2052-18: Mini Concurrent Sessions: Safety

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2052-18: One Bite at a Time: Using Failure Modes and Effects Analysis to Develop System-wide Best Practices for Psychiatric Patients who Ingest Foreign Bodies | Don't Trip! An Enhanced Fall Prevention Bundle for Inpatient Medical-Psychiatry

This mini concurrent session includes two 20-minute presentations (described below) plus Q&A.

One Bite at a Time: Using Failure Modes and Effects Analysis to Develop System-wide Best Practices for Psychiatric Patients who Ingest Foreign Bodies
Few behaviors are as clinically vexing as recurrent ingestion of foreign bodies. By using a Failure Mode and Effects Analysis, multiple psychiatric service lines were able to develop consistent approaches to the assessment and individualized management of patients engaging in this behavior. Lessons learned and future opportunities will be discussed.  
Presenters:  Jeremy Wanless, BSN, RN; Charlene Suwan, PhD

Don't Trip! An Enhanced Fall Prevention Bundle for Inpatient Medical-Psychiatry
This presentation introduces a new, mental health inpatient specific fall prevention bundle leading with an evidence-based educational initiative. By utilizing literature review, chart review and root cause analysis, the clinical nurses were able to create a comprehensive educational program to guide nursing staff through new fall prevention practices.  
Presenters:  Grace Antonette Almazora Florentin, BSN, RN-BC; Eleanor Tomas-Lagmay, BSN, RN-BC

Disclosures:  The presenters and planners have no conflict of interest or commercial support to disclose.  Off-label uses will not be discussed during this presentation.

Session Length:  41 minutes

Target Audience:  RN, APRN


Learning Outcomes:
Upon completion of this presentation, the participant will be able to:

  1. Apply FMEA methodology to identify opportunities to reduce frequency and impact of foreign body ingestions in psychiatric patients.
  2. Illustrate the importance of clinical nurses utilizing data to formulate best practices.

Keywords:  Safety, Falls with Injury, Adults, Ingestion, FMEA, Self-Injury

Continuing Nursing Education
0.75 contact hours.  * In order to receive contact hours, you must: Listen to presentation, complete an evaluation, and earn a passing score on the post-test before the expiration date. You will have 5 tries to correctly answer the questions on the post-test and a score of 80% is required to pass. Once you have passed and completed an evaluation, the certificate will be generated online, available for you to print immediately. You cannot earn credit unless all steps are completed.

The American Psychiatric Nurses Association is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.


Originally Presented
APNA 32nd Annual Conference
Columbus, Ohio
Thursday, October 25, 2018
4:00pm - 4:45pm

The contact hours for this session expire:  December 31, 2020

Components visible upon registration.