Patient Safety for Certified Emergency Nursing (CEN)
Included In This Lesson
Study Tools For Patient Safety for Certified Emergency Nursing (CEN)
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.
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:
- Anderson, D. J. (2022, August 17). Infection prevention: General principles. UpToDate. https://www.uptodate.com/contents/infection-prevention-general-principles
- Arora, V. (2022, June 15). Patient handoffs. UpToDate. https://www.uptodate.com/contents/patient-handoffs
- Berry, S. (2022, July 1). UpToDate. Falls: Prevention in nursing care facilities and the hospital setting. https://www.uptodate.com/contents/falls-prevention-in-nursing-care-facilities-and-the-hospital-setting
- Moore, G. P. (2022, Mary 19). Assessment and emergency management of the acutely agitated or violent adult. UpToDate. https://www.uptodate.com/contents/assessment-and-emergency-management-of-the-acutely-agitated-or-violent-adult
- Wahr, J. A. (2021, August 31). Safety in the operating room. UpToDate. https://www.uptodate.com/contents/safety-in-the-operating-room
Zhu, J. (2022, August 8). Prevention of adverse drug events in hospitals. UpToDate. https://www.uptodate.com/contents/prevention-of-adverse-drug-events-in-hospitals