Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication...

11
Safety Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy Device Management Device Management Abbott Pump Abbott Pump Hill-Rom Bed Hill-Rom Bed Glucometer Glucometer PCA Pump PCA Pump Quick Signs Quick Signs

Transcript of Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication...

Page 1: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

SafetySafety

Human FactorsHuman Factors Infection ControlInfection Control Medication SafetyMedication Safety IntranetIntranet Latex AllergyLatex Allergy Device ManagementDevice Management Abbott PumpAbbott Pump Hill-Rom BedHill-Rom Bed GlucometerGlucometer PCA PumpPCA Pump Quick Signs Quick Signs

Page 2: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Clinical TopicsClinical Topics

Skin and wound careSkin and wound care Ostomy, tubes, and drainsOstomy, tubes, and drains Pain assessment/comfort Pain assessment/comfort

promotionpromotion Point of care testing verificationPoint of care testing verification

Page 3: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Weekly Schedule: Weekly Schedule: Weeks 2 - 9Weeks 2 - 9 Functional Content Review: 4 Functional Content Review: 4

hourshours– Respiratory ManagementRespiratory Management– Tissue Perfusion/VascularTissue Perfusion/Vascular– Tissue Perfusion/CardiacTissue Perfusion/Cardiac– Psychosocial/SpiritualPsychosocial/Spiritual– NeurologicalNeurological– Elimination/NutritionElimination/Nutrition

Page 4: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Weekly Schedule: Weekly Schedule: Weeks 2 – 9 Weeks 2 – 9 Simulation Training to reinforce Simulation Training to reinforce

selected functional focus area: selected functional focus area:

At least 4 hours/weekAt least 4 hours/week

Page 5: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Weekly Schedule: Weekly Schedule: Week 10Week 10 Residency *Testing*Residency *Testing*

– Demonstrate competency in Demonstrate competency in randomly selected events through randomly selected events through simulation exercisessimulation exercises

Page 6: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Weekly Schedule: Weekly Schedule: Weeks 11 - 12Weeks 11 - 12 Unit- based continuation of Unit- based continuation of

residency.residency.

Page 7: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Underlying TenetsUnderlying Tenets

Five, eight hour days through Five, eight hour days through early weeks of residency programearly weeks of residency program

Weekly clinical focus on identified Weekly clinical focus on identified functional areafunctional area

Simulations developed from Simulations developed from actual clinical practiceactual clinical practice

Page 8: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Simulations in Simulations in Medical/Surgical Medical/Surgical ResidencyResidency Selection of ScenariosSelection of Scenarios

– Ability to make scenarios effective Ability to make scenarios effective by incorporating:by incorporating: equipment and processes,equipment and processes, communication and team work, andcommunication and team work, and medication management.medication management.

– Select scenarios that have a Select scenarios that have a potential significant impact on potential significant impact on “failure to rescue” “failure to rescue” conditions/situations.conditions/situations.

Page 9: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Simulations in Medical-Simulations in Medical-Surgical Specialties Surgical Specialties ResidencyResidency RespiratoryRespiratory

– Moderate sedation and airway Moderate sedation and airway managementmanagement

– Chest tube insertion/careChest tube insertion/care– COPD with pneumoniaCOPD with pneumonia– Tracheotomy careTracheotomy care

Peripheral VascularPeripheral Vascular – Heparin protocol/DVTHeparin protocol/DVT– Blood administrationBlood administration

CardiacCardiac– Shockable and non-shockable rhythmsShockable and non-shockable rhythms

Page 10: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Simulations in Medical-Simulations in Medical-Surgical Specialties Surgical Specialties ResidencyResidency

Cardiac (continued)Cardiac (continued)– Acute coronary syndromeAcute coronary syndrome– Hypovolemic shockHypovolemic shock– TachyrhythmsTachyrhythms

NeurologicalNeurological– StrokeStroke– SeizureSeizure ICPICP– Confused patient/restraintsConfused patient/restraints

Nutrition/EliminationNutrition/Elimination– DiabetesDiabetes– Tight glycemic controlTight glycemic control– Renal failureRenal failure

Page 11: Safety Human Factors Human Factors Infection Control Infection Control Medication Safety Medication Safety Intranet Intranet Latex Allergy Latex Allergy.

Responses from Responses from ParticipantsParticipants

““At the moment when At the moment when the scenario begins the scenario begins to deteriorate the to deteriorate the simulation feels much simulation feels much like an actual crisis like an actual crisis on the floors. There on the floors. There is confusion, most of is confusion, most of which is related to which is related to my own inexperience. my own inexperience. Repeated Repeated simulations will help simulations will help build confidence as build confidence as well as competency.”well as competency.”