NSG 100 Exam 1x2

What is the NSIQI?

"Nursing Sensitive Quality indicators" Specific patient outcomes that are influenced by nursing care. Think of the flow of the hospital to patient numbers.

Who develops action plans with specific recommendations and improve healthcare Worldwide?

(IHI) The Institute for healthcare improvement.

What are the barriers to safe medication administration?

-The lack of inter-professional collaboration and communication -Sound alike or similarly spelled drug names -Interruptions and distractions during medication administration contribute to medication errors.

What is the job of the National Institute for Occupational Safety and Health (NIOSH)?

1. Conducts research 2. Recommends interventions 3. Recommends training programs for HC workers

What are the 4 techniques used in Physical Assessment?

1. Inspection 2. Palpation 3. Auscultation 4. Percussion

What are the national patient safety Goals?

1.Improve accuracy of Pt ID. 2.Improve effectiveness communication among caregivers 3.Reduce harm associated with clinical alarm systems 4.Reduce risks for healthcare related infections 5.Hospital identifies safety risks inherent in pt populations -Prevent surgical mistakes

What is an event that results in unintended harm to patient by act of commission or omission rather than by the underlying disease or condition of the patient?

Adverse Event

Healthcare quality information

Allows people to see feedback on HC facilities Inform take responsibility Apologize Explain prevention

What is a medication error?

Any preventable event that may cause or lead to inappropriate medication use or patient harm.

What are the steps in the Nursing process?

Assessment Diagnosis Planning Implementation Evaluation

Nurse gave patient wrong Meds.

Commission

What is Lack of communication or lack of clarity in communication.

Communication Failure

When the nurse may have failed to communicate with healthcare provider (omission) or the Nurse failed to document correctly (commission)

Communication Failure

Name the 4 types of failures.

Communication, Preventative, Treatment, & Diagnostic Errors

When a nurse failed to do patient education about fall prevention and as a result the patient fell. Goal is trying to prevent them from harm or injury.

Preventative Errors

What is the job of the CDC?

Promote safety and health invironments.

What are the patient centered goals?

SMART Specific, measurable, achievable, relevant/realistic, time bound.

What is a patient safety event that results in death, permanent harm, or severe temporary harm?

Sentinel Event

What is a patient safety event that pose a serious harm to patients but should be considered preventable?

Serious Reportable Event (SRE)

Lateral flexion

Side-bending left or right

Extension

Straightening of a joint (opening or outward)

What is the job of the National Center for Injury Prevention and Control (NCIPC)?

Studies intentional & unintentional injuries. ( Found by CDC)

What organization works to prevent sentinel events?

The Joint Commission

Who helps hospitals & organizations receive accreditations to keep their doors open, look at safety events, and keeps hospital up to code?

The Joint Commission

Helps healthcare orgs measure assess & improve performance to provide safe, high quality care. Primary focus is patient safety.

The Joint Commission (TJC)

Describe the SHARP end.

The SHARP end has to do with direct patient care to healthcare providers.

Describe the BLUNT end

The blunt end has to do with organizational errors.

What is The Joint Commission (TJC)?

They can help healthcare organizations measure, assess, and improve- performance in order to provide safe high quality care for their patients.

What is the purpose of a concept map?

To link signs and symptoms to the patients overall picture Guide to critical thinking NURSING process

Failure to provide prophylactic treatment and inadequate monitoring or follow up of treatment.

Treatment Error

Treatment that could cause more harm to the patient as a result of the treatment.

Treatment Error

What occurs in the performance of an operation, procedure, or test; in administering a treatment in dose or method of administering a drug?

Treatment Errors

What are examples of objective data?

Vitals, labs, diagnostic tests, height/weight, signs that the nurse sees.

Define Subjective data.

What the patient says. Not quantifiable.

What is a physical exam/ assessment?

When the nurse collects objective data.

Dorsiflexion

bending of the foot or the toes upward

plantar flexion

bending of the sole of the foot by curling the toes toward the ground

Failure to follow protocol

complacent nurse & May ask & get wrong information & keeps forgetting protocol.

ulnar flexion

tilts the hand toward the little finger

Radial flexion

tilts the hand toward the thumb

What is polypharmacy?

use of multiple medications

What is safety?

Freedom from accidental harm.

QSEN (Quality and Safety Education for Nurses)

Minimizing risk of harm to patient's and providers through both system effectiveness & individual performance.

Abduction

Movement away from the midline of the body

Adduction

Movement toward the midline of the body

What is an error of commission or omission (DNPC) that could have harmed the patient, but serious harm did not occur as a result of chance.

Near Miss Event

Failure to follow up

Nurse Forgetting to follow up with Dr or pharmacy

STAT meds not given because nurse forgot. Patient got septic & transferred to ICU.

Omission

Supination

Palm up

What are examples of the primary source of patient data?

Patient is the source and patient family members.

What is the example of Subjective data?

Patient states pain, health history, family history, and symptoms.

What does the Quality and Safety Education for Nurses do (QSEN)?

Prepare Nurses with Knowledge, Skills, Attitudes

Define objective data.

Data that is measured & the nurse observes.

flexion, extension, hyperextension

Decreases the angle between the bones/increases/over- extension beyond anatomical position Ex. Bend head to chest/ bring head upright/ head back

What is the job of the National Center for health Services (NCHS)?

Detects & investigates health problems in the U.S.( Found by the CDC.)

When a Dr. doesn't notify a patient about bad lab results. When a test should have been ordered but it was never done.

Diagnostic Error

What is the result of a delay in diagnosis, failure to employ indicated tests, use of automated tests, failure to act on results of monitoring or testing.

Diagnostic Errors

What is Omission?

Did not provide care. Ex: The nurse should have acted but didn't.

What is Commission?

Did not provide correct care.

Name the examples of human factors

Distractions (Nurse trying to pass meds) Multitasking ( Focuses on one activity) Complacent Attitudes (Nurse doesn't take her job serious)

How many times should medications be checked before they are administered?

Double checked

What are examples of of secondary source of patient data?

Everyone in the healthcare team-Nurse, CNA, Doctor

IHI (Institute for Healthcare Improvement)

goal: improve health care worldwide. focus: safety, patient-centeredness, timeliness, efficacy, equity

Task Fixation

limits environmental scanning