Nurse B is a busy nurse on a medical-surgical unit. He has been out of school for almost a year and still hesitates at times with quick decisions. He sometimes fears that he'll make a mistake when caring for his patients. According to one study, 42% of healthcare-related life-threatening events and 28% of medication adverse reactions are preventable. Developing a culture in which nurses can ask questions and function in a
professional working environment without anxiety can reduce these alarming statistics. Nurses play a vital role in preventing events that may negatively impact patient health. Nursing errors commonly revolve around
patient falls, infections, medication errors, documenting errors, and equipment injuries. These include failure to: Let's examine what you can do to prevent these types of errors. The CDC estimates that one out of three adults age 65 and older falls each year. There are physiologic effects that can contribute to these falls, such as vertigo (common with hypoglycemia), the flu, Meniere disease, multiple sclerosis, and anesthetic
medications commonly used during inpatient and outpatient procedures. This is important for Nurse B to keep in mind when he's caring for his patients. As a nurse, there are several simple preventive measures he can take to protect his patients from falls.
Keep away infectionsBasic hand hygiene can go a long way to prevent infections. Patients have become increasingly involved in their care, and they often monitor their providers for hand washing. Other measures that are effective in the prevention of infection include:
No more medication errorsWhen administering medications, Nurse B should ensure that he has minimal distractions because being distracted is a primary cause of errors. In the United States, medication errors kill one person every day, according to the National Medication Errors Reporting Program. Extra caution should always be taken to avoid a potentially devastating result. Nurse B can take numerous preventive actions to reduce the likelihood of a medication error.
Steer clear of documenting errorsYou should accurately document all major events and changes in patient condition in a timely manner. This is a common pitfall for nursing staff because it often seems as if there isn't enough time to do it all. Keep in mind, if a patient sustains an injury, it could be determined that there was neglect based on a lack of documentation. Nurse B was taught documenting in nursing school, but what things are important to include?
Nurse educators and mentors can help new nurses feel more confident. Evade equipment injuryEquipment continually changes in the patient care environment. Nurses have a responsibility to stay abreast of these changes and be competent in the use of necessary equipment. Nurse educators play an important role in ensuring all nursing personnel are trained and competency is documented. Some key actions to prevent injuries include:
This way for positive patient outcomesNursing administrators play an important role in preventing nursing errors. They're able to create changes to the environment that encourage nurses to control their own practice. Staffing shortages need to be addressed because this is directly related to errors. There should be a staffing mix that's conducive to learning. Ideally, experienced nurses will outnumber novice nurses on each shift to provide a supportive environment. Working with nurse educators and embracing a nurse residency program can foster learning for new nurses like Nurse B. But what should you do if you make a mistake? The medical profession advocates disclosing errors. The Patient Safety and Quality Improvement Act of 2005 encourages voluntary and confidential reporting of any event that may adversely affect patients. Speak to your facility's risk management department about disclosure; they specialize in the process, have knowledge of your facility's policies, and can assist you with the most appropriate way to handle the situation. Error proofKeeping the seven common nursing errors in mind, Nurse B can incorporate preventive measures into his practice to protect his patients and ease any anxiety he may experience during a hectic shift. did you know?The Institute of Medicine lists six aims for positive patient outcomes that provide a framework for improving care:
Source: Institute of Medicine. Crossing The Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001. Learn more about itAgency for Healthcare Research and Quality. Part IV. Selecting quality and research use measures. http://www.ahrq.gov/qual/perfmeasguide/perfmeaspt4.htm. Agency for Healthcare Research and Quality. The Patient Safety and Quality Improvement Act of 2005. http://www.ahrq.gov/qual/psoact.htm. Institute of Medicine. Crossing The Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001. Which action would the nurse take to reduce the risk of a catheterCAUTI can be prevented by things such as hand washing, not using urine drain tubes and if they must be used, inserting them properly and keeping them clean. Catheters should be put in only when necessary, and removed as soon as possible.
Which action will the nurse implement to reduce the risk of catheterWhich action will the nurse implement to reduce the risk of catheter-associated urinary tract infection (CAUTI) in a male patient with an indwelling urinary catheter? Clean the urinary meatus daily.
How can the nurse prevent catheterHand hygiene before and after manipulating the catheter and providing perineal care is imperative for infection prevention. Perform hand hygiene and don gloves immediately before and after accessing the drainage system, emptying the drainage bag, and collecting a urine sample.
What are some best practice nursing interventions that will help to prevent catheterAppropriate Catheter Use. Appropriate Indications. ... . Inappropriate Indications. ... . Consider Alternatives to Indwelling Urinary Catheters. ... . Engaging Patients and Families. ... . Properly Trained Clinicians. ... . Aseptic Insertion. ... . Appropriate Maintenance. ... . Reminders and Stop Orders.. |