D I would use the time out program and test it out in the emergency room At the

D i would use the time out program and test it out in

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D. I would use the time-out program and test it out in the emergency room. At the beginning when the doctor and the nurse were administering medications, they would have a time- out before the procedure would start. They will have a printout sheet that they need to follow step by step during this time out. First, they would identify the patient, date of birth and MRN number. Second, they would identify the procedure. Third, they would identify the sedation module policy and procedures. They will go through the sedation module and the medications that will be needed to be used for the procedure. They will count the medications on hand and match up the milligrams needed. After this is done, they can proceed with the procedure according to the sedation module. At the end, they will count how many milligrams were used and what was left over according to the sedation policy. This ensures that the procedure was safely done according to the ED’s policy and procedures and that no harm was done to the patient. I would pilot this for a
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certain number of weeks and see how it goes. This will show improvement or what needs to be improved to ensure safety for the patient. E. A professional nurse can competently demonstrate leadership in many ways such as promoting quality care, improving patient outcomes, and influencing quality improvement activities. By being the RN, you are the leader of your team. You lead the LPN and the CNA even sometimes the doctor’s because you are the doctor’s eyes when they are not there. Sometimes the doctor needs help too and a second check on some things when they are taking care of that many patients at once. You are to ensure that all of your patients’ questions and concerns are answered or their family’s and that they feel safe in the environment they are in. They should understand the treatment they are about to receive and that is your job to ensure that they do understand it before proceeding. Let them know that their focus is them at the moment and only them. Not what is about to come through the door. To improve patient outcomes, we take what has happened in the past and try to improve the situation so that it can be better for the future and the patient can have a better experience and hopefully not a tragic incident. This is where this FMEA table comes in. We map out what happened and find ways to improve to make sure the patient will be safe. There are ways to influence quality improvement by doing activities. Educating your employers and having in-services would be the number one way that would be more effective. Have mandatory education days for the employees to come in and take a few hours to discuss what happened and then learn from it. Go over the policy and procedures with them to ensure that everyone knows what they are doing and there would be no questioning when it comes time to do the actual procedure. All disciplines should
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be involved in this not just nursing. Quality improvement falls on everyone in the hospital to make sure the patient has a great experience. As a leader, you are to watch over your employees to make sure that they are giving quality care to their patients. It reflects on you as a leader on how your unit is run. Engage with your staff and have discussions or briefings weekly, monthly or even at the end of the day and work on quality improvement and patient safety. As a leader, being involved in the FMEA and RCA can help improve your unit and prevent from bad things happening and improving the quality of care and professionalism. From what you learn by being involved, you take back to your staff and educate them how to improve. References Failure Modes and Effective Analysis Toolkit, (2018).
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Institute for Healthcare Improvement, (2018). - 4541-9432-46eb235461bb/lessonDetail/95d54b96-7750-4782-8624- add6044015b0/page/6
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  • Spring '19
  • Causality, Root cause analysis, Failure mode and effects analysis, IHI

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