1. safety http://www.youtube.com/watch?v=kg-2kEzWIOI&feature=fvwrel
Quote for the Day:
It is improper to consider personal danger when the public welfare is at stake."  (Maimonides, "Iggeret Teman")

2. Patient Safety Advocate
Developed by D. Ann Currie, RN,MSN

3. Patient Safety Advocate
A licensed nurse who promotes safety in the patient and family
environment by: following scope and standards of nursing
practice; practicing within the parameters of individual knowledge,
skills, and abilities; identifying and reporting actual and potential
unsafe practices; and implementing measures to prevent harm. .

4. Rnsg 2308 Course Objectives
Unit IV: Patient Safety Advocate
1. Examine the Texas Nursing Practice Act and the Texas Board of Nursing Rules that emphasis safety as well as the federal, state, and local government and accreditation organizations safety requirements and standards in regard to the maternal, newborn, women’s health care patients. (SLO #4, & 5)
2. Identify measures that promote quality patient-centered care and a safe supportive, protective environment for childbearing families, women selected health issues, the nurse, and other health care team members.(SLO #4 & 5 )
3. Examine the nurse’s role in local health facilities and community regarding disaster planning and bioterrorism as it relates to childbearing families and women with selected health issues. (SLO #5 & 6)

5. Rnsg 2308 Unit IV Objectives
Discuss the Texas Nursing Practice Act and the Texas Board of Nursing Rules in regard to safety in the caring of the maternal, newborn, and/or women’s health patients.
2. Compare and contrast the federal, state, and local government and accreditation organizations’ safety requirements and standards in the patient-centered nursing care of the maternal, newborn and women’s health patients.
3. Examine the policies and procedures of area facilities as they pertain to the delivery of safe patient-centered nursing care for the childbearing family and women health care patients.
4. Discuss National Standards for safe Nursing Practices as they apply to the maternal, newborn, and/or women’s health care patients.

6. Cont. Unit Objectives
5. Discuss the principles of quality improvement and outcome measurement in health care organizations in regard to the maternal, newborn, and/or women health patients.
6. Identify potential risk for maternal, newborn, and/or women’s health patient harm related to accidents.
7. Discuss measures to prevent risk to the maternal, newborn, and/or women’s health patient resulting from errors and preventable occurrences.
8. Summarize national and state standards and guidelines and procedures for infection control in the maternal, newborn, and/or women’s health care areas.

7. Cont. Unit Objectives
9. Discuss the importance of correctly identifying and matching the mother and infant couplet on the mother baby or postpartum unit.
10. Explore the role and responsibilities of the nurse in regard to baby abduction.
11. Discuss the nurse’s role in local facilities and community regarding disaster planning and preparedness for childbearing families.
12. Examine the nurse’s role and responsibilities internal and external disasters in the maternal, neonatal and women’s health care areas of the hospital.

8. Cont. Unit Objectives
13. Explain the specific bioterrorism agents (effects of biological, chemical, and nuclear agents) on reproduction, pregnancy outcomes, fetus, and neonate.
14. Compare how the interventions for biological agents differ in pregnant patients.
Discuss how the nurse can utilize evidence based nursing practices to improve the quality and safety of the patient-centered nursing care for childbearing patients, women with selected health issues and their families.
Explore the how the use of technology and informatics can assist in the nurse in delivering safe patient-centered nursing care for childbearing patients, women with selected health issues and their families.

9. Patient safety –It can go wrong

10. Texas Nursing Practice Act and Texas Board of Nursing (bon)Rules that EMPHASIZE SAFETY

11. Texas DEC’s Patient Safety Advocate:
A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards.
B. Implement measures to promote quality and a safe environment for patients, self, and others.
C. Formulate goals and outcomes using evidence-based data to reduce patient risks.
D. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices.
E. Comply with mandatory reporting requirements of the Texas Nursing Practice Act.
F. Accept and make assignments and delegate tasks that take into consideration patient safety and organizational policy.

12. NPA &2
(B) Implement measures to promote a safe environment for clients and others;
(C)Know the rationale for and the effects of medications and treatments and shall correctly administer the same;
 (N) Clarify any order or treatment regimen that the nurse has reason to believe is inaccurate, non-efficacious or contraindicated by consulting with the appropriate licensed practitioner and notifying the ordering practitioner when the nurse makes the decision not to administer the medication or treatment;
  (O) Implement measures to prevent exposure to infectious pathogens and communicable conditions;
(S) Make assignments to others that take into consideration client safety and that are commensurate with the educational preparation, experience, knowledge, and physical and emotional ability of the person to whom the assignments are made;
    (T) Accept only those nursing assignments that take into consideration client safety and that are commensurate with the nurse's educational preparation, experience, knowledge, and physical and emotional ability;   

13. The joint Commission The National Patient Safety Goals

14. National Patient Safety Goals-Jan. 1,2012
Identify patients correctly
Improve staff communication
Use medicines safety
Prevent infections
Identify patient safety risks
Prevent mistakes in surgery

15. Identify patients correctly
Use at least two ways to identify patients. For example, use the patient’s name and date of birth. This is done to make sure that each patient gets the correct medicine and treatment.
Correctly Indentify mother /baby couplet.
Make sure that the correct patient gets the correct blood when they get a blood transfusion.

16. Improve staff communication
Verbal
Handoffs
Reports
Nurse to Nurse
Nurse to Doctors
Other Nurse to other Health Care Team Members
Documentation
Get important test results to the right staff person on time.

19. Please Use CUS Words but only when appropriate!

20. Use medicines safely
Before a procedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up.
Take extra care with patients who take medicines to anticoagulants.
Record and pass along correct information about a patient’s medicines.
Find out what medicines the patient is taking. Compare those medicines to new medicines given to the patient.
Make sure the patient knows which medicines to take when they are at home.
Tell the patient it is important to bring their up-to-date list of medicines every time they visit a doctor.

22. Improve the safety of using medications.
Identify and, at a minimum, annually review a list of look-alike/sound-alike drugs used by the organization, and take action to prevent errors involving the interchange of these drugs.
Label all medications, medication containers (for example, syringes, medicine cups, basins), or other solutions on and off the sterile field.
Reduce the likelihood of patient harm associated with the use of anticoagulation therapy.

24. Look alike medications

25. Medication errors

26. Prevent infection
Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning. Use the goals to improve hand cleaning.
Use proven guidelines to prevent infections that are difficult to treat.
Use proven guidelines to prevent infection of the blood from central lines.
Use proven guidelines to prevent infection after surgery.
Use proven guidelines to prevent infections of the urinary tract that are caused by catheters.

27. Infection Control Starts with Handwashing

28. Hip Hip Hooray Dr Semmelweiss

29. Identify patient safety risks
Find out which patients are most likely to try to commit suicide.
Falls
DVT
Infant abduction

30. Prevent mistakes in surgery
Make sure that the correct surgery is done on the correct patient and at the correct place on the patient’s body.
Mark the correct place on the patient’s body where the surgery is to be done.
Pause before the surgery to make sure that a mistake is not being made.

31. Surgerical Time Out Procedure
Even for an emergency C-Section or a BLT

32. Standards of Care AWHONN Nann ANA AACRNA http://www.awhonn.org/awhonn/
ANA
AACRNA

33. Institute of Medicine (Iom)

34. Agency for healthcare research and Quality

35. Patient safety quality healthcare

36. Institute for Improvement

37. Institutefor Safe Medication Practices

38. NCLEX Client needs Safe and Effective Care Environment
Safety and Infection Control

39. .
Safety and Infection Control – protecting clients and health care personnel from health and environmental hazards.
Related content includes, but is not limited to:
..Accident/Injury Prevention
..Emergency Response Plan
..Ergonomic Principles
..Error Prevention
..Handling Hazardous and Infectious Materials
..Home Safety
..Reporting of Incident/Event/Irregular Occurrence/Variance
..Safe Use of Equipment
..Security Plan
..Standard Precautions/Transmission-Based Precautions/Surgical Asepsis
..Use of Restraints/Safety Devices

40. What are safety Issues with the Maternal/newborn and women’s Health Care Patients?

41. Are you prepared to provide safe care?
Read Tx Bon Rules on Safe Nursing Care and NPA
Read the National Safety Goals by the Joint Commission
Read Standards of Care by AWHONN or NANN
Read Hospital Policies and Procedures
Read your Textbooks
Read Evidences-Based Practice Nursing Journal Articles

42. Remember Keep your Patient Alive Keep your Patient SAFE
Keep your Patient SAFE
Keep your Patient HAPPY
Communication/Document correctly and in a timely manner.

43. Questions

44. Can You answer the following questions?
Your Turn
Can You answer the following questions?

45. Questions 1. SBAR stands for: S ________________________________
S ________________________________
B________________________________
A________________________________
R________________________________

46. SBAR
S Situation
Describe the situation
WHAT IS GOING ON NOW
B Background
Deliver a concise history
WHAT HAS HAPPENED
A Assessment
Use your best Judgment
WHAT DO YOU THINK IS WRONG
R Recommendations
What needs to happen?
WHAT WOULD YOU SUGGEST HAPPEN ?

47. According to the Joint Commission for the Accreditation of Hospitals, what was the root cause of nearly 80% of all sentinel events between 1995 and 2005?
a. Communication errors
b. Inappropriate staff mix
c. Insufficient orientation of new RN’s
d. Leadership failure

48. Communication errors

49. Describe one communication tool that the RN can use to increase patient safety.

51. Safety dance