What is The Joint Commission
Initiating a urinary retention protocol, respecting the patient's decision, following a DNR order
What is Autonomy
Nurse retains 24-hour responsibility and accountability of patient care
What is Primary Nursing
Medication errors
Needlestick injuries
Client falls
Loss of property
Equipment-related injuries
What is a reportable incident
The nursing manager of a Med/Surg unit is reviewing how their staffing level for the past two months has influenced their rate of falls and overall patient satisfaction scores.
What is a Structure Audit
Voluntary and demonstrates excellence in nursing services
What is Magnet Status
Providing unbiased care, allocating limited resources based on patient acuity
What is Justice
Advantages: Clear Responsibilities
Disadvantages: Fragmented care
What is Functional Nursing
Process completed to identify the underlying cause of a noted problem
What is Root Cause Analysis
A nurse manager of a step down unit is reviewing information on patient white boards to ensure that the patient is informed of their plan of care during each shift
What is a Concurrent Audit
New to nursing, may experience reality shock in transition to practice
What is a Novice Nurse
Following through with what was told to the patient, ex: coming back within 10 minutes with pain medication
What is Fidelity
Advantage: Equal member participation and contribution
Disadvantage: Decreased continuity of care
What is Team Nursing
Process to ensure healthcare services are being used appropriately and efficiently
What is Utilization Review
A nurse manager in the ED performs a random chart audit of patients who were recently discharged, reviewing nursing interventions performed for pain, both pharm and non-pharm measures.
What is a Retrospective Audit
Perceives the situation as a whole. Can now recognize when the expected does not happen and start to develop solutions to a problem
What is a Proficient Nurse
Documenting accurate information in real time within the patient's chart when performing an assessment and writing a nursing narrative note
What is Veracity
Advantage: RN autonomy
Disadvantage: Difficult to implement with an inexperienced RN
CLABSI
CAUTI
HAPU
Falls
What are Quality Indicators
A nursing unit has acquired 2 CLABSIs within the last quarter. The nurse manager completes chart audits, reviewing documentation specific to 24 hr CHG bath, 24 hr linen change, insertion site/dressing assessments, and line necessity.
What is a Process Audit
Demonstrates adequate performance, have 1-2 years experience which starts to guide nursing actions
What is an Advanced Beginner Nurse
The nurse is inserting an indwelling foley catheter. The nurse obtains a new catheter kit when the sterile field becomes contaminated.
What is Nonmaleficence