This assignment aims to create a culture of patient safety using information and communication technologies and informatic processes to deliver safe nursing care while promoting health.
Instructions: Please review the following scenario and answer each of the following questions in 150-200 words using one to two sources to support your ideas.
Michael is a nurse working on a busy medical-surgical unit. He is responsible for the care of five patients with complex medical needs. Michael checks on his first patient, Mrs. Wallace. She is lying in bed with the call light button within her reach. The identification armband is in place. Michael verifies that the IV is working and that the correct IV fluid is infusing. The monitor is on, and the limits/volumes are set appropriately.
Michael proceeds to check on his second patient, Mr. Baker. As he walks into the room, he finds Mr. Baker on the floor and alert. Mr. Baker tells Michael that he fell trying to get into the bed because the bed rolled away. Michael notes that the locks for the bed were not engaged. There is no call light in the room. The monitor is turned off. Mr. Baker does not have an identification armband on. There is an identification band on the bedside table, but it does not belong to Mr. Baker. Michael checks the IV fluid infusing and discovers that the name on the IV bag is the same as the identification armband on the bedside table.
| National Safety and Quality Standards Identify two sources and applications of national safety and quality standards to guide nursing practice. Describe two factors for Mrs. Wallace’s scenario that create a culture of safety. Support your ideas using one to two sources. |
| The American Nurses Association (ANA) provides two essential resources that establish standards and offer guidance for professional nursing practice in the United States: The Nursing Scope and Standards of Practice and the Code of Ethics for Nurses. The Code of Ethics for Nurses provides a foundational ethical structure for nursing practice in various roles, levels, and environments. Further elaboration on this topic can be found in the section titled “Legal Considerations and Ethics” within this chapter. The Nursing: Scope and Standards of Practice delineates the scope of practice for professional nurses, outlining the essential aspects of nursing practice. Additionally, it establishes eighteen criteria of professional conduct that all licensed nurses must adequately fulfill. Cultural safety is essential in establishing a connection with prospective patients. An organization’s activities, attitudes, and values about clinical excellence and safety at all levels are reflected in its safety culture, which prioritizes patient care. It is evident in the case study that Mrs. Wallace is in bed with the call light button accessible and wearing her identity bracelet. She also permits Michael to verify the functionality of the IV and ensure that the correct IV fluid is being infused. |
| Nursing Interventions Describe three nursing interventions for Mr. Baker to create a safety culture. Discuss the nurse’s accountability for reporting unsafe conditions, near misses, and errors to reduce harm. |
Numerous nurse interventions may be implemented to establish a safety culture for Mr. Baker. Interventions involve implementing patient safety programs, utilizing non-punitive reporting systems for safety incidents, applying established safety principles like standardized equipment and processes, and conducting interdisciplinary team training programs. Nursing interventions enhance patient safety by performing preventative measures, such as protecting the safety of immobile patients via modifying their bed placements to avoid injury (Han et al., 2019). To notice changes in a patient’s symptoms, behavior, or mood, critical observation of the patient and monitoring of their vital signs are additional nursing interventions that support patient safety. A robust safety culture encourages all healthcare team members to recognize and mitigate patient safety risks by reporting errors and near misses for root cause investigation and risk elimination. Personnel often hide faults out of fear or shame in a culture of safety that is inadequately established and enforced. Nurses have historically been taught to strive for clinical perfection and to assume that competent nurses do not make
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