Chapter_027.pptx

Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE  Chapter 27 Patient Safety and Quality  Scientific Knowledge Base (1 of 2)  Environ...

Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE  Chapter 27 Patient Safety and Quality  Scientific Knowledge Base (1 of 2)  Environmental safety  Basic human needs Oxygen Nutrition Temperature 3  Scientific Knowledge Base (2 of 2)  Environmental safety  Common environmental hazards Motor vehicle accidents Poison Falls Fire Disasters  Transmission of pathogens Immunizations 4  Nursing Knowledge Base (1 of 3)  Factors influencing patient safety  Developmental stages and risks Infant, toddler and preschooler School-age child Adolescent Adult Older adult 5  Nursing Knowledge Base (2 of 3)  Factors influencing patient safety  Individual risk factors Workplace culture Lifestyle Impaired mobility Sensory, cognitive, or communication impairment Economic resources Lack of safety awareness 6  Nursing Knowledge Base (3 of 3)  Factors influencing patient safety  Risks in health care agencies Procedure-related accidents Equipment-related accidents Chemical exposure Falls Workplace safety 7 Critical Thinking 8  Nursing Process  Assessment  Through the patient’s eyes  Nursing history and examination  Psychosocial and cultural background  Health care environment Risk for medical errors Disasters  Patient’s home environment Risk for falls Psychosocial resources 9  Analysis and Nursing Diagnosis  Examples  Risk for injury  Impaired cognition: confusion  Lack of knowledge  Risk for poisoning 10  Planning and Outcomes Identification (1 of 2)  Outcomes  Patient participation is key  Setting priorities  Select priorities based on risk and patient characteristics  Teamwork and collaboration  Communication is essential 11 Planning and Outcomes Identification (2 of 2) 12  Implementation (1 of 3)  Health promotion  Developmental interventions Infant, toddler and preschooler School-age child Adolescent Adult Older adult 13  Implementation (2 of 3)  Health promotion  Environmental interventions Fall safety in the home  General preventive measures 14  Implementation (3 of 3)  Acute and restorative care  Fall prevention  Restraints  Side rails  Fires  Electrical hazards  Seizures  Disasters  Preventing workplace violence 15  Evaluation (1 of 2)  Through the patient’s eyes  Are the patient’s expectations met?  Are the family’s expectations met?  Patient outcomes  Monitor care by the health care team.  Measure outcomes for each diagnosis.  Continually assess needs for additional support. 16 Evaluation (2 of 2) 17  Safety Guidelines for Nursing Skills  Anticipate a patient's fall risks when choosing fall prevention strategies.  Involve patients and families in the selection of fall prevention strategies.  Always try restraint alternatives before using a restraint.  Implement fall prevention protocols and provide patient and family education 18