Activity 1 – Intentional patient rounding – Patient Safety for Nursing Students

Introduction: This activity focuses on intentional patient rounding, a structured and systematic process for regularly checking that patients are safe and comfortable, using a standardised protocol.

Instructions: Mrs Eliza McKnight is a 56-year-old woman who was admitted to hospital following a stroke. She has right sided hemiplegia and expressive aphasia.

While watching the short film depicting an interaction between Ellie, the new graduate nurse, and Mrs McKnight, take note of any environmental or clinical issues that have the potential to compromise patient safety. Following the film, you will be presented with two set of questions. Your answers will be graded automatically, and you will receive feedback before proceeding to the next activity.
Part 1: Noticing patient safety issues
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Patient safety issues to be identified
- Call bell out of patient’s reach
- Bedrails up
- Oxygen saturation level 88%
- Heart rate 105
- Oxygen mask on bed
- Syringe on bedside table
- Empty glove box on wall
- Catheter bag hung too high on the bed
- No hand hygiene conducted by RN
- Keys in medication drawer
- RN did not check ID band
- RN did not check allergy band
- Water given to patient despite ‘THICKENED FLUIDS ONLY’ sign above bed
- Paracetamol left for patient despite ‘THICKENED FLUIDS ONLY’ sign above bed
- IV cannula checked but not IV flask
- RN did not sign for administration of medication
On this image, there are 16 hidden ‘hotspots’. Click directly on the specific parts of the image that you believe represented a potential risk to Mrs McKnight’s safety during the film. You have 90 seconds to identify as many risk factors as possible.
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What is the minimum length of time required for hand hygiene?
- 10 seconds for alcohol-based hand sanitiser, 20 seconds for hand washing.
- 20 seconds for alcohol-based hand sanitiser, 40 seconds for hand washing.
- 15 seconds for alcohol-based hand sanitiser, 30 seconds for hand washing.
- 25 seconds for alcohol-based hand sanitiser, 50 seconds for hand washing.

Which of the following statements is correct?
- SpO2 levels of 80% and higher are considered normal
- SpO2 levels of 95% or higher are defined as hypoxia
- SpO2 levels of less than 100% are defined as hypercapnia
- SpO2 levels of 94% or less are defined as hypoxaemia

Which of the following is the LEAST effective strategy for preventing and managing medication administration interruptions?
- Blocking – Using strategies such as hand signals to indicate refusal to respond to the interruption.
- Multitasking – Medication administration is performed simultaneously while managing the interruption.
- Engaging – Stopping medication administration and engaging with the interruption.
- Prevention – Pre-planning to avoid medication interruptions.

For adults, the maximum daily oral dose of paracetamol is:
- 1000mg in a 24-hour period
- 500mg in a 24-hour period
- 2 grams in a 24-hour period
- 4 grams in a 24-hour period
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Activity 1 – Intentional patient rounding

Step 1 of 7

Part 1: Noticing patient safety issues

Part 2: Questions related to the patient safety issues depicted in the film