Quality and Safety Education in Nursing

What did IOM do?

this is the institute of medicine and it made it to where all healthcare workers in the 21st century should be able to perform certain tasks

The IOM wants all healthcare workers to be able to:

provide pt centered care, work in the interdisciplinary teams, employ evidence-based practice, apply quality improvement, utilize informants

Who adopted the competences set by the IOM?

a group of faculty did for nursing students → adapted these into an initiative called Quality and Safety Education in Nursing (QSEN)

The 6 QSEN competencies:

pt-centered care. quality improvement, safety, informatics, teamwork and collab, evidence-based practice (EBPP

Quality improvement:

date is used to monitor and improve pt outcomes by designing changes to improve the quality and safety of healthcare

Safety:

minimizes the risk of harm to pts

Informatics:

uses info and technology to communicate, manage knowledge, mitigate error, and support decision making

Teamwork and collab:

effective functioning of nursing and interpersonal teams, fosters open communication, mutual respect, and shared decision making to achieve quality pt care

Evidence-based practice (EBP):

integrates best current evidence w clinical expertise and pt/fam preferences and values for delivery of optimal healthcare

What does the psychiatric-mental health registered nurse do?

collects and synthesizes comprehensive health date pertinent to the healthcare consumer’s health and/or situation

Psychiatric-mental health RN roles during the assessment phase:

assess/have access to pt’s past and present medical hx, a recent physical exam, and knowledge of physical complaints; document observable conditions or behaviors, such as unsteady gait, abnormal breathing patterns, wincing as if in pain, and doubling over to relieve discomfort

Assessment process begins w:

initial pt encounter and continues throughout the pt stay

Reassessment:

during this time the nurse will document initially and then also changes throughout the pts stay

In all situations a pt will be provided w:

HIPPA guidelines

In in-pt care the nurses primary resource for data is:

the pt

Outside/secondary resources are required for data when:

the pt is silent or experiencing psychosis, agitation, or catatonia

Secondary resources include:

fam, friends, neighbors, police, healthcare workers, and medical records