Simulation and the Second Victim
Rebekah Powers, DNP, RN-BC, CMSRN, CSPHA, CHTS-CP; Lynda Sanchez, DNP, RN, CVRN
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A series of simulation scenarios that had the potential for practice errors to occur were developed and implemented with registered nurse residents. High risk procedures and reported medication errors were reviewed and topics for simulation were selected from this list. The series of simulations began with a blood administration scenario. The scenario was created where 2 patients had the same name and date of birth, but different middle initials. If nurses did not follow the safety processes then they could make an error, much like an error might happen in the practice setting. The second simulation in the series was a simulated nurse peer review. The nurses who made a blood administration error, were the nurses whose practice was reviewed. The other nurse residents served on the peer review committee. The committee was provided with copies of the hospital’s Nurse Peer Review policy, the Texas board of nursing rules regarding minor incidents (217.16), standards of nursing practice (217.11) and unprofessional conduct (217.12). The simulation included certified letters delivered to the nurses who made the errors. As per policy confidentiality agreements were distributed and explained to the committee and signed. Next the nurses under review came in and were questioned by the committee. After questioning and much discussion between the nurses and the committee a determination regarding the nurses practice was made by the committee. During the debriefing the nurses were asked to write emotions, how do they think the nurses who made the errors felt, and how did they feel judging a peer. Coping skills were discussed.
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Design Simulation Scenarios
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Powers, Rebekah; Sanchez, Lynda M.The presentation will discuss how simulation was used to expose new nurses to components of a healthy work environment. Simulation scenarios incorporating a just culture algorithm, nurse peer review process, and the ...
Powers, Rebekah; Sanchez, Lynda M.; Castellano, Pamela; Fuselier, AlineA hospital used techniques, training, and communication tools already in place to help support perioperative nurses feel confident and competent when floating to other units in the hospital during the pandemic.
Sanchez, Lynda M.; Cooknell, Lynn E. (2016-03-21)Session presented on Monday, November 9, 2015: Providing effective patient education is a vital part of caring for a patient (Bastable, 2008). Effective patient education empowers patients and families to assume more ...
Gonzales, Minerva; Fuselier, Aline; Sanchez, Lynda M.; Boswell, Carol; Hall, MichaelThe onboarding of new graduate nurses is a vital part of a successful healthcare environment.The Center for Advancing Professional Excellence Department at Midland Memorial Hospital recently gained accreditation through ...
Moraca, Christine M.Up to 400,000 hospitalized patients have been harmed by healthcare errors, resulting in the third leading cause of death in the U.S. These unanticipated adverse events resulted in second victim phenomenon leading to burnout ...