Makasar-Patient Safty for Student Nursing in Hospital Nov-11
-
Upload
stikesganeshahusada -
Category
Documents
-
view
216 -
download
0
Transcript of Makasar-Patient Safty for Student Nursing in Hospital Nov-11
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
1/45
Patient Safety for Nurse StudentIn Hospital
By : Nurseha B.N
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
2/45
RAMSAY HEALTH CARE INDONESIA
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
3/45
RAMSAY/ PT AFFINITY HEALTHINDONESIA
3 Hospitals:RS Premier Jatinegara, Bintaro and SurabayaRHCI = 648 bedsAnnual Inpatient: 41,000Annual Outpatient: 531,000Staff : 1900Accreditation: KARS (16 level) ISOHICMR,ACHS CI & JCI (RSPB)
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
4/45
Ramsay Health Care
4
118 hospitals in Australia, Indonesia, UK & France Employees more than 30,000 people Admits over 1 million patients per annum
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
5/45
INTRODUCTION
Safety is the most fundamental principles in
the delivery of health services and nursing, and
also as the most critical aspects of quality
management.
Safety as pattern of behavior , both individual
and organization to minimize hazards and
harm to patient that result from the processes
of care.
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
6/45
OBJECTIVE
Nurses Role in safety International patient Safety goals.
Patient Handling
Nursing Health Program
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
7/45
asb0707
Patient
Safety
HealthProgram
6. Goal
StaffInstitution
ProgramEnvironment
Patient
Handling
Beyond Quality
Safety
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
8/45
NURSES ROLES
Protection ,Promotion optimization of health
and abilities
Prevention of illness and injury.
Alleviation of suffering through diagnosis and
treatment of human response.
Advocacy in the care of individual, family,
communities and population .
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
9/45
INTERNATIONAL PATIENT6.SAFETY GOAL
1. Identify Patient Correctly
2. Improve Effective Communication
3. Improve the Safety of High-Alert-Medication
4. EnsureCorrect-site, Correct- Procedure,
Correct-Patient Safety
5. Reduce the risk of health care associated infection
6. Reduce the risk of patient harm from Falls
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
10/45
Identify Patient Correctly
Use at least two patient identifiers when providingcare, treatment and services
Not use of patients room number or location.
Patient is Indentified when providing care, treatment
Before administrating Medication, blood or blood
products and other specimens for clinical test.
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
11/45
Identify Patient Correctly
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
12/45
Improve Effective Communication
For verbal or telephone orders for telephone reporting
of critical test result
The individual receiving the information writes down
the complete order
The individual receiving the information read back the
complete order
The individual who gave the order or test result
confirms the information that was read back
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
13/45
SBARIs an effective tool
for all types of
communicationhandoffs
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
14/45
What is SBAR?
The SBAR model is a simple method to helpstandardize communication
SBAR allows all parties to have common
expectations:
What is going to be communicated
How the communication is structured
Required elements
Focuses on the problem, not the people
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
15/45
SBAR
Situation
Background
Assessment
Recommendation
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
16/45
SITUATION
State: your name and unit
I am calling about:: (Patient Name &Ward Name)
The problem: The reason I am calling .
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
17/45
BACKGROUND
State the admission diagnosis and dateof admission
State the pertinent medical history
A Brief Synopsis of the treatment to date
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
18/45
Assessment
Pertinent objective & subjective information Most recent vitals
Mental status
Respiratory rate and quality
B/P, pulse rate & quality
Pain
Neuro changes
Skin color
Rhythm changes
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
19/45
RECOMMENDATION
State what you would like to see done: Transfer the patient?
Change treatment?
Come to see the patient at this time?
Talk to the family and patient about.?
Ask for a consulting physician to see thepatient?
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
20/45
High-Alert Medication
Deliver policies and or procedures that
address, the location, labeling and storage of
concentrated electrolytes
Concentrated electrolytes are not presentin
patient care units unless clinically necessary
and action are taken to prevent inadvertent
administration on those areas where permitted
by policy ( OT, AE, ICU)
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
21/45
Ensure Correct-site, Correct-Procedure,
Correct-Patient Surgery
The principal component of the universal
Protocol are :
1. The pre operative verification process2. Marking the surgical site
3. A time out immediately before starting the
procedure
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
22/45
The Scrub, anaestheticnurse .checks consent,operation (site) pre opchecklist, arm bands,
allergies, premedgivenetc
Ensure the bed is
cleanand dust freebefore entering theTheatre
Red hat for allergy
Checking the patient
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
23/45
MARKING The Surgical Site
Mark the precise site where the surgery will beperformed. Use a clearly understood mark &involve the patient in doing this.
Reference: Joint Commission International Center for Patient Safety 2009 International Patient Safety
Goals.
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
24/45
Reduced the Risk of health care
associated infections
Hand Washing
Routine implementation standard precautions
Additional precautions / isolation nursing
Needle Stick Injury
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
25/45
Reduced the Risk of health care associated infections
HICMR Pty LtdInfection Control Consultants
Care with sharps
Use of protective barriers
- gloves
- gowns/plastic
- glasses
Care with Rubbish and Linen
Segregation of at risk patients
Care of all Equipment
Care of the Environment
STANDARD PRECAUTIONS
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
26/45
Reduced the Risk of health care associated infections
Airborne
Droplet
Contact
Common vehicle
Vector borne
Transmission
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
27/45
Source
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
28/45
Contact Transmission
Indirect-contact transmissioninvolves contact of a susceptible host
with a contaminated object
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
29/45
High Risk of Needle Stick Injury
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
30/45
TOO FULL
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
31/45
CLEANER INJURY
P d N dl Sti k
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
32/45
Procedure Needle Stick& Exposed Blood
Report as soon as SupervisorIncharge
Se GeneralPractice In A&E
Yes No
Report to Infection Control Nursing
PATIENT STAFF
Processed with ICN/ Supervisor In-charge
SourceKnowing
Needle Stick &Exposed Blood
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
33/45
Continue
Do counseling to staff
Obtain blood sample to
determine the baseline data onexposure & immunity to HepB, Hep C, HIV.
Use correct forms
Do follow up and keep in contactwith hospital management
Start post-exposure prophylaxisas soon as possible (stat).
Retest in 3 and 6 months afterexposure
Ask consent fromsource to be testedfor:
HIVHep BHep C
Do counseling tosource
Obtain blood sample.
Use correct forms
PATIENT STAFF STAFF
Do counseling to staff
Obtain blood sample to
determine the baseline data onexposure & immunity to HepB, Hep C, HIV.
Use correct forms
Do follow up and keep in contactwith hospital management
Retest in 3 and 6 months afterexposure
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
34/45
Reduce the risk of patient harm from Falls
Fall reduction program
Staffreceive education and training for the fall
reduction program
The hospital educate the patient and their family
as needed, on the fall reduction program
The hospital evaluates the fall reduction programto determine the effectiveness of the program
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
35/45
PATIENT HANDLING
Rolling Patient to reposition from back toside with Slide Sheet
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
36/45
Transferring Patient from Chair toBed Post Hip replacement:
PATIENT HANDLING
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
37/45
Transferring Patient from bed totrolley: (Pat slide & slide sheet x 2)
PATIENT HANDLING
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
38/45
To Achieve patient Safety,
Safe and healthy staff is needed
Staff / Student Health Program
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
39/45
Staff Health Programmers
Pre- Employment/ Pre Attachment
Category Staff
Immunization Program
Annually
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
40/45
STAFF CATEGORY
Category1: Doctor, Nurses, Lab,
Radiographer, Physiotherapies
Category2: Food and Beverage Category3: Other Manager, administration.
Pharmacy, Marketing ,Driver.
Category4: Cleaning, Security.
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
41/45
CATEGORY STAF HEALTH PROGRAM
Test Category1
Category2
Category
3
Category4
Chest X-Ray
Yes Yes Yes Yes
Hepatitis BAntigen
Yes No No No
Influenza Yes No No No
Salmonella No Yes No No
Papsmear Yes Yes Yes Yes
Hepatitis A No No No Yes
d f d
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
42/45
Mode of education
Theory Practical to enhancetheory
Practical/ trainingto develop skill
Transmission ofinfection
Blood spelt Hands washing
Isolation Precaution Sharps handling Patient Handling
CONCLUSION
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
43/45
CONCLUSION
Collaboration between nursing school andHospital is very importent to ensure skilland knowledge of new graduates can fulfillneed of Hospital.
NURSING MANAGEMENT TEAM
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
44/45
NURSING MANAGEMENT TEAM
-
8/3/2019 Makasar-Patient Safty for Student Nursing in Hospital Nov-11
45/45
Thankyou