Quality And Safety Education For Nursing Reflection Paper

In the leadership in care delivery course, we were assigned to a hospital to preform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples of how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, hand off reporting, and a reflection of our clinical experience.
Quality and Safety Education for Nursing (QSEN) Competencies

To provide patient centered care, I had to educate the patient when administering medications about why the patient was taking the medication and side effects. Care had to be individualized with each patient and respect his or her decisions. An example include respecting when a patient refused
For quality improvement the unit has data on how many infections have occurred with central line and use of benchmarks and evidence based practice to prevent infections. For instance, I had to perform proper hand washing and scrub the hub for at least 30 seconds with alcohol pads to prevent infections with patients who have PICC lines. Sherwood and Zomorodi (2014) state, nurses should include the patient and their family as part of the team. This falls under the teamwork and collaboration section of QSEN. This is a crucial consideration of our care because our care is based on the patient’s decisions and input of their family members. An example of this was when the nurse had to call a patient’s family member to provide permission to place a nasogastric tube if the patient continued to refuse eating meals. An example during my clinical experience to provide patient safety was when I had to call the physician to clarify a medication order to ensure we selected the correct frequency of the medication. The clarification was used to prevent a medication error. For the informatics section, we used EPIC an electronic medical record to chart patients’ assessments, repositioning, and daily care
The main problem that occurred during this clinical was time management, constantly checking for new orders, and knowing the time schedule of each of the patient’s medications and keeping track of their next medicine. To help with organization, I kept a time frame of the various times we had to give medicines to the patients on my report sheet. For instance, time management was difficult during the first day because charting each morning assessment took a long time and there were always interruptions or new activities that postponed charting. Overall, further improvements include becoming more confident in communicating with physicians over the telephone and in person to ensure patient safety. As I gain more experience, this will improve. My perception of being the manager of the patients involves being knowledgeable about each patient, being up to date with new orders, and communicating with the patient, family, physicians and other professions in the care of the patient. It made me further value the job of a nurse because we were always receiving or making calls, charting, passing out medicines, or helping the patient with daily activities of living and barely had time to eat or to even sit down. It is a complex job and the nurse has to be aware of what is happening with every patient assigned to