Part 1: Creating a Culture of Patient Safety

Instructions: Please review the following scenario and answer each of the following questions in 150-200 words using one to two sources to support your ideas.

Michael is a nurse working on a busy medical-surgical unit. He is responsible for the care of five patients with complex medical needs. Michael checks on his first patient, Mrs. Wallace. She is lying in bed with the call light button within her reach. The identification armband is in place. Michael verifies that the IV is working and the correct IV fluid is infusing. The monitor is on, and the limits/volumes are set appropriately.

Michael proceeds to check on his second patient, Mr. Baker. As he walks in the room, he finds Mr. Baker on the floor and alert. Mr. Baker tells Michael that he fell trying to get into the bed because the bed rolled away. Michael notes that the locks for the bed were not engaged. There is no call light in the room. The monitor is turned off. Mr. Baker does not have an identification armband on. There is an identification band on the bedside table, but it does not belong to Mr. Baker. Michael checks the IV fluid infusing and discovers that the name on the IV bag is the same as the identification armband on the bedside table.

National Safety and Quality Standards

· Identify two sources and applications of national safety and quality standards to guide nursing practice.

· Describe two factors for Mrs. Wallace’s scenario that create a culture of safety.

· Support your ideas using one to two sources.

Nursing Interventions

· Describe three nursing interventions that are necessary for Mr. Baker to create a culture of safety.

· Discuss the nurse’s accountability for reporting unsafe conditions, near misses, and errors to reduce harm.

Interprofessional Team Members

· Identify the interprofessional team members that will need to be notified regarding Mr. Baker’s situation.

· Select three team members and explain their role in the care of Mr. Baker’s situation.

· Explain the nurse’s role within this interprofessional team in promoting safety and preventing errors and near misses.

Basic Safety Design Principles

Basic safety design principles help to reduce risk of harm. Examples of these include error-proofing, safeguards, and training.

· Select one of the safety design principles and explain how it applies to Mrs. Wallace and Mr. Baker.

· Discuss the benefits of using reporting system processes to understand causes of error and improve patient outcomes.

· Support your ideas using one to two sources.

References:

Cite a minimum of two sources in APA format to complete this assignment. Sources must be:

· Published within the last five years.

· Appropriate for the assignment criteria.

· Relevant to nursing practice.