v Quote for the Day:
v It is improper to consider personal danger when the
public welfare is at stake." (Maimonides, "Iggeret Teman")
Developed by D. Ann Currie, RN,MSN
PATIENT SAFETY ADVOCATE
v Patient Safety Advocate:
v A licensed nurse who promotes safety in the patient and family
environment by: following scope and standards of nursing
v practice; practicing within the parameters of individual knowledge,
skills, and abilities; identifying and reporting actual and potential
v unsafe practices; and implementing measures to prevent harm. .
RNSG 2308 COURSE
v Unit IV: Patient Safety Advocate
v 1. Examine the Texas Nursing Practice Act and the Texas Board of
Nursing Rules that emphasis safety as well as the federal, state, and local
government and accreditation organizations safety requirements and standards in
regard to the maternal, newborn, women’s health care patients. (SLO #4, & 5)
v 2. Identify measures that promote quality patient-centered care and a
safe supportive, protective environment for childbearing families, women
selected health issues, the nurse, and other health care team members.(SLO #4 &
v 3. Examine the nurse’s role in local health facilities and community
regarding disaster planning and bioterrorism as it relates to childbearing families
and women with selected health issues. (SLO #5 & 6)
RNSG 2308 UNIT IV
v 1. Discuss the Texas Nursing Practice Act and the Texas Board of Nursing Rules in regard to
safety in the caring of the maternal, newborn, and/or women’s health patients.
v 2. Compare and contrast the federal, state, and local government and accreditation
organizations’ safety requirements and standards in the patient-centered nursing care of the maternal,
newborn and women’s health patients.
v 3. Examine the policies and procedures of area facilities as they pertain to the delivery of
safe patient-centered nursing care for the childbearing family and women health care patients.
v 4. Discuss National Standards for safe Nursing Practices as they apply to the maternal,
newborn, and/or women’s health care patients.
CONT. UNIT OBJECTIVES
v 5. Discuss the principles of quality improvement and outcome measurement
in health care organizations in regard to the maternal, newborn, and/or women health
v 6. Identify potential risk for maternal, newborn, and/or women’s health
patient harm related to accidents.
v 7. Discuss measures to prevent risk to the maternal, newborn, and/or
women’s health patient resulting from errors and preventable occurrences.
v 8. Summarize national and state standards and guidelines and procedures for
infection control in the maternal, newborn, and/or women’s health care areas.
CONT. UNIT OBJECTIVES
v 9. Discuss the importance of correctly identifying and matching the
mother and infant couplet on the mother baby or postpartum unit.
v 10. Explore the role and responsibilities of the nurse in regard to baby
v 11. Discuss the nurse’s role in local facilities and community regarding
disaster planning and preparedness for childbearing families.
v 12. Examine the nurse’s role and responsibilities internal and external
disasters in the maternal, neonatal and women’s health care areas of the hospital.
CONT. UNIT OBJECTIVES
v 13. Explain the specific bioterrorism agents (effects of biological, chemical,
and nuclear agents) on reproduction, pregnancy outcomes, fetus, and neonate.
v 14. Compare how the interventions for biological agents differ in pregnant
v 15. Discuss how the nurse can utilize evidence based nursing practices to
improve the quality and safety of the patient-centered nursing care for childbearing
patients, women with selected health issues and their families.
v 16. Explore the how the use of technology and informatics can assist in the
nurse in delivering safe patient-centered nursing care for childbearing patients, women
with selected health issues and their families.
PATIENT SAFETY –IT CAN GO
NURSING PRACTICE ACT
TEXAS BOARD OF NURSING
v Patient Safety Advocate:
v A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of
Nursing Rules that emphasize safety, as well as all federal, state, and local government
and accreditation organization safety requirements and standards.
v B. Implement measures to promote quality and a safe environment for patients, self,
v C. Formulate goals and outcomes using evidence-based data to reduce patient risks.
v D. Obtain instruction, supervision, or training as needed when implementing
nursing procedures or practices.
v E. Comply with mandatory reporting requirements of the Texas Nursing Practice Act.
v F. Accept and make assignments and delegate tasks that take into consideration
patient safety and organizational policy.
v (B) Implement measures to promote a safe environment for clients and others;
v (C)Know the rationale for and the effects of medications and treatments and shall correctly administer
v (N) Clarify any order or treatment regimen that the nurse has reason to believe is inaccurate, non-
efficacious or contraindicated by consulting with the appropriate licensed practitioner and notifying the
ordering practitioner when the nurse makes the decision not to administer the medication or treatment;
v (O) Implement measures to prevent exposure to infectious pathogens and communicable
v (S) Make assignments to others that take into consideration client safety and that are commensurate
with the educational preparation, experience, knowledge, and physical and emotional ability of the
person to whom the assignments are made;
v (T) Accept only those nursing assignments that take into consideration client safety and that are
commensurate with the nurse's educational preparation, experience, knowledge, and physical and
THE JOINT COMMISSION
vThe National Patient Safety Goals
NATIONAL PATIENT SAFETY
v Identify patients correctly
v Improve staff communication
v Use medicines safety
v Prevent infections
v Identify patient safety risks
v Prevent mistakes in surgery
v Use at least two ways to identify patients. For example,
use the patient’s name and date of birth. This is done to
make sure that each patient gets the correct medicine and
v Correctly Indentify mother /baby couplet.
v Make sure that the correct patient gets the correct blood
when they get a blood transfusion.
• Nurse to Nurse
• Nurse to Doctors
• Other Nurse to other Health Care Team Members
v Get important test results to the right staff person on
PLEASE USE CUS WORDS
BUT ONLY WHEN APPROPRIATE!
USE MEDICINES SAFELY
v Before a procedure, label medicines that are not labeled. For example,
medicines in syringes, cups and basins. Do this in the area where
medicines and supplies are set up.
v Take extra care with patients who take medicines to anticoagulants.
v Record and pass along correct information about a patient’s medicines.
v Find out what medicines the patient is taking. Compare those medicines
to new medicines given to the patient.
v Make sure the patient knows which medicines to take when they are at
v Tell the patient it is important to bring their up-to-date list of medicines
every time they visit a doctor.
vImprove the safety of using medications.
• Identify and, at a minimum, annually review a
list of look-alike/sound-alike drugs used by
the organization, and take action to prevent
errors involving the interchange of these
• Label all medications, medication containers
(for example, syringes, medicine cups, basins),
or other solutions on and off the sterile field.
• Reduce the likelihood of patient harm
associated with the use of anticoagulation
LOOK ALIKE MEDICATIONS
v Use the hand cleaning guidelines from the Centers for Disease
Control and Prevention or the World Health Organization. Set goals for
improving hand cleaning. Use the goals to improve hand cleaning.
v Use proven guidelines to prevent infections that are difficult to treat.
v Use proven guidelines to prevent infection of the blood from
v Use proven guidelines to prevent infection after surgery.
v Use proven guidelines to prevent infections of the urinary tract that
are caused by catheters.
INFECTION CONTROL STARTS
HIP HIP HOORAY
IDENTIFY PATIENT SAFETY
v Find out which patients are most likely to try to commit
v Infant abduction
PREVENT MISTAKES IN
v Make sure that the correct surgery is done on the
correct patient and at the correct place on the patient’s
v Mark the correct place on the patient’s body where the
surgery is to be done.
v Pause before the surgery to make sure that a mistake is
not being made.
SURGERICAL TIME OUT
v Even for an emergency C-Section or a BLT
STANDARDS OF CARE
INSTITUTE OF MEDICINE
AGENCY FOR HEALTHCARE
RESEARCH AND QUALITY
PATIENT SAFETY QUALITY
INSTITUTE FOR IMPROVEMENT
INSTITUTEFOR SAFE MEDICATION
v Client needs
v Safe and Effective Care Environment
v Safety and Infection Control
v Safety and Infection Control – protecting clients and health care
personnel from health and environmental hazards.
v Related content includes, but is not limited to:
v ..Accident/Injury Prevention
v ..Emergency Response Plan
v ..Ergonomic Principles
v ..Error Prevention
v ..Handling Hazardous and Infectious Materials
v ..Home Safety
v ..Reporting of Incident/Event/Irregular Occurrence/Variance
v ..Safe Use of Equipment
v ..Security Plan
v ..Standard Precautions/Transmission-Based Precautions/Surgical
v ..Use of Restraints/Safety Devices
WHAT ARE SAFETY ISSUES
WOMEN’S HEALTH CARE
ARE YOU PREPARED TO
PROVIDE SAFE CARE?
v Read Tx Bon Rules on Safe Nursing Care and NPA
v Read the National Safety Goals by the Joint Commission
v Read Standards of Care by AWHONN or NANN
v Read Hospital Policies and Procedures
v Read your Textbooks
v Read Evidences-Based Practice Nursing Journal Articles
v Keep your Patient Alive
v Keep your Patient SAFE
v Keep your Patient HAPPY
v Communication/Document correctly and in a timely manner.
Can You answer the following
v 1. SBAR stands for:
v S ________________________________
Describe the situation
WHAT IS GOING ON NOW
Deliver a concise history
WHAT HAS HAPPENED
Use your best Judgment
WHAT DO YOU THINK IS WRONG
What needs to happen?
WHAT WOULD YOU SUGGEST HAPPEN ?
According to the Joint Commission for the Accreditation of
Hospitals, what was the root cause of nearly 80% of all
sentinel events between 1995 and 2005?
a. Communication errors
b. Inappropriate staff mix
c. Insufficient orientation of new RN’s
d. Leadership failure
communication tool that
the RN can use to increase