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
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Test Taking Strategies
- Note Taking
- Basics of NCLEX
- Prefixes
- Suffixes
- Medication Administration
- Gastrointestinal Disorders
- Respiratory Disorders
- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
- Adult
- Emergency Care of the Neurological Patient
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Documentation and Communication
- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
- Communication
- Understanding Society
- Immunological Disorders
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Fetal Development
- Terminology
- Anxiety Disorders
- Cognitive Disorders
- Musculoskeletal Trauma
- Intraoperative Nursing
- Tissues and Glands
- Vascular Disorders
- Renal Disorders
- Eating Disorders
- Prenatal Concepts
- Microbiology
- Male Reproductive Disorders
- Sexually Transmitted Infections
- Infectious Respiratory Disorder
- Depressive Disorders
- Personality Disorders
- Psychotic Disorders
- Trauma-Stress Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Integumentary Disorders
- Newborn Care
- Basics of Mathematics
- Statistics
- Labor and Delivery
- Proteins
- Emergency Care of the Trauma Patient
- Hematologic System
- Hematologic Disorders
- Developmental Considerations
- Skeletal System
- Digestive System
- Urinary Disorders
- Postpartum Care
- Basic
- Musculoskeletal Disorders
- Bipolar Disorders
- Metabolism
- Cardiovascular Disorders
- Concepts of Population Health
- Musculoskeletal Disorders
- EENT Disorders
- Postpartum Complications
- Basics of Human Biology
- Postoperative Nursing
- Neurological Emergencies
- Prioritization
- Disorders of Thermoregulation
- Writing
- Community Health Overview
- Dosage Calculations
- Neurological Trauma
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Concepts of Pharmacology
- Integumentary Important Points
- Emotions and Motivation
- Renal and Urinary Disorders
- Developmental Theories
- Reproductive System
- Adulthood Growth and Development
- Psychological Emergencies
- Growth & Development
- Basics of Sociology
- Somatoform Disorders
- Reading
- Intelligence and Language
- Oncologic Disorders
- Med Term Basic
- Med Term Whole
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Learning Pharmacology
- Pediatric
- Psychological Disorders
- State of Consciousness
- Sensory System