1. What is the PSDA process? Use an example.
PDSA or the Plan-Do-Study-Act is a quality improvement (QI) supplementary measure, which engages small incremental trials of concepts before applying it on a bigger avenue, and has been found effective in withstanding the constant cycle of change in an institution (Stewart & DeNisco, 2013). Here’s an example adapted from Qsource.org:
Plan:
To reduce the number of new restraints initiated, new residents will be monitored one-on-one upon admission and prior to initiating any type of restraint or safety measure. This is an important issue because nurses have been initiating the use of restraints before proper assessment.
Do:
Individual CNAs were assigned to each resident…show more content… No restraints were initiated during this period. An alarm was used and a self-release wrap-belt was started. Information needed for these residents was relayed to staff members by the section sheet, which was updated daily.
Act:
This is a much-needed change, and we are now ready to initiate this practice. Further evaluation and monitoring will be needed to ensure the least restrictive device is used if a restraint is needed.
References
Qsource.org. (n.d.). Real examples of plan-do-study-act cycles [PDF document]. Retrieved from http://www.qsource.org/wp-content/uploads/D4-PDSA-document.pdf
Stewart, J. G., & DeNisco, S. M. (2013). Role development for the nurse practitioner. Burlington, MA: Jones & Bartlett Publishers.
2. Describe a resource for Quality/Safety that that you found on the web site for…show more content… This guide is designed specifically for leaders in the hospital and other healthcare related settings. This article presents the evidenced-based LEP/culturally diverse patient safety issues and how to address them, ways to enhance systems on patient safety, TeamSTEPPS LEP Module (a teamwork approach based on evidence to develop better communication and reduce harm within this population, and implementation strategies (AHR, n.d.).
References
Agency for Healthcare Research and Quality. (n.d.). Improving patient safety systems for patients with limited English proficiency: A guide for hospitals [PDF document]. Retrieved from https://www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
3. Your patient, Mary Smith, DOB 02-14-52 has a strep sore throat. You decide she needs a ten day course of Penicillin VK 500 milligrams. Write a correct/legal prescription for this medication?
Lorie Mae G. Vecchione, FNP-BC
License # 888888
DEA #CL888888
Vecchione Family Practice. 1160 Welch Road, Palo Alto, CA 94304. (510)
