6.National Patient Safety Goalsa.Goals that focus on patient safety in the healthcare setting.7.What is PPE?a.Personal Protective Equipment8.HIPAAa.Health Insurance Portability and Accountability Act 9.4 types of Nursing Assessmenta.Theinitial assessment is performed shortly after the patient is admitted to a health care facility or service. The purpose of this assessment is to establish a complete database for problem
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identification and care planning. The nurse collects data concerning all aspects of the patient’s health, establishing priorities for ongoing focused assessments and creating a reference baseline for future comparisonb.In a focused assessment, the nurse gathers data about a specific problem that has already been identified.c.When a patient presents with a physiologic or psychological crisis, the nurse performs an emergency assessment to identify life-threatening problems.d.The time-lapsed assessment is scheduled to compare a patient’s current status to the baseline data obtained earlier. 10.What is negligence?a.Negligence: Performing an act that a reasonable and prudent person would not perform. The measure of negligence is “reasonableness” (i.e., would a reasonable and prudent nurse act in the same manner under the same circumstances?).b.Failure to take proper care in doing somethingc.Failure to use reasonable care, resulting in damage or injury to another.11.What is advocacy?12.Subjective vs. objective a.Subjective – Personal perspectives, opinionsb.Objective – based on facts or data13.3 Levels of errorsa.Adverse event: An event that results in unintended harm to the patient by an act of commission or omission rather than by the underlying disease or condition of the patient. b.Near miss: An error of commission (did not provide care correctly) or omission (did not provide care) that could have harmed the patient, but serious harm did not occur as a result of chance (e.g.,the patient received a contraindicated drug but did not experience an adverse drug reaction), prevention (e.g., a potentially lethal overdose was prescribed, but a nurse identified the error before administering the medication), or mitigation (e.g., a lethal dose was administered but discovered early and countered with an antidote)c.Sentinel event: A sentinel event is an unexpected occurrence involving death or serious physical orpsychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase “or the risk thereof” includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome. Such events are called “sentinel” because they signal the need for immediate investigation and response.
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