FCCA 274C Module 3 Self-Check 1 Transcript

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FCCA #274C: Managing Multiple Patients / Working with Interdisciplinary Teams Online Assessment Module 3 Self-Check #1 The following Self-Check includes activities related to Content Area IV: Quali... ty and Patient Safety in Unit V of the FCCA Review Guide. The following Student Learning Outcomes are addressed: SLO3: Create a nursing team using principles of assignment, delegation, and supervision to achieve safe, quality patient outcomes. (Nursing Judgment) SLO4: Apply ethical, legal, and professional guidelines in all aspects of providing safe, quality patient care. (Professional Identity) SLO5: Demonstrate leadership when collaborating within the interprofessional health care team to establish and review a patient-centered plan of care. (Professional Identity) SLO6: Incorporate interpreted research and technology to promote safe patient-centered care. (Spirit of Inquiry) This Self-Check incorporates the Student Learning Outcomes in the following ways: Nursing Judgment • Create a nursing team using principles of assignment, delegation, and supervision to achieve safe, quality patient outcomes. Professional Identity • Demonstrate leadership when collaborating within the interprofessional health care team to establish and review a patient-centered plan of care. Spirit of Inquiry • Incorporate interpreted research and technology to promote safe patient-centered care. Before you begin this Self-Check read the Required Readings listed for Content Area IV: Quality and Patient Safety in Unit V of the FCCA Review Guide. This Self-Check contains 5 questions. FCCA #274C: Managing Multiple Patients / Working with Interdisciplinary Teams Module 3: Quality and Patient Safety Self-Check 1 © Excelsior College 2017 Page 2 of 6 Please recognize that this Self-Check contains only a sampling of the content for this module. Charge Nurse Role In this Self-Check you will assume the role of RN charge nurse. The questions in this Self-Check you will review a patient event, the process of an occurrence report, and a follow-up root cause analysis. You will need to refer to the SBAR report for Jack Jones. You will find a link to Mr. Jones’ SBAR report under each question. The link will open in a new window tab or window depending on your browser. If you accidentally close the SBAR, you can open it again by clicking the link. SBAR and Scenario Review the SBAR for your patient Mr. Jones and the following scenario Base your answers to the next 5 questions on the SBAR and Scenario. Refer to the SBAR report for Jack Jones to answer these questions. You are the RN charge nurse for your shift at ECHO Hospital. Three hours into your shift the Unlicensed Assistive Personnel (UAP) informs you that Mr. Jones is on his hands and knees on the floor near his bed. When you enter the room Mr. Jones says “I was going to the bathroom when I got twisted in all this tubing. I know I was supposed to ask for help, but I thought I could do this by myself.” After performing a brief assessment of Mr. Jones, you assist him with the urinal and then back to bed. You document the following on his record: Patient found on his hands and knees on the floor near his bed. Right forearm intravenous catheter dislodged. No obvious injuries noted. After the patient used the urinal, assisted back to bed. Question 1 Hospital policy is to perform a fall risk assessment on any patient who falls. Using the Morse Fall Scale, perform a fall risk assessment for Mr. Jones based on his SBAR Report and your documentation of the event. Refer to the SBAR report for Jack Jones to answer this question. Refer to the Morse Fall Scale to answer this question. The correct answers are: FCCA #274C: Managing Multiple Patients / Working with Interdisciplinary Teams Module 3: Quality and Patient Safety Self-Check 1 © Excelsior College 2017 Page 3 of 6 Item: History of falling: immediate or within three months Score: 25 Mr. Jones fell for the first time, his score immediately increases by 25. Item: Secondary diagnosis Score: 0 Mr. Jones has one medical diagnosis listed in his chart. His score is 0 in this section. Item: Ambulatory Aid Score: 0 Mr. Jones walks without a walking aid. The nurse assists him to ambulate which is not a specific criteria to add points to the fall risk score. Item: IV/Heparin Lock Score: 20 Mr. Jones has an intravenous which adds 20 points to the risk for fall. Item: Gait/Transferring Score: 10 Mr. Jones would be described as a “weak gait” Mr. Jones has a shuffling gait. Item: Mental Status Score: 15 Mr. Jones did forget his limitations about asking for assistance when getting out of bed. Total Score: 70 Risk Level: High Risk Implement High Risk Fall Prevention Interventions Question 2 Hospital policy is to notify the healthcare provider of any fall event. What information do you, as the RN charge nurse, need to gather before notifying the healthcare provider of Mr. Jones’ fall? Select all that apply. Refer to the SBAR report for Jack Jones to answer this question. • Recent Vital signs and the trend over past 24 hours. • Current medications and time that last one was administered. • Mental status now and prior to the event. • Staffing pattern during this shift. • Healthcare person who performed the scheduled hourly rounding. The correct answers are: Recent Vital signs and the trend over past 24 hours. Current medications and time that last one was administered. Mental status now and prior to the event. Clear and precise communication is needed to promote safe and effective patient care. Using SBAR as a Tool to communicate with the healthcare team promotes safe patient care. The assessment section of SBAR is to include pertinent physical assessment findings and then identification of the potential problem. Vital signs, current medications and mental status are basic assessments in reporting patient status associated with a fall. [Show More]

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