Scope of practice - determined by the states Nurse Practice Act.
Standard of practice – determined by the nursing profession American Nurse’s Association
Standard of care – policy and procedure of the institution.
QSEN project – quality and Safety for nurses
1- Patient centered care
2- Teamwork and collaboration
3-Evidence based practice.
4-Quality improvement
5-Safety
6-Informatics
SBAR – provides standard framework for communication between members of the health care team.
S-Situation – concise statement of problem
B- Background – brief information related to situation.
A- Assessment – analysis, what you see think.
R- Recommendation – action requested or recommended
IPASSBATON – used to improve handoffs and transitions in care. Giving opportunities to ask questions clarify and confirm.
I- Introduction – (introduce yourself, explain your role and function)
P- Patient- (Name, age, identifiers, location, gender)
A- Assessment – (chief complaint, v/s, systems and dx)
S- Situation- (current status, code status, recent changes responses to tx.)
S-Safety - (Critical labs, IR, allergies, isolation)
B-Background- ( comorbilities, current meds, family Hx.)
A- Actions- (which were taken and what is required.)
T- Timing- level of urgency, prioritization of actions
O- Ownership- responsible party - nurse/ MD/team or pt/ family,
N- Next – what will happen next, plan, change or contingency plan?
CUS – used to advocate for clients when there is a concern
Concern – I am concerned
Uncomfortable – I am Uncomfortable
Safety – This is not safe
Five Rights of delegation:
1- Right person
2-Right task
3-Right circumstances
4- Right Direction
5- Right evaluation
4 C’ of Communication
Clear – Do they understand the instructions?
Concise – Do not give too much unnecessary information.
Correct- direction given according to job description, policy, procedures, and law.
Complete- do they have info to complete the task.