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Q uality and S afety E ducation in N ursing S ituation B ackground A ssessment R ecommendation Exercise. Jacqui Ioli and (your name ). Directions. Using this PowerPoint as a template, create a mini case study.
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Quality andSafetyEducation inNursing SituationBackgroundAssessmentRecommendationExercise Jacqui Ioli and (your name)
Directions • Using this PowerPoint as a template, create a mini case study. • Fill in the following slides that describe your patient, mention no identifying details for privacy reasons. • We will submit the resulting slides as a team to the QSEN website. • (you may delete this slide)
SBAR • S=Situation • One line that sums up patient • B=Background • The systems assessment • A=Assessment • The bottom line, the priority nursing dx • R=Recommendation • What we are doing for the patient • (you may delete this slide)
S=Situation • Patient is ___years(months/weeks/days) old • ____(male/female) • Presented with (biggest problems) • With past medical history of (top problems) • Here for (main therapy)
Picture • Go to google images and get a nice picture and add it here, then delete this text and title above. Change text and title to something appropriate to your patient. Make this a case study but with NO IDENTIFYING details • Use a reference
Background • Neuro/HEENT/Psych/Pain • everything neck up, includes family • Cardiorespiratory—vital signs, heart, lungs • GI/GU—eats/drinks/pees/poops • MS/Skin—walks/intact • Heme/Endo--labs • Lines/tests/tubes • (this slide may go over to next one, lable header as Background part 2, if normal, chart WNL, if abnormal, chart in detail)
A=Assessment • What’s the bottom line? Better, worse, same? • Priority nursing dx?
R=Recommendation • What are we doing for the patient? • How is your report providing continuity?
The diagnosis • WHAT is the dx? • Brief explanation, 2-3 sent of physiology • State how this affected your patient • WHO gets this dx and WHY? • Brief explanation , 2-3 sent of epidemiology • State how this affected your patient • Use a reference
Safety and the diagnosis • HOW and WHERE do nurses intervene to promote safety within this diagnosis? • Inpatient and in community settings • Brief explanation, at least 3 points • Exactly what was unique for your patient?
Lessons Learned • State 3 things you learned from this patient