Canadian Patient Safety and Healthcare Excellence Quiz

The different elements that impact patient safety and quality of care include nursing documentation, therapeutic nursing plan, effective and high quality of care, and improving health outcomes.

Nurses can contribute to patient safety and quality of care by implementing nursing documentation, following therapeutic nursing plans, and focusing on improving health outcomes for the patients under their care.

The goal of Healthcare Excellence Canada is to ensure that everyone in Canada has safe and high-quality healthcare by bringing together the Canadian Patient Safety Institute and Canadian Foundation for Healthcare Improvement and collaborating with patients, caregivers, and healthcare professionals to turn proven innovations into lasting improvements in all dimensions of healthcare excellence.

Patient safety is considered a critical component of high-quality health care because it directly impacts the well-being and outcomes of patients. Ensuring patient safety contributes to the overall effectiveness and quality of healthcare services provided.

Nursing directives contain crucial indications (interventions) to ensure that clinical monitoring, nursing care, treatment, and other interventions the client requires are carried out. Each directive must be linked to a priority problem/need stated in the TNP (Minimal Information – directives for the client’s reason for admission to hospital/long-term facility/referral to home care).

The nurse ensures that the plans are carried out by assigning tasks to team members after verifying that they have the legal authority, knowledge, and skills required to perform the activities in question. Some directives in TNP may concern all members of the nursing team, and the nurse must specify in her directives which activities are to be carried out only by a nurse.

The nurse must specify in her directives which activities are to be carried out only by a nurse when working with Nursing Assistants (LPN’S), and take into account the fact that non-professionals (Patient Attendants/Orderlies) may not have access to the client’s file.

A Patient Attendant (PAB)/Orderly helps patients with basic grooming and dressing, mobility, nutritional intake, and contributes to the observation of any changes in the patient's physical, emotional, or mental condition. They also communicate the status of the patient, including any changes, to a supervisor, case manager, or nurse.

The field of practice for Licensed Practical Nurses (LPNs) includes a list of clearly defined activities of the profession, while the field of practice for Nursing Assistants involves participating in the assessment of a person’s state of health and carrying out a care plan, providing nursing and medical care and treatment, and providing palliative care.

The TNP contains only the priority health problems and needs (not routine care) that affect the client’s clinical follow-up and the nursing directives identified to address the priority health problems and needs.

The nurse must support the contents of the TNP and any adjustments made to the TNP in the client’s progress notes (chart).

TNP is a separate documentation tool that contains only the priority health problems and needs (not routine care) that affect the client’s clinical follow-up and the nursing directives identified to address the priority health problems and needs. In addition to TNP, there are other documentation tools depending on healthcare institutions, such as nursing care and treatment plans, clinical pathways, and flowsheets.

The overarching goal is to create a safety culture where all patients are safe, and to commit to patient safety.

The practice of nursing consists in assessing health, determining and carrying out the nursing care and treatment plan, providing nursing and medical care and treatment in order to maintain and restore the health of a person in interaction with his environment and prevent illness, and providing palliative care.

Activities pertaining to a nurse’s field of practice and activities that nurses deem essential to do themselves in view of the client’s condition or the complexity of the nursing care or treatment involved.

Nursing Assistants are responsible for participating in the assessment of a person’s state of health and in carrying out a care plan, providing nursing and medical care and treatment to maintain or restore health and prevent illness, and providing palliative care.

The TNP aims to document nurses' clinical decisions based on assessments for patient follow-up, ensuring safety and quality of nursing care.

The three reserved activities are assessing physical and mental conditions, clinical monitoring, and nursing follow-up for complex health problems.

The TNP Bill 90 legally acknowledges nurses' competence and responsibility in clinical assessment.

Student nurses contribute by determining a therapeutic nursing plan for each client, except for one-time client interventions.

Nurses must consult the client's existing TNP to determine relevancy and make adjustments based on changes in the client's condition.

Priority problems or needs in the TNP are based on assessment findings and require particular clinical follow-up, affecting the client's care.

Assessment findings are based on nurses' judgment, analysis, and interpretation of relevant information from various sources.

TNP forms are used to record and adjust nursing directives based on the client's clinical course and the effectiveness of care and treatment.

Nursing documentation is a professional responsibility ensuring public protection, based on OIIQ principles.

Sentinel events are defined as events requiring in-depth analysis due to process flaws and serious consequences, e.g., medication or surgical errors.

The TNP is crucial for ensuring the safety and quality of nursing care, as it documents nurses' clinical decisions and adjustments based on assessments.

The TNP is a legal document used to record comprehensive assessment and care, ensuring patient safety and continuity of care among health professionals.

Third

Michael Villeneuve

Competencies

Healthcare Excellence Canada

Patients for Patient Safety Canada

Patient safety officers, quality and risk management departments

Reporting

Système d’information de santé et services sociaux (SISSS)

Reporting incidents or accidents

English

Work-related accidents, abuse, complications, nosocomial infections, and transfusion incidents

The 2020 Safety Competencies Framework