Curriculum Components on Patient Safety

University of Florida

College of Nursing

Hallmarks of Quality and Patient Safetyin Baccalaureate Nursing Education

Critical Thinking• Recognize quality and patient safety as complex

issues that involve all health care providers and systems.

• Apply research-based/evidence-based knowledge from nursing and the sciences as the basis for practice.

• Employ data to investigate quality and safety issues and develop action plans for improvement.

Health Care Systems and Policy

• Provide nursing care that contributes to safe and high quality patient outcomes.

Ethics• Take action to prevent or limit unsafe or

unethical health and nursing care practices by others.

• Advocate for health care that is sensitive to the needs of patients, with particular emphasis on the needs of vulnerable populations.

• Negotiate and advocate for high quality and safe patient care as a member of the interdisciplinary health care team.

Patient Safety & Quality

Sample Web Sites Utilized for Patient Safety

Information

3000 Coursework Samples

• NUR 3026C: Essentials of Professional Nursing

• NUR 3225L: Clinical Nursing: Adult Health Care Application

• NUR 3555L: Clinical Nursing: Child Health Care Application

Essentials of Professional NursingCourse Description

This course provides theoretical knowledge and emphasizes psychomotor

skills necessary to provide nursing interventions. Focus is on the provision of safe and effective nursing care to diverse

populations.

COURSE OBJECTIVES Upon completion of this course, the student will be able to:

• Apply principles of safety when providing care.

Clinical Nursing: Adult Health Care Application

Course Description

This course provides the student with clinical experiences in the care of adult and elderly

clients in the context of their family, community and environmental systems.

Emphasis is on the application of the nursing process, beginning with the care of one adult or

elderly client and progressing to the management for two to three clients. ….

A focus is also on the effective use of communication techniques, collaborative work

with health care team and understanding diversity.

COURSE OBJECTIVES Upon completion of this course the student will be able to:

• Use the nursing process as a collaborative member of the health care management team to implement a safe holistic plan of health care with 2-3 adult and elderly clients and their families

• Provide health care to adult and elderly clients and their families that is in line with legal and ethical standards.

• Collaborate with interdisciplinary health care team members, community resources and families to deliver quality health care to adults and elderly clients.

• Demonstrate personal responsibility for accountable nursing practice & professional growth

Samples of Patient Safety Information Presented/ Practiced

University of Florida College of NursingNUR 3026C

Week 8 Performance Exam

Injections:

Students will check off individually and have 10 minutes to perform ONE of the injection procedures (either SQ or IM listed below) selected at random by the faculty.ALL students prior to each check off section: Verifies correct patient identification Introduction to the patient Washes hands (may verbalize) Inquires about history of allergies

Insulin SQ Injection Administration with mixed insulin:verifies order prior to administration demonstrates sheath use (if syringe has sheath)verbalizes the 5 rights chooses correct site for administration (faculty choice)chooses correct syringe Dons clean gloves correctly prepares vialcorrectly cleanses site (circular motion from center) adds correct amount of air to both vials (NPH vial

first)correctly administers injection withdraws correct amount of regular insulin first correctly disposes sharps and contaminated material withdraws correct amount of NPH

insulin second verbalizes the need to wash hands (does not contaminate NPH vial)

correctly documents injection admin. on MAR demonstrates safe recap

Needs to retake YES NO*Drawing up incorrect dose = automatic check off failure*Injecting incorrect site = automatic check off failure*Recapping used needle = automatic check off failure

Supervised by___________________________________ Date:_____________

NUR 3026C & NUR 3218LLab & Clinical Skills Record - 2008Student Name: _______________________________________________

WK SKILLBasic Skills (NUR 3026C)

LAB DEMO and/or PRACTICE

CLINICAL APPLICATION

DATE INITIALS DATE INITIALS

1 Hand washing

1 Applying PPE (standard precautions)

NUR 3206BLUEPRINT for Exam #1Summer 2008

TOPIC QUESTIONS

Week #1 contentGeneral information on hospitalized patientsAdmission & discharge considerationsRisk for infectionStandard precautions & transmission basedPPEHandwashingMedical asepsisOxygen saturation

14 questions

Week #2 contentPromoting safety & mobilityPatient falls & preventionOccupational injuries of nursesSafe patient handlingPositioning of patientsUse & care of restraintsSeizure precautions

19 questions

Clinical Nursing: Child Health Care Application

Course Description

This course provides the student with a variety of clinical experiences in the care of children and families within the community and health

care system.

Emphasis is placed on the application of the nursing process utilizing critical thinking

methods, research and a holistic plan of care for children and families from diverse cultures

and environments.

The focus is on the implementation of interventions and communication techniques

appropriate to the physical growth and developmental stage of the child

COURSE OBJECTIVESUpon completion of this course, the student will be

able to:

• Apply critical thinking to question assumptions, set priorities, problem solve options and evaluate outcomes in the health care management of children and their families.

• Provide responsible nursing care to children according to the legal and ethical guidelines of professional nursing.

• Apply nursing care management strategies to promote responsible care to children and families.

4000 Coursework Samples

• NUR 4635L: Clinical Nursing Community Health Care Application

• NUR 4945L: Clinical Nursing: Practicum

Clinical Nursing: Community Health Care Application

Course Description

This course provides the student with clinical experience with individuals, families and

aggregates within a community.

Emphasis is on use of theory and research as a basis for development of critical thinking in the

application of the nursing process and case management strategies for individuals, families,

and aggregates.

COURSE OBJECTIVESUpon completion of this course, the student will be

able to:

• Utilize effective communication techniques in collaborative relationships with clients, community, resources, peers/colleagues, and other professionals to deliver quality health care to clients from diverse cultures in community systems.

• Utilize the legal and ethical guidelines of professional nursing to promote safe, accountable, and responsible professional nursing care in the context of the community health nursing role.

Clinical Nursing: PracticumCourse Description

The purpose of this course is to provide the student with opportunities to integrate leadership and management behaviors in the application of

the nursing process with selected client populations.

Emphasis is on developing increasing responsibility for the provision of comprehensive nursing care to culturally diverse client groups. The course focuses on meeting clients' health care needs and on a transition from student to professional member of a collaborative health

care team.

COURSE OBJECTIVESUpon completion of this course, the student will be

able to:

• Utilize legal and ethical guidelines to provide safe, accountable, and responsible professional nursing care.

• Apply leadership and management principles to ensure efficiency, quality, and continuity in health care delivery.

Jumping Into NCLEX!(National Council Licensure Exam)

Presented during the simulated lab presentations fall/ spring semester

of the junior year.

A client has an impairment of cranial nerve II. Specific to this impairment, the nurse would plan to do which of the following to ensure

client safety?

A. Provide a clear path for ambulation without obstacles

B. Test the temperature of the shower water

C. Speak loudly to the client

D. Check the temperature of the food on the dietary tray

A nurse has just obtained a unit of blood from the blood bank to transfuse to a client. While preparing the blood for transfusion, the nurse plans to look for which of the following members of the health care

team to assist in checking the unit of blood?

A. Blood bank technician

B. Registered Nurse (RN)

C. Medical student

D. Phlebotomist