Cheryl Anne Smith, MSN, RN Martin Methodist College Pulaski, Tennessee 5-31-2012
Objective At the end of this session, the learner will summarize methods that a small baccalaureate college used to incorporate QSEN concepts into fundamentals and medical/surgical courses. 2
(Planetree, n.d.; Picker Institute, n.d.)
(Flickr, 2012)
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Journal Requirements Questions the Students Answer Each Clinical Day 1. Brief summary of the day 1 & 2 s events: 2. Summary of what was learned for that specific day in reference to the following domains: a. Communication: i. Performed in a positive, respectful, and professional manner? Describe how you either observed or implemented this: ii. Performed in a manner that protects the safety and the privacy in relation to the use of health care information? Describe how you either observed or implemented this: iii. Performed by (a) listening in an unbiased manner, (b) respecting other points of view, and (c) promoting the expression of diverse opinions and perspectives? Describe how you either observed or implemented this: b. Critical thinking: i. Used the nursing process as a systematic approach to achieve patient centered outcomes? Describe in detail how you either observed, implemented, or would have implemented this: ii. Any ethical situations addressed? Describe the situation(s) if you encountered any:
Critical Thinking Used the nursing process as a systematic approach to achieve patient-centered outcomes? Describe in detail how you either observed, implemented, or would have implemented this 7
Teamwork & Collaboration Describe how you worked with the interprofessional and intraprofessional team members in developing a patientcentered safe plan of care 8
Nursing Interventions Describe how you incorporated patient preferences into your plan of care or observed the staff doing this Include evidenced-based interventions that you either implemented or could have implemented Provide the rationale and cite in APA format your source(s) 9
Weekly Care Plan Requirements NUR 320 Summer 2012 Criteria Pts: Available Earned Erikson s stage of development identified & described for the patient 10 points Indicate which side of the conflict your patient is facing and state why History, ROS, & subjective data collected & are appropriate A 5 points Objective data collected & are appropriate A 5 points Diagnostic data incorporated accurately A 5 points Nursing diagnosis supported by data (in the HPI/physical assessment) or S component of the diagnostic statement (PES) D 5 points Nursing diagnosis stated correctly x2; choose 1 as priority diagnosis P 5 points Patient outcomes (properly identifies) P 5 points Patient goal statement(s) written correctly (1 per nursing diagnosis) 5 points Patient goals realistic to scope of problem P 5 points Interventions: (Must have 10 total) I 5 points Realistic 5 points Related to nursing diagnosis 5 points Related to achieving the goals/outcomes 5 points Patient-centered (individualized to your specific patient) 5 points Rationales correctly provided for each intervention I 5 points References provided for each intervention using APA format for your citations & include page #s I 5 points Evaluation written clearly and is relevant to goals E 5 points Provide a copy of at least one scholarly article supporting a current EBP intervention. Use a new article with each careplan. I 5 points Pathophysiology accurate and detailed in your own words; provide references using APA format for your citations & include page #s 5 points Grade Pass or Fail where Failure = Unsatisfactory
In the clinical setting 11
Guest Lectures Clinical post-conference Physicians Classroom lecture Physicians Specialty nurses 12
Clinical Rotations Radiology Respiratory Therapy OR Same Day Surgery Dialysis Cardiac Cath Lab 13
Participation in special topic luncheons presented by physicians and the clinical agency s outcome team 14
(NurseTogether, 2012)
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Online Modules Sequence of interactive competency builders (ICBs) that incorporate all essential informatics knowledge and skills 17
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Review of patient information Diagnostic results H&P Trends Documentation Health assessment Interventions Bedside Medication Verification 19
These are not iphones! 20
Access to electronic books Assists with patient teaching Visual aids Access to evidence-based articles with Wi-Fi (when available) 21
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Web-Based Will explore different product this year Careplan initiation and development from the mobile device 23
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Identify Errors & Potential Patient Problems (featurepics, 2012)
(Corbis Images, 2012)
S for situation: B for background: medical and nursing diagnosis/interventions and treatments A for assessment: problem/vital signs/assessment findings/discharge plan R for recommendation: anything that the patient s nurse needs to complete/priority needs 28
Form used as part of student s clinical assignment when communicating with interprofessionals and reporting off with their primary nurses 29
(idowns.net, 2009) 30