NURS 311- Safety and Communication Questions And Answers!!

3 Phases of taking care of a person - ️️Orientation Working Termination Adverse Event - ️️unintended harm by an act of commission or omission rather than as a result of disease process Attitudes - ️️nurses and other health care professionals need to value their roles in safety and collaboration Blunt End Errors - ️️Also known as latent errors; errors through organization/system Communication - ️️the use of symbols to convey meaning through an interactive process Crew Resource Management (6 components) - ️️1. situational awareness 2. problem identification 3. decision making by generating alternative acceptable solutions 4. appropriate workload distribution 5. time management 6. conflict resolution Culture of Safety - ️️focus is on WHAT when wrong, NOT WHO to blame Delegation - ️️requires a sophisticated clinical judgment and final accountability for patient care. Distortion - ️️events/things that make person nervous when talking to a nurse or doctor; try coming back at a later point to get a more accurate response Error of commission - ️️doing the wrong thing; not wearing gloves Error of execution - ️️doing the right thing, incorrect; you place a catheter in wrong Error of omission - ️️not doing the right thing; not washing hands Excellent clinical skills can compensate for poor interpersonal skills..true or false - ️️FALSE. all the clinical skills in the world cannot compensate for poor interpersonal skillsHow does the Lewis Blackman story exemplify a never event? - ️️He starts to code but no one notices (blood pressure is key) If a patient was just told her pregnancy test was positive and she states that she is having difficulty breathing and feels like her heart is pounding out of her chest. What should you do. - ️️Stay with the patient and provide support. Don't leave alone, eat or increase stimulation by walking around. Just Culture - ️️seeks to find a balance between the need to learn from mistakes and the need for disciplinary action against employees Knowledge - ️️focus of safety is on the execution of skills, as well as on technology and systems level Linguistics - ️️the verbal exchange of messages through spoken words and written symbols; language barriers can occur Metacommunication - ️️affect how messages are received and interpreted would include internal personal states, environmental stimuli, contextual variables Most people have the innate capacity to recognize their own emotional needs, biases, and blind spots, as well as the impact of these on others. True or False - ️️False. As Burns knew, few people have the innate capacity to recognize their own emotional needs, biases, and blind spots as well as the impact of these on others. Near Miss - ️️error of commission or omission that could have harmed a patient, but harm did not occur as a result of chance Nontherapeutic Responses - ️️don't give false reassurance, agree with the patient's ideas right or wrong, give advice, probe, share stories about your pain Nonverbal Communication - ️️communicating through body language; patients will assume you are a good/bad nurse based on your body language when they first meet you Nurse Characteristics - ️️Professional, avoid personal attachments; authentic, be true to yourself; non-judgmental, accepting of other cultural belief systems/values Orientation - ️️identify role, introductions. Identify patient needs Paralinguistics - ️️the nonverbal exchange of symbols; less recognizable but important in the means of transmitting messages such as use of gesturesPatient Advisory Group - ️️a panel of safety experts including nurses, physicians, pharmacist, risk managers, engineers and others with experience addressing patient safety issues advises The Joint Commission on developing and updating the National Patient Safety Goals Right circumstance - ️️appropriate setting, available resources need to be considered Right directions - ️️provide a clear, concise description of the task including objective, limits, and expectations