QSEN Case Western Frances Payne Bolton School of Nursing

Quality and Safety Education for Nurses

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SAFETY Bundle Simulation Day

At conclusion of junior year, students completed course theory in Nursing Foundations and Adult Health and Illness pertaining to but not limited to peri-operative nursing, SBAR communication, patient safety risks, cardiopulmonary resuscitation, and medication delivery. Students had one semester of medical surgical clinical and also completed their foundation skills competencies through-out the year in labs. Safety Bundle Day was constructed to apply a full day simulation experience in lieu of the last clinical day for the entire junior class. The purpose was to apply the culmination of content learned to clinical practice in a safe controlled environment, provide an opportunity to apply new skills in the mock code, collaborate with one another and with interdisciplinary persons. In a cost effective planning approach, faculty organized the simulation utilizing available materials in lab, and resources within the college at large, and personnel, i.e.: simulation operating room facility The activity ran multiple times through-out the day with student groups pre-assigned. 1. Operating room: Surgeon (interdisciplinary teamwork and collaboration) provided group of students’ discussion on various nursing roles in operating room, circulating nurse,...


February 14, 2017

An Education Strategy Engaging Nursing ...

The purpose of this assignment is to help nursing students gain an understanding of their role in patient safety and provide an opportunity to apply the knowledge, skill, and attitude essential to provide safe, quality care. The one six-hour assignment is for pre-licensure students in the third year of their nursing program. The students participate in a (a) one hour didactic classroom lecture, (b) 90 minute group exercise, and (c) a three hour collaborative hands-on experience with other healthcare professionals. The lecture consists of information on national organizations involvement and support of patient safety, review of the National Patient Safety Goals, the JCAHO tracer methodology, and the QSEN patient safety KSAs. Students will divide into groups of 4-5 for the group exercise. Students will view the first three parts of the Lewis Blackman Story video. This video is one of several available on the QSEN website and can be accessed via URL http://qsen.org/faculty-resources/videos/the-lewis-blackman-story/. Following the video, each group will receive a case study and asked to participate as a member of the healthcare team. The group will identify safety...


February 7, 2017

Using Beers Criteriato Prevent Medicat ...

This strategy can be used for either pre-licensure or RN to BSN students utilizing the clinical setting and either group or individual work in class, in post-clinical conference, or via online discussions or blogs. Prior to clinical, students are assigned the American Geriatric Society 2015 updated Beers Criteria for potentially inappropriate medication use for older adults link for review, the Hartford Geriatric Nursing Beers you-tube for viewing, and the ConsultGeri.org Try This Series site for regarding the Beers Criteria for reading. On the clinical day, a brief discussion can be held in pre-conference about Beers Criteria with a review of definitions for quality and strength of evidence and a brief account of methods used to analyze the evidence and to make recommendations. Students will be instructed to select an older adult patient over age 65 with 8 or more medications. In clinical, students are to record basic patient information like the client’s medical diagnoses, prescribed, routine, prn and over the counter medications as well as vitamin and mineral supplements. They will record these on the first section of the...


February 6, 2017

QSEN TEACHING STRATEGY: USING AN AQUAR ...

Students were asked to troubleshoot cardiac function problems demonstrated with an aquarium and pump. The following principles were demonstrated: First, the aquarium pump is electrical. Therefore, the pump must be plugged in to receive an electrical charge. Positive cations (such as magnesium, potassium, calcium, and sodium) provide the electrical charge to the heart, which is represented by the plugging the pump into the electrical outlet. To help students retain normal laboratory values, students were taught the 2X4 Rule: representing ideal serum magnesium and potassium levels for cardiac electrical function being a serum magnesium 2 mg/dL and serum potassium 4 mEq/L. The extension cord was labeled with “K” and “MG” for demonstration. Second, the pump requires sufficient volume (preload) to produce cardiac output. This is demonstrated by adding water from a container marked preload. The pump cannot function effectively or efficiently with a volume deficit or fluid overload. This is demonstrated by either submerging the pump or lifting the pump out of the water. Third, the pump must be able to accommodate resistance (afterload) that is demonstrated by using an...


February 6, 2017