clients are 1:1 so safe and proper monitoring can take place. To ensure they’re qualified critical care RN’s to care for sedated patient populations quarterly or yearly competencies will be incorporated into their training. Change can take time for staff to adapt to but with close monitoring and evaluation, adjustments can be made to support staff in adopting these improved changes on a consistent basis. As a professional nurse I would demonstrate leadership by taking measures to improve the quality of care and patient outcomes. This would be done with daily huddles to remind staff of our unit goals to maintain optimal care, policy changes and any new measures being initiated to improve patient and staff safety. I would also establish quarterly staff meetings that provide a space for management and staff to discuss what changes are working in addition to what needs improvement. I would set time aside to celebrate the staff and encourage the progress they are making in providing safer care and keep them informed of educational opportunities to help them refine their skills caring for critical patients. Nursing Involvement in RCA and FEMA is vital for the professional nurse to incorporate and demonstrates leadership. These processes enable us to identify potentially negative outcomes that we can rectify before actual patient harm is caused. As a leader you will advocate for your patient and the involvement of RCA and FEMA provide clarity on what advocacy should be prioritized ("IHI: Learning Management System", 2019).

ROOT CAUSE ANALYSIS 6 References Failure Modes and Effects Analysis (FMEA) Tool. (2019). Retrieved 23 November 2019, from IHI: Learning Management System. (2019). Retrieved 23 November 2019, from - 976e-3a2a1a5f2c08 Syed Talib, H. (2019). Kurt Lewin's change model: A critical review of the role of leadership and employee involvement in organizational change [Ebook]. Elsevier. Retrieved from