Centers for Disease Control and Prevention, National ...



ADVANCED SKILLSSafety & ImmunityLearning Objective-Discuss the importance of creating a culture of safety in the workplace.Discuss facts that affect patient safety. Discuss various tools for assessing patients at risk.Discuss nursing diagnosis related to patient safety.Discuss strategies for improving patient safety.Discuss factors which increase the risk of human error of nurses.Discuss occupational hazards for nurses.Discuss strategies for improving nurse safety.Identify patients at risk for developing an infection.Identify factors that reduce the incidence of nosocomial infections.Identify current OSHA standards regarding blood borne pathogens.Identify how blood borne pathogens are transmitted.Hepatitis BHepatitis CHIVDiscuss specific tasks and activities that may involve exposure to blood or other infectious material.Discuss various types of isolation as well as factors involved in caring for a patient in isolation. A. General Culture of Safety & National Patient Safety GoalsCulture of SafetyJoint Commission’s National Patient Safety Goals (2016). Accelerating the adoption of a safety culture. Retrieved from that affect patient safetyGrowth & developmentLifestyleMobilityHealth statusSensory-perceptual alterationsCognitive awarenessEmotional stateAbility to communicateSafety awarenessEnvironmental factorsHome safetyHospital safetyMedication errorsWrong-site surgeryRestraint related injuriesFallsBurnsPressure ulcersMistaken identityRisk Assessment tools Home hazard appraisalBraden scaleFall risk appraisal 4. Strategies for Improving Patient Safety A. Accurate patient identificationTwo identifiers for medications/ procedures/ specimensVerifications process prior to start of any invasive procedure/surgeryB. Effective communication between caregiversVerbal or telephone ordersStandardized lists of abbreviationsSBAR reporting C. Medication safetyLabel all containersMedication reconciliation D. Reduce risk of health-care associated infections. CDC hand hygiene guidelines E. Reduce the risk of patient harm from falls1. Fall reduction programReduce risk of influenza and pneumococcal disease in institutionalized older adultsReduce risk of surgical firesEncourage involvement of patients and families in their carePrevent health-care associated pressure ulcersPatient education 2. Eliminate or modify risk factors 3. Home safety measures4. Poison control measures5. Factors that increase human error (Nurses)A. Limited short-term memory in busy environment.B. Being late or in hurryC. Limited ability to multitaskD. InterruptionsE. StressF. Psychological factorsG. Environmental factorsH. Staffing shortages I. Fatigue and long work hours 6. Occupational Hazards in Nursing A. Blood-borne pathogens B. Latex allergies C. Work-related musculoskeletal disorders D. Violence 7. Strategies to Improve Safety in Nursing A. Standard precautions B. Decrease exposure to latex C. Ergonomic programs D. Safe patient handling programs E. Lifting policiesRequired Text and Resources:Yoost & Crawford (2016). Fundamentals of nursing, Chapter 25Lewis (2014). Medical-Surgical Nursing (9th ed.), Chapter 1, pages 13-14, 73, 186, 339Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health (2016). Safe patient handling and movement. Retrieved from patient safety measures in the Skills Lab during practice and check-off activities.Utilize nursing safety strategies in the Skills Lab during all practice and check-off activities.B. Isolation TechniquesRequired Text and Resources: Yoost & Crawford (2016). Fundamentals of Nursing, Chapter 26Lewis (2014). Medical Surgical Nursing (9th ed.), Chapter 15, p.p. 231–232 & 533 Centers for Disease Control and Prevention (No date) Ebola viral disease: U.S. Healthcare workers and settings. Retrieved from Resources:Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health (NIOSH), (2016). Bloodborne Infectious diseases: HIV/AIDS, hepatitis B and hepatitis C. Retrieved from (2016). Course 755 – Bloodborne Pathogens Program Management. Retrieved from States Department of Labor, Occupational Safety and Health Administration (n.d.) . Bloodborne pathogens and needlestick prevention. Retrieved from information about Blood borne Pathogens PowerPoint and the recommended resources and then complete the quiz on Canvas with score a 100% by the first Skills Lab day.Participate in a discussion of current CDC standards regarding blood borne pathogens and Ebola viral diseases (EVD) on Canvas and respond to the posting of two of your peers by the date specified by the Skills Lab Coordinator.Practice caring for a patient under isolation precautions using PPE (personal protective equipment).Have a peer review your ability to care for a patient under isolation precautions using PPE. ................
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