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Clinical Conference and the One Minute Safety Check


Submitter Information


Name: Kim Amer
Title: Associate Professor
Credentials: PhD, RN
Organization: DePaul University
Email: kamer@depaul.edu
Address 1: 990 W. Fullerton Suite 3000
Address 2: Dept of Nursing Depaul university
City: Chicago
State: IL
ZIP: 60660
Phone: 773-325-1160

Teaching Strategy


Competency Category(s):
Learner Level(s):
  • New graduates/transition to practice

Learner Setting(s):
  • Clinical settings

Strategy Type:
  • Other
On site clinical learning Students are safety detectives trying to identify safety concerns

Learning Objectives:

Assess safety risks each time student enters a patient's room

Describe prioritization of care with the one minute safety check (integrate abc's of physiologic safety)

Verbalize the mental process of reviewing the critical assessment of patient's breathing, risk of falling, emergency equipment check, and immediate threats to safety

Strategy Overview:

Students will discuss the quality and safety check in the classroom. During the clinical experience the students will be asked to report on their findings of the one minute safety check. The most critical assessment measures will be evaluated for the appropriate prioritization.

The instructor will accompany the student in the room to discuss whether the safety assessment was appropriately done.


Additional Materials:

Example: A 6 year old girl with asthma just had a respiratory treatment by the respiratory therapist. Her breathing seems fast (resp. 44) and she is coughing. There is a vial of albuterol on the night stand. She is very red in the face and asks the student for some water.

What are the immediate priorities and safety issues?


Evaluation Description


Clinical evaluation instruments have been revised to include the 1 minute safety check. The students should be able to talk through their priority assessment including: 1. assessment of airway, work of breathing, and circulation 2. knowledge of emergency equipment including airway, ambu bag, oxygen, weight and age of patient, risk of falling, name bracelet on, and environmental assessment of risk such as water on floor. 3. Integration of the "all at once" ability to talk with the patient, deliver quality care, and also observe for safety issues in the environment.