Informatics/Safety
What is informatics? What is healthcare informatics? What is nursing informatics?
Informatics: Science that combines information and technology
Healthcare informatics: Informatics that is used to analyze heath related data.
Nursing informatics: Informatics in a nursing setting (ex: EHR, charting, programing an IV pump, use of pagers, *calculating medications).
What are the three types of communication? Explain each one.
Interpersonal: face-to-face communication
Intrapersonal: self-talk
Electronic communication: communication via phone, laptop, tablet, etc.
What is the order of nursing actions?
1. Assess first
2. Assessments (ABCs and safety risks- greatest risk to safety and psychological)
3. Interventions- least invasive first then move up
What is CUS?
C: I am concerned about
U: I am uncomfortable with
S: This is unsafe
what are two critical ways nurses make sure they have the right client when administering a medication, performing a procedure, or doing an assessment?
-Two client identifiers (name and date of birth)
-Barcode scanning
What are some safety precautions with Telehealth?
privacy rule, breach rule, security rule, HIPPA
What is QSEN in teamwork and collaboration?
Function effectively within nursing and inter-professional teams fostering open communication, mutual respect, and shared decision making to achieve quality patient care.
What are some barriers to collaboration?
-Hierarchy of professions or roles
-Lack of knowledge of heath care team member's role/ title and scope of practice
-Poor communication or lack of communication
-Lack of trust in the competence of other team members
-Lack of cultural competency
-Inability to resolve conflicts
-Structural factors such as time
What are the 5 steps of respectful communication?
1. Plan
2. Check perception (implicit bias/how it will be received)
3. Deliver message (situation, behavior, impact)
4. empathize
5. Summarize
What are the five rights of medication administration?
1. Right patient
2. Right route
3. Right time
4. Right dose
5. Right medication
6. Right documentation
What is QSEN?
What is the difference between responsive dimensions and action dimensions in therapeutic communication?
Responsive dimensions: genuine, respect, empathy, concreteness
Action dimensions: action, confrontation, immediacy, timing
Explain continuity of care.
A process involving the client and the inter-professional team working cooperatively to achieve a shared goal of quality care over time through the continuum of care.
what are the 4 modes of communication?
-Verbal: face-to-face and phone calls
-Non-verbal: body language
-Electronic: email, texting, video conferencing
-Written: letter, hand-written, and typed
What is maslow's heirarchy of needs form bottom to top?
1. Physiological
2. Safety and security
3. Love
4. Self-esteem
5. Self-actualization
What is the difference between near miss and sentinel event?
Near miss: no harm done to patient; something unexpected happens
Sentinel event: something unexpected happens but it results in death or injury to patient.
What is ISBARR? What is ISHAPED?
ISHAPED: Introduce, story, history, assessment, plan, error prevention, dialogue.
What is the joint commission?
An independent, not-for-profit, unbiased accreditation and certification agency, for assessing quality client safety and care of health care organizations.
What are 4 Therapeutic communication Techniques?
-Open-ended questions: "What is on your mind today?"
-Restating/summarizing/paraphrasing: "You started feeling this way a few days ago and have not gotten any relief. Does that sound correct?"
-Reflection: Client: "What should I tell my kids about my diagnosis?" Nurse: "What are your thoughts about approaching your children?"
-Active listening
What are 6 main standards of compliance for healthcare?
-medical error prevention
-Verification of qualifications and competency of health care staff
-Rights and education of clients
-Infection control
-Management of medications
-Emergency preparedness
What data should be in an incident report?
The time it occurred, location, patient's condition, treatment and response, who was involved, and patients health and medication history.
What are the 4 phases of a healthy relationship with therapeutic communication?
Pre-interaction: planning and preparation
Orientation: building trust
Working: helping the client problem-solve and changing behaviors
Termination: education, summarizing, identifying areas that still need work
What is closed loop communication?
Is the use of standardized terminology and procedures to ensure the message between sender and receiver is received, clarified and has been correctly interpreted.
-Aggressive: uses "you" statements, verbally abusive, controlling, and interruptive
-Assertive: honest and clear communication, advocates for self, uses "I" statements
-Passive: conflict avoidance, anxious, hesitates to stand up for self
-Passive-aggressive: acts out anger in indirect way, feels powerless and resentful, sarcastic
What is a client safety event?
An unexpected even or circumstance that occurred with or without injury to the client but that had the potential to cause harm to client.