The AMSU, or pre-operative nurse, is responsible for the pre-operative assessment. In this assessment, the nurse obtains vitals, receives a health history, and documents current medications the patient is taking. In the OR, the nurse is a circulating nurse. The nurse operates outside of the sterile field. They are responsible for charting information during the surgery and ensuring safety precautions are in place. The circulating nurse is responsible for collaborating with all other surgical team members. In the post-anesthesia care unit (PACU), the nurse is responsible for assessing the patient’s condition by taking and recording vital signs. The PACU nurse also helps rouse the patient still recovering from anesthesia and is responsible for reacting
The overall goal through all phases of The Quality and Safety Education for Nurses (QSEN) is to address the challenge of preparing future nurses with the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the healthcare systems in which they work. In order to accomplish this goal, six competencies were defined. These competencies from the Institute of Medicine (IOM) are patient centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics and safety. Over a decade has passed since the Institute of Medicine’s reports on the need to improve the American healthcare system. The Quality and Safety Education for Nurses
Over time the health care industry has become more complex. Health care is rapidly evolving and continuing to complicate our delivery of care, which in turn has the same effect on quality of care. This steady evolution and change results in nursing shortages and an increase in the prevalence of errors being made. In hopes of preventing these errors and creating safe and high quality patient care, with the focus on new and improved ways of thinking, The Quality and Safety Education for Nurses (QSEN) initiative was developed. The QSEN focuses on the following competencies: patient-centered care, quality improvement, safety, and teamwork and collaboration. Their initiatives work to prepare and develop the knowledge, skills, and attitudes that are necessary to make improvements in the quality and safety of health care systems (Qsen.org, 2014).
Learning about patient safety is a quality that all nurses and future nurses need to have instilled in them before they
The ultimate goal for myself, and the initial reason for studying with the Distance Learning Centre, is to become an Operating Department Practitioner(ODP). The role will involve working within operating theatres inside hospitals to support patients throughout their time during certain operations, or ‘periopertive journey’ (Health Education England, 2014b). I came to the decision to focus on making this my chosen career in November 2012 through word of mouth and a significant amount of research. The profession carries an extensive list of positives and negatives, along with how well it fits my personality and previous experiences; despite never working within the health sector previously.
The Quality and Safety for Nurses (QSEN) project, developed in 2005 from recommendations made by the Institute of Medicine (IOM), addresses issues pertaining to how to better prepare future nurses with knowledge, skills, and attitudes (KSAs) to continue to improve the safety and quality of care provided by the healthcare organizations in which they work (Billings & Halstead, 2016; QSEN, n.d.). The mission of QSEN emphases the collaboration of all healthcare professionals focusing on education, practice, and scholarship to improve the healthcare system. With the partnerships of national nursing organizations and schools of nursing, QSEN has been developed from IOM reports and integrated into pre-licensure and graduate student’s
My work placements acknowledge the importance of these skills and have programmed professional development training modules for every week. The next training module is on health and safety. This is important because nurses interact with patients for a longer time than the physicians. Basically, the training will incorporate aspects such as risk assessment, risk management and the process of reporting these assessments (Shannon, 2012).
Patient safety and quality of care are vital outcomes in the healthcare system. As professionals dealing with human lives, we consider these topics as core to our practice. In 2005, the Quality and Safety Education (QSEN) project was created in response to the challenges recognized in preparing nurses with the knowledge, skills, and attitude (KSAs) essential in providing safe and high-quality care to every patient (QSEN, 2012). This QSEN collaboration was the product of the strategies developed by the Institute of Medicine (IOM) report Crossing the Quality Chasm in 2001 and Health Professions Education: A Bridge to Quality in 2003 (Armstrong, G. & Barton, J., 2014). There were six competencies identified in the QSEN curriculum that includes patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics, and safety. In this paper, the QSEN competency, evidence-based practice will be discussed in relation to achieving quality and safety to the nursing process.
The core competencies for the nurse practitioner is more patient-centered. The advance education and core curriculum prepares the nurse practitioner to manage complex health care needs, prevent chronic illnesses, promote quality care, integrate advance technology for health care improvement, enhance critical thinking skills, collaborate with other team members to improve patient outcomes, implementation of innovative strategies for evidence base practice within the organization and evaluation of patient health care. Most importantly, the nurse practitioner is a strong advocate for improving access to health care, increasing the quality of care patients receive while decreasing unnecessary health care cost. In order for a nurse practitioner
The study leaders reviewed literature in the article from American Organization of Nurse Executive Competencies (2005) and Robert Wood Johnson Executive Nurse Fellows Competencies (Morjikian & Bellack, 2005) too help aid in learning content. The authors also included bits of information from a qualitative study done by Deuscher (2008). Both studies were similar in their recommendations for new graduate nurses.
To improve the quality, safety, efficiency, and effectiveness of patient care, applying research and evidence-based practice is necessary. In the Institute of Medicine’s report, Keeping Patient Safe: Transforming the Work Environment of Nurses, there is an emphasis on adequate nurse staffing (Hickey & Brosnan, 2012). Therefore, the quality improvement initiative is to focus on closing the gap between the core staffing and actual staffing in a six-week schedule.
Association of perioperative Registered Nurses (AORN) is a nonprofit organization that represents more than 160,000 perioperative nurses by providing nursing education, standards, and clinical practice resources-including the peer-reviewed, monthly publication-AORN Journal-to enable optimal outcomes for patients undergoing operative and other invasive procedures (ARON, 2015). The AORN organization focuses on best practice standards for quality patient care in the operating room. The OR setting is a fast pace environment that requires nurses to keep up on the latest technology, medicine, and positioning devices for the surgical patient. Nurses are advocates for patients during their surgical procedure to ensure safe and quality care. Our mission is to promote safety and optimal outcomes for patients undergoing operative and other invasive procedures by providing practice support and professional development opportunities to perioperative nurses (AORN, 2015).
The actions of the preceptor demonstrated her competency for patient safety. According to the QSEN Project, nurses demonstrating the competency of safety, aim to minimize the risk of harm to the patient by effectively using their knowledge, technology and standards of practice that have been developed from the study, observation and improvement upon commonly unsafe practices. Through this, there is a development of standardized practices that support the provision of quality and safety in patient care (Cherry & Jacob, 2014, p.
Ms Debra Shannon, BSN, perioperative RN is assigned to the OR consisting of 6 main rooms and 1 cysto room and provides support to the interventional radiology, during this rating period. She serves as Service Lead to Cardio, Vascular and Thoracic Services. She provided valuable input for this proficiency. This proficiency report demonstrates examples of how Ms. Shannon uses her perioperative nursing expertise to provide patient centered nursing care in exceeding the Qualification Standards in the four areas for a Nurse II.