Patient Safety for Certified Emergency Nursing (CEN)

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Included In This Lesson

Study Tools For Patient Safety for Certified Emergency Nursing (CEN)

Fire Safety 1 (Mnemonic)
Fire Safety 2 (Mnemonic)
Safety Check (Mnemonic)

Outline

Patient Safety

 

 

Definition/Etiology:

Protection from:

  • Falls
  • Violence
  • Medication errors
  • Restraint complications
  • Healthcare-associated infection
  • Procedural complications
  • Suicide

 

Pathophysiology:

At risk:

  • Elderly
  • Visually impaired
  • Acutely psychotic or depressed
  • Confused
  • Requiring procedures
  • Victims of violence
  • Incontinence / Urgency

 

 

Clinical Presentation:

  • Adverse drug events
  • Falls
  • Repeat violence
  • Wrong site surgery/procedure
  • Healthcare-acquired infection

 

 

Collaborative Management:

  • Sitters
  • Medication dispensing quiet zone
  • Second RN sign-off
  • Pharmacists at codes
  • Security / Police
  • Metal detectors
  • One entrance
  • Environmental Services
  • Time-outs for procedures
  • Safe staffing ratios
  • Improved communication
  • Cameras on psych rooms
  • Panic buttons

 

 

Evaluation | Patient Monitoring | Education:

  • Respectful communication
  • Safe staffing
  • No tolerance for aggression towards staff
  • Telemetry attendant
  • Call lights answered
  • Alarm fatigue

 

 

Linchpins: (Key Points)

  • Safe environment for patients = safe environment for staff.
  • Safe staffing ratios are key.
  • Medication room quiet zone.
  • Sitters, cameras, EVS, and security officers improve safety.
  • Time outs.

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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

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When you start a FREE trial you gain access to the full outline as well as:

  • SIMCLEX (NCLEX Simulator)
  • 6,500+ Practice NCLEX Questions
  • 2,000+ HD Videos
  • 300+ Nursing Cheatsheets