Draft outline for Clinical Skills for Safer Patient Care ACKNOWLEDGEMENTS; BIOGRAPHIES: INTRODUCTION/ BACKGROUND: Reason for this resource – a case for current, evidence informed practice Understanding the rationale for why we do certain things Framework for foundation on which to base critical thinking How to use this book. CHAPTERS (average word count per chapter is estimated to be about 5,000): 1. Infection control a. Medical asepsis i. Personal Protective Equipment ii. Blood and body fluids iii. Disinfecting equipment iv. Hand hygiene (ABHR & hand washing) v. Standard/routine/universal precautions vi. Additional precautions : contact, droplet and airborne b. Surgical asepsis : i. 9 principles ii. entering the OR iii. sterile gloving iv. sterile tray set up and ongoing v. principles of sterilization 2. Patient Assessment a. Process/pre-assessment/safety b. Vital signs (Pulse, Resp rate, BP, Temp, O2 Sats) c. Head to toe assessment d. Post-operative assessment (incl. tubes and drains e. Emergency assessment f. Focussed/priority assessment DUE MARCH 6, 2015 3. Patient Positioning and Mobilization a. Musculo-Skeletal Injury Prevention (MSIP) b. Risk assessment prior to moving in bed/mobilization (patient/environment/self) c. Patient positioning : in bed (5 positions) d. Patient mobilization : regular/stroke/with tubes/sliding boards/lifts e. Patient ambulation : crutches/walkers/canes March 3, 2015 f. Falls Risk and Management g. Restraint indication and management 4. Wound care a. Simple dressing change b. Suture care and removal c. Staples care and removal d. Complex dressing change and irrigation i. Diabetic ii. Pressure iii. Venous iv. Arterial v. Ostomies DUE APRIL 7, 2015 5. Oxygen Therapy a. Principles b. Indications c. Pulse oximetry d. Respiratory distress/Hypoxemia management e. O2 therapy systems f. Oral suctioning g. Chest tube drainage h. Tracheostomy care DUE MAY 4, 2015 6. Medication Administration a. Safe medication preparation b. Math calculations c. Oral d. Inhalation/Topical/Rectal/Vaginal/prn e. Parenteral i. Intravenous 1. Primary (main bag) 2. Minibag 3. IV push ii. Subcutaneous/ Intradermal iii. Intramuscular JUNE 1, 2015 7. Intravenous Therapy a. Assessment, maintenance, types, uses of : i. Peripheral lines ii. Central lines (TPN< CVS<PICC) March 3, 2015 b. c. d. e. IV initiation IV pumps and PCAs Administration of Blood Products Management of Intravenous Complications JUNE 29, 2015 8. Blood Glucose Monitoring a. Glucometer use b. Hypoglycemia protocol 9. Tubes and attachments a. Nasogastric Tubes i. Insertion ii. Placement checking iii. Care iv. Removal v. Enteral feeding vi. PEG tubes b. Urinary catheters i. insertion, removal, complications, types ii. Bladder irrigation : open and closed c. Epidurals d. Wound drains 10. Violence and aggression: RESOURCE LINK 11. Interprofessional Education: RESOURCE LINK AUGUST 31 2015 EACH CHAPTER WILL INCLUDE: 1. 2. 3. 4. 5. 6. 7. 8. INTRODUCTION/BACKGROUND LEARNING OBJECTIVES RESOURCES: SUGGESTED READINGS/LINKS CHECKLIST WITH RATIONALE (VIDEOS/PHOTOS/LINKS) RELEVANT/RELATED HOSPITAL POLICIES KEY POINTS/TAKEAWAYS SUMMARY REFERENCE LIST END OF BOOK: KEY TERMS/GLOSSARIES APPENDICES: ADDITIONAL RESOURCES March 3, 2015