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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/dischargeprep.pdf
February 14, 2013 - : (Name of patient’s nurse)
Date: _______ Nurse: __________
Date: _______ Nurse: _______ … ___
Date: _______ Nurse: __________
Date: _______ Nurse: __________
Date: _______ Nurse … : __________
Date: _______ Nurse: __________
Date: _______ Nurse: __________
Date: … Date: _______ Nurse: __________
Date: _______ Nurse: __________
Date: _______ Nurse … ______ Nurse: __________
Date: _______ Nurse: __________
Date: _______ Nurse: _________
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.pdf
June 16, 2021 - Administrator
Medical Director
Director of Nursing/Nursing Supervisor
Department Head
Unit Manager/Charge Nurse … Assistant Director/Assistant Manager
Minimum Data Set (MDS) Coordinator/
Resident Nurse Assessment … Other Provider
Nurse Practitioner
Clinical Nurse Specialist
Physician Assistant
d. … Licensed Nurse
Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Wound Care Nurse
e.
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/ambulatory.html
October 01, 2014 - The nurse is embarrassed but does not speak to the doctor about the situation. … Cindy S., a nurse, is at the bedside inserting an IV. … Lora A. is the nurse at the cart drawing up the meds. … The lunch relief nurse comes on just as the patient leaves for X Ray. … The unit clerk is aware of the plan, but the patient’s nurse is not.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/practice-profile-template.docx
May 14, 2021 - needed)
Staff
FTE
Comments
Doctors (MD/DO)
Name:
Name:
Name:
Nurse … practitioners and Physician assistants
Name:
Name:
Name:
Registered … nurses
Name:
Name:
Name:
Licensed practical or vocational nurses
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - unclear about procedure
Temp nurses need help
Other nurses on sick-out
Group O patient almost given … Group A Blood
A positive unit was hanging on the infuser
Transfusing nurse didn’t check blood type on … hanging unit
A positive unit not removed from prior case
Nurse was busy and distracted
Nurse interrupts … transfusion
Nurse sees that unit is A positive
Recovery
Antecedent Events
Root Causes
Discovery Event … OK
OM
HEX
Nurse was busy and distracted
Temp nurse unclear about procedure
CUSP and Sensemaking: Next
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod2-slides.html
February 01, 2023 - followup study
Transporter grabs the urinary catheter bag and places the bag on patient’s abdomen
Nurse … No securement device
Urine drainage bag was not emptied
Slide 5
Question
If you were the nurse … Slide 6
Answer
Nurse and transporter talk outside the patient’s room
Slide 7
Back in the … Patient's Room
Nurse uses the securement device
Nurse empties the urinary catheter bag
Important … Slide 8
Moving the Patient
Nurse and transporter move the patient from the bed to the cart
What
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ce.effectivehealthcare.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
July 01, 2019 - Two full-time float MAs act as triage nurses, filling in as needed. … In addition, this coach is also a licensed vocational nurse (LVN) who acts as a backup nurse, starting … Registered nurse (RN) outpatient case managers oversee the management of high-risk patients with multiple … MAs and triage nurses can consult PCPs. … ; RN=registered nurse
Return to Contents
Team Building and Training
The clinic manager at the WellMed
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ce.effectivehealthcare.ahrq.gov/teamstepps/lep/handouts/lepbriefingex.html
December 01, 2012 - I need someone to play the nurse, someone to play the interpreter, and someone to play the patient. … Nurse: Hi, [interpreter name]. I'm nurse [name]. We are going to discharge [patient name] today. … [Interpreter and nurse walk into patient room]
Nurse: Hi, [patient name]. I'm [ nurse name ]. … Interpreter: [ interprets ]
Patient: [ nods ]
Nurse: Next, I'm going to go over your medications … Interpreter: [ interprets ]
Nurse: First, we want you to take aspirin once a day to help keep your
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
May 01, 2017 - , anesthetists,
nurse practitioners, and L&D staff
nurses;
• Physicians, including obstetricians,
family … For example, a nurse opinion leader can serve
as the representative for all L&D unit nurses
on the … of the
L&D unit nurses at CUSP team meetings. … The nurse manager supports CUSP activities
by communicating the team’s needs to the
L&D unit nurses … key contact for the
L&D unit nurses, helps empower the unit
nurses throughout the initiative, and integrates
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf
January 11, 2010 - The family member alerted the nurse about these
concerns. … The nurse assured the family member that she would
check on the patient. … An hour later, the family member reminded
the nurse, who then assessed the patient. … The nurse checked the
patient’s vital signs. … Based on her colleague’s
recommendation, the nurse called the RRT via the operator.
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses2.html
August 01, 2022 - This structure means that a nurse taking care of a patient is more likely than a physician to observe … In addition, the nurse is more likely to establish rapport with the patient and caregiver, thus being … Another artifact is the paper-based task sheet nurses frequently develop at the beginning of a shift. … For example, a nurse assesses the patient upon initial presentation to the ED, demonstrating the physical … For example, as part of a newly established workflow, the nurse and physician go into a patient’s room
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - The wound care nurse and a nurse from the unit work together to assess a resident’s wounds, change the … The nurse says, “I’m the nurse for Mrs. N, a resident on ward B. … Using her SBAR tool, the nurses states:
“Hi Dr. K, I am calling about one of the residents. … This nurse usually works only on the weekends. … No one knew anything about her concerns—they were not passed along by the nurses or by the covering provider
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Intensivists
Nurse Manager
MD Director
Nurses
Image: Cartoon of a yellow schoolbus with the words … Medical Director
Nurse Manager
Nurses
Intensivists
Others
Slide 14
Three Levels of Organizational … Nurse Med calls back to the ED 20 minutes later and asks for Nurse ED. … The Nurse manager does not “want to make waves” and has not made the nurses accountable for following … What about the nurse manager?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-benefits-participation.pdf
January 01, 2019 - implementation-qi/toolkit/child-hcahps/index.html
24
Case Study #1: Improving Communication
with Nurses … Goal:
• Improve Child HCAHPS nurse-child
communication scores above 75th
percentile
Intervention … :
• Communication bundle
► Bedside nurse shift reporting, whiteboards,
scripting
Outcome Measures … :
• Child HCAHPS scores for two
communication questions:
► 1) How often the nurse listened carefully … to the
child; and
► 2) How often the nurse explained things in a
way that was easy for the child
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - Users and Potential Uses
The primary users of this report are the facility leadership, direct care nurses … , nurse
managers or charge nurses, MDS* nurse, quality
improvement (QI) nurse, infection control nurse … ADON, nurse manager, wound nurse, dietitian,
Rehab director, medical director or wound physician, nurse … Users and Potential Uses
The primary users of this report are the facility leadership, direct care nurses … , nurse
managers or charge nurses, MDS* nurse, quality
improvement (QI) nurse, infection control nurse
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - may more frequently be assigned to be the
“medication nurse”—some nurses will have more errors simply … Respondents were
primarily registered nurses, with approximately 70 percent having an Associate’s
Degree … Nurse staffing
• Nurses get pulled between teams and from
other units. … • The patient or family might develop a
negative attitude toward the nurse, or may
sue the nurse … Test-retest reliability was assessed for the subscales using a sample of
registered nurses who were
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-worksheet.docx
March 01, 2017 - What went wrong during this interaction between Nurse Nohai and Dr. Killbug?
2. What could Dr. … What could Nurse Nohai have done differently? … Nurse Nohai used SBAR to improve communication with Dr. Killbug. … · Assessment – What did Nurse Nohai think was the problem? … · Recommendation – What was Nurse Nohai’s recommendation for Mrs. Mullins’ care?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/operroom.pdf
March 19, 2014 - Helen, the nurse coordinator, identifies an open room for the following day and moves Mr. … The O.R. circulating nurse places a tourniquet on the left thigh. … providers are around
the bed, including the ICU attending physician, a consultant pulmonologist, two ICU nurses … one ICU nurse for
all medication administration. … Larry is the perioperative team circulating nurse working
with Jane as the scrub nurse for a patient
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module7/exsummary.pdf
March 20, 2014 - Powers gives a
verbal order for 1 Amp Narcan to Nurse Shelley. … Nurse Shelley repeats the verbal order as “1
Amp Narcan.” … In a rush, Nurse Shelley writes the verbal order on the chart. … At the end of Nurse Shelley’s shift, she hands off to Nurse Givens. … Nurse Givens then returns to the
pharmacist, who dispenses Norcuron.
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ptflow/section5.html
July 01, 2018 - For example, nurses spent a lot of time searching for equipment and supplies. … ED nurse managers, charge nurses, and staff nurses spent more time planning and implementing strategies … An additional 160 hours (4 hours each for 40 nurses) were spent on the initial training of staff nurses … The team consisted of three physicians, two nurses, two nurse practitioners, a technician, a registration … Also, two nurses attended a train-the-trainer triage course ($16,850).
Large expenditures.