An acute care facility is experiencing increased admissions of morbidly obese patients. The facility does not have sufficient patient-lifting equipment. What should the advanced practice nurse do first to begin a 'Plan Do Study Act' (PDSA) cycle for this facility? YOUR ANSWER CORRECT ANSWER Provide adequate resources and education for nursing staff Delegate the role of project leader for the project in the facility Evaluate the results of the interventions and report back to the staff members Select the interventions to be implemented and delegate them to the staff members 18. The nurse manager in a pediatric emergency department (ED) believes that there is a pattern of delay when administering the initial dose of prednisone for patients being treated for status asthmaticus. What is an appropriate evidence-based approach for the nurse manager to take when addressing this identified system failure? YOUR ANSWER CORRECT ANSWER Consult with managers from other EDs to determine the standard of care Meet with nurse administrators to identify contributing factors to this issue Use analytical methods to critically appraise existing literature for this diagnosis Delegate to the pediatric nurse educator to train staff to reduce time to first dose 19. How should a director of nursing respond to the national quality goal of improving the quality of care transitions and communication across care settings?
YOUR ANSWER CORRECT ANSWER Create a task force comprised of nursing administration, charge nurses, discharge planners, and staff nurses Utilize primary source materials, and research to determine best practices for care transitions and communication across settings Consult with the medical director to identify the communication needs of providers in the transition of care Enforce existing policies for continuity of care, and create a process to determine compliance through documentation audits 20. A healthcare organization has been collecting data about the quality and safety of the nursing care provided within the organization. Consistent with the national priority of ensuring that each person is engaged as a partner in care, which dataset should the nurse use to substantiate the need for changes in patient care processes? YOUR ANSWER CORRECT ANSWER Patient satisfaction survey results indicating only 62% of patients surveyed would recommend the healthcare organization to a family member needing healthcare A report from a patient/nurse focus group indicating patients do not feel they are adequately included in making decisions regarding their healthcare A nursing staff report indicating that patients are involved in decision-making about their healthcare approximately 75% of the time A survey administered to some patients prior to discharge indicating that 70% of the patients surveyed had been involved in making healthcare decisions 21.
- Spring '17
- Nursing, PDSA