A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement?

"We should start tracking how soon clients are discharged after laparoscopic versus open surgery."

"We should be sure to log out of the computers immediately following documentation."

"We should involve our clients' partners in care planning as much as possible."

"We should provide change-of-shift report as a team, including the assistive personnel who assisted with care."

Answer and Explanation

The Correct Answer is A

A. "We should start tracking how soon clients are discharged after laparoscopic versus open surgery.": This statement reflects the QSEN concept of quality improvement by focusing on collecting and analyzing data related to patient discharge times. By tracking this information, the team can identify trends, evaluate the effectiveness of care, and implement changes to improve patient outcomes and streamline the discharge process.

B. "We should be sure to log out of the computers immediately following documentation.": While this statement emphasizes an important aspect of safety and confidentiality in documentation, it does not directly address quality improvement initiatives. It focuses more on operational procedures rather than evaluating and enhancing the quality of patient care.

C. "We should involve our clients' partners in care planning as much as possible.": Involving clients' partners in care planning aligns with the QSEN concept of patient-centered care. While this approach is essential for improving patient satisfaction and outcomes, it is not specifically a quality improvement initiative.

D. "We should provide change-of-shift report as a team, including the assistive personnel who assisted with care.": This statement reflects teamwork and communication strategies, which are important for effective patient care. However, it does not directly focus on quality improvement initiatives aimed at evaluating and enhancing the overall quality of care provided to clients.

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Correct Answer is B

Explanation

A. Red tag, life-threatening injury requiring immediate intervention: Reserved for clients with compromised airway, severe hemorrhage, or life-threatening injuries requiring immediate treatment. This client is stable, alert, and has no signs of life-threatening conditions.

B. Yellow tag, serious injury requiring delayed but urgent treatment: Applied to clients with significant but non-life-threatening injuries that require medical attention. The client has a large laceration with bleeding and is unable to walk but remains hemodynamically stable, making this the most appropriate classification.

C. Green tag, minor injury requiring minimal treatment: Used for ambulatory clients with minor injuries. The client's inability to walk due to a wound requiring further care excludes them from this category.

D. Black tag, non-survivable injury with expected poor outcome: Assigned to clients with fatal injuries or no signs of life. The client remains alert, oriented, and hemodynamically stable, so this classification is not appropriate.

A. Change IV solution bags every 36 hr. B. Avoid the delegation of hygiene care to assistive personnel (AP). C. Wear sterile gloves when removing urinary retention catheters. D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions.

Correct Answer is D

Explanation

A. Change IV solution bags every 36 hr: Changing IV solution bags every 36 hours may not align with evidence-based practices aimed at promoting cost-effective care. Instead, guidelines typically recommend changing them based on clinical need or specific protocols, which can help reduce waste and costs.

B. Avoid the delegation of hygiene care to assistive personnel (AP): Delegating hygiene care to assistive personnel is essential for effective team functioning and cost-effective care. Preventing delegation can lead to increased workloads for nursing staff, which may not be the most efficient use of resources.

C. Wear sterile gloves when removing urinary retention catheters: Wearing sterile gloves when removing urinary retention catheters is not necessary; clean gloves are sufficient for this procedure. Promoting correct practices that align with guidelines can help reduce costs associated with unnecessary supplies.

D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions: Educating staff on the correct use of PPE is vital for preventing infection, reducing the spread of illness, and minimizing healthcare costs associated with complications. Proper training ensures that resources are used effectively, promoting both safety and cost-effective care.

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A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement?

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