QSEN Case Western Frances Payne Bolton School of Nursing

Quality and Safety Education for Nurses

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TIC TAC TOE ABGS: INTERPRETATION AND PATIENT SAFETY By: Dr. Nancy Jaskowak Cresse, DNP, MS, ANP-BC, Rutgers University School of Nursing-Camden & Dr. Marian Nowak, DNP, MPH, RN, DNP, MPH, RN, Rowan University School of Nursing  Learning Objectives: Through participation in this class student will: • Review how respiratory physiology impacts ABG measurement (K) • Identify three variables that may affect readings (K) • Enable rapid ABG interpretation to minimize risk of harm to patients (K,S). To read the full teaching strategy, visit our teaching strategy homepage...

December 1, 2016

Tic Tac Toe ABGs: Interpretation and P ...

Introduction to Arterial Blood Gases An arterial blood gas (ABG) test measures the acidity (pH), levels of oxygen, and carbon dioxide in arterial blood. ABG’s are often used in conjunction with other tests to check how well the lungs are able to move oxygen into the blood and remove carbon dioxide from the blood. Lets look at ABG values, and what the ABG measures: • pH. This value measures the hydrogen ions (H+) in the blood. The normal pH of blood is between 7.35 and 7.45. A pH of less than 7.35 is called acidotic, and a pH of greater than 7.45 is considered alkalotic. • Partial pressure of carbon dioxide (PaCO2). A measure of the pressure of carbon dioxide in the blood and how well carbon dioxide is able to move out of the body. Remember, CO2 is an acid, so the higher the pCO2, the more acidic the value is. • Bicarbonate (HCO3). Bicarbonate serves as a buffer that keeps the pH of blood from becoming too acidic. The higher the bicarbonate (HCO3) the more alkaline the...

November 28, 2016

New Program: Using Games for Training ...

Using Games for Training to Improve Patient Outcomes UNC-CH School of Nursing Center for Lifelong Learning In the year 2000, the Institute of Medicine published its report To Err is Human: Building a Safer Health System, which found that 44,000 to 98,000 people died each year from preventable medical errors in the U.S. In 2013, James examined additional data and estimated that more than 400,000 people died from preventable harm yearly in the U.S. Educators are challenged to rethink how to better train healthcare teams. In order to improve patient safety and outcomes, systems thinking and interprofessional collaboration are essential (Runion, 2016).Interactive games (serious gaming) are learner-centered, create space for reflection and insight, and provide the platform to teach complex concepts. Serious gaming has been shown to improve skill acquisition and retention compared to traditional learning (James, 2013; and Ricciardi & Tommaso De Paolis, 2014). This two (2) day program will provide hands on interactive strategies using a variety of serious gaming examples to educate interprofessional healthcare teams in communication, teamwork, and systems thinking. Attendees will also earn a certification...

November 10, 2016

Mind Mapping: An Active Classroom Lear ...

The purpose of this in-class mind mapping activity is to introduce nursing students in a nursing course to explore a variety of concepts of nurses’ ways of knowing in professional practice in a collaborative learning and teamwork environment. Students come to class prepared to synthesize a mind map after completing assigned readings, viewing a mind map You-Tube video, and reviewing the student self-assessment instructional rubric for the activity. Discussion of what mind mapping is and its implementation is facilitated by the instructor at the beginning of the class to ensure students understand this creative activity. A three step collaborative structure is used to illustrate the concept of critical thinking (or substitute any assigned course concept): (1) formulating groups, (2) sharing ideas related to critical thinking, and (3) developing a mind map. (Note: Critical Thinking was chosen as an exemplar from one of many concepts used by nurses as a way of knowing in clinical practice). Students work in teams of 5-6 to create a mind map reflective of what thoughts and actions are essential components of critical thinking used...

November 8, 2016