What we learnt so far
An online resource for nursing techniques available via the KMHC intranet
The Online Care Methods
A communication strategy that supports effective communication during care transitions. Define each letter
What is SBAR: Situation, Background, Assessment, Recommendation
Using this strategy confirms that a client receives the service or procedure intended for them and can avoid harmful incidents such as breaches of confidentiality, allergic reactions, discharge of clients to the wrong families, medication errors and wrong-person procedures
Two person-specific identifiers
In 2006, the MSSS working group recommended adopting this form to improve patient safety for those receiving a certain class of medications
Post-opioid monitoring form
Previously done in a circular fashion, now skin disinfection is done this way
Up and down, Back and forth
This piece of equipment must always be used when administering intravenous iron
Intravenous pump
2 minutes is the maximum amount of time this tool should be applied during venipuncture
Tourniquet
Known as the 4 moments of hand hygiene
1. before initial contact with the client or their environment. 2. before a clean/aseptic procedure. 3. after body fluid exposure risk. 4. after touching a client or their environment
This practice is enforced as per article 45 of the nursing code of ethics: a RN/LPN shall have sufficient knowledge of the medication and substance she is administering, including which are considered high-alert in her area of practice.
Independent double verification
Sensory perception, Moisture, Activity, Mobility, Nutrition, Friction & Shear are all evaluated while using this tool.
BRADEN Scale- for pressure injuries
This should be completed whenever a near miss, adverse event, no harm or sentinel event occurs
AH-223 form
A popular acronym used to assess a client's pain- define each letter
P-provokes/palliates; Q- quality; R-region and radiation, S= severity; T- time and treatment; U-understanding
This structured process is used to communicate accurate and complete information about medications across care transitions.
Medication Reconciliation
Since 2009, the OIIQ has mandated the use of this nursing tool which provides an evolving clinical profile of the client's priority problems and needs and states the nursing directives for clinical follow-up
The Therapeutic Nursing Plan (TNP)
This is where one can find all updated nursing policy and procedures (be specific)
Common Drive: Nursing Library: XX
Nonspecific behavioral changes such as persistent crying, fussing, irritability, fright are examples of
Signs of potential anaphylaxis in infants
MS04, OD, OS, OU, U, M, q1d, HS, .5 are all examples of
Dangerous abbreviations not to be used in prescribing or charting
Call bells within reach, handrails, good lighting, removal of tripping hazards, prompt cleaning of spills, appropriate footwear
Strategies to prevent falls in all care settings
Clients have the right to and are protected by this federal law found in the Health Insurance Portability and Accountability Act
Confidentiality
Expressing feelings of being trapped with no way out
Increasing or excessive substance use
Withdrawing from family, friends, society
Anxiety, agitation, abnormal sleep (too much or
too little)
Expresses no reason for living, no sense of purpose in life
Are signs of...
Suicidality
Aside from hand hygiene, this is to be performed every time before contact with any patient
A point of care risk assessment
Somnolent, difficult to arouse – needs repeated verbal and tactile stimulus to rouse; minimal or no response to stimuli are clinical signs of level 4 on which scale
Pasero Sedation level 4
Under the banner of innovation and growth, these 4 strategic orientations were created for 2020-2025
Quality & Safety, Staff wellness and engagement, Structure & Process adapted to reflect changing needs. Enhanced partnership for community wellness
What should be done openly to the client and their next of kin after an accident
Disclosure
Assessment of the client's clinical condition, Verification of the prescription and Knowledge of the medication are including in which recently released document from the OIIQ on medication management
The OIIQ's principles of safe medication administration