Kim woods

Criticalinicident.docx

A critical incident is one in which unusual circumstances led to an unexpected outcome. The incident can be either positive or negative, but must be one that impacted you in some way, either personally or professionally.

Please makeup an incident where the patient of bipolar disorder is violent in the Psych facility and how YOU as a student nurse would describe the incident you saw. Describe how the staffs were unable to handle the situation and how the security had to intervene the situation. Describe how they deescalated the situation, if he was put into seclusion and what nursing interventions were applied to keep him calm and safe from other patients, staff and himself.

TOPIC: Violent behavior of patient in which security had to intervene in Psych facility

This is meant to be a reflective exercise in which the student:

A. Applies critical thinking to analyze the situation.

B. Identifies areas in which errors or omissions may have occurred.

C. Defines positive methods of improvement.

D. Identifies incident’s relation to Quality Improvement.

Using the following questions as a guide, compose a four to five-page essay about the incident. Do not write the paper in a question/answer format. If references are cited, though not required, they must be cited in APA format and a works cited page attached.

1. Describe the incident: (In order to protect privacy DO NOT include any pertinent patient, family, or staff identifiers.)

2. SBAR Assessment

2. What positive/negative factors led up to the incident?

3. What positive/negative behaviors of the staff influenced the outcome of the incident?

4. If a negative event: What changes could be made to prevent the incident from occurring?

5. How did the incident impact you personally?

6. How do you plan to use this incident to impact your career as a professional nurse?

PLEASE SEE THE RUBRIC:

Component

Exemplary

15 points

Adequate

10 points

Inadequate

5 points

Description

· Describes the incident

· Describes patient outcome

· Identify if outcome is positive or negative

· Identify 3 or more errors or omissions that occurred if negative or 3 or more positive occurrences if positive

· Describes the incident

· Describes patient outcome

· Identifies if outcome of incident is positive or negative

· Identifies 2 or more errors or omissions that occurred if negative or 2 or more positive occurrences if positive

· Describes the incident

· Describes patient outcome

· Identifies if outcome of incident is positive or negative

· Identifies 1 error or omission that occurred if negative or 1 or more positive occurrences if positive

Exemplary

35 points

Adequate

27.5 points

Inadequate

7.5 points

SBAR/Assessment

· Uses SBAR to describe assessment data

· Identifies positive/negative factors leading to incident

· Presents sufficient data to justify/validate the problem

· No errors in logic

· Identifies what changes could have prevented incident if negative

· Identifies positive behaviors that led to positive outcome if positive

· Applies critical thinking to analyze incident

· Uses SBAR to describe assessment data

· Identifies positive/negative factors leading to incident

· Presents sufficient data to justify/validate the problem

· No errors in logic

· Applies critical thinking to analyze incident

· Uses SBAR to describe assessment data

· Identifies positive/negative factors leading to incident

· Presents sufficient data to justify/validate the problem

Exemplary

35 points

Adequate

27.5 points

Inadequate

7.5 points

Impact

· Discusses what impact the incident appeared to have on staff

· Discusses what positive/negative behaviors of the staff influenced the outcome of the incident

· Lists how two or more staff members reacted

· Lists types of debriefing that occurred

· Notes if management was notified or if incident report was filed

· Discusses how incident is related to need for Quality Improvement project

· Identifies what QI you would initiate as a professional nurse

· Discusses what impact the incident appeared to have on staff

· Discusses what positive/negative behaviors of the staff influenced the outcomes of the incident

· Lists how staff members reacted

· Lists types of debriefing that occurred

· Notes if management was notified or if incident report was filed

· Discusses how incident is related to need for Quality Improvement project

· Discusses what impact the incident appeared to have on staff

· Discusses what positive/negative behaviors of the staff influenced the outcome of the incident

· Lists types of debriefing that occurred

· Notes if management was notified or if incident report was filed

Exemplary

15 points

Adequate

10 points

Inadequate

5 points

Reflection

· Discuss how incident affected you personally

· Identifies 3 ways that the incident will impact your professional practice

· Identifies how incident will affect professional practice

· If positive or negative, lists 3 ways in which behaviors can be applied to the professional practice of nursing

· Discuss how incident affected you personally

· Identifies 2 ways that the incident will impact your professional practice

· Identifies how incident will affect professional practice

· If positive or negative, lists 2 ways in which behaviors can be applied to the professional practice of nursing

· Discuss how incident affected you personally

· Identify 1 way that the incident will impact your professional practice

· Identifies how incident will affect professional practice

· If positive or negative, lists 1 way in which behavior can be applied to the professional practice of nursing.

Total Point (100 possible)

Total Points: