San Antonio College
Department of Nursing Education
Generic Level 2
RNSG 1126 Professional Nursing Concepts III
Exam I Blueprint (Student)
Fall 2020
Concept : Safety
Question Items 1-10
Student Learning Outcome Question NCLEX-RN Patient Need Category Integrative Module
Process Readings
Exemplar: Surgical Time Out Safe and Effective Care: Nursing Process See Safety
1. Utilize a systematic process to analyze Focus: Purpose Environment: Management of Care Implementation Module
selected health care concepts for diverse Time out; final verification of the for
patients across the lifespan. correct procedure, site, and Responsibility of circulating nurse Prevention of wrong site, Resources
implants. confirmed by OR team. wrong procedure, and
Right patient Research suggests that the use of wrong person surgery
Right procedure surgical checklists help create a
Right surgical site culture of safety and reduce
morbidity and mortality.
1. Correct identification of
pt using two identifiers
2. Preoperative verification
process
3. Marking surgical site-
involve pt
4. Checking for implants
5. Checking for arrival of
special instruments or
equipment before
surgery begins
6. Final time out involving
all members of surgical
team
Exemplar: Core Measures Safe and Effective Care: Nursing Process
2. Describe the inter-relatedness between Focus: Medication Environment: Management of Care Implementation
health care concepts to assist in developing administration
clinical judgment. Core measures; evidence based, Right medication
, San Antonio College
Department of Nursing Education
Generic Level 2
RNSG 1126 Professional Nursing Concepts III
Exam I Blueprint (Student)
Fall 2020
Core measures- what would the scientifically- researched standard Right patient
nurse do? of care which has been shown to Right dosage
Infection prevention result in improved clinical Right route
Antibiotic given within one hour outcomes. Right time
prior to surgery start Right care every time for the Right reason
Recommended antibiotic given patient. Right assessment
Appropriate hair removal Pneumonia Right documentation
Perioperative temperature Blood cultures preformed within 24 Right response
management hrs after hospital arrival or prior to Right to education
Urinary catheter removal arrival Right to refuse
Blood cultures performed before
first dose of antibiotic received in
hospital
Antibiotic timing w/in 6 hrs after
arrivsl
Antibiotic selection for ICU patients
and immunocompetent patients
Exemplar: Core Measures Safe and Effective Care: Nursing Process
3. Describe the inter-relatedness between Focus: Medication Environment: Management of Care Implementation
health care concepts to assist in developing administration calculation
clinical judgment.
Exemplar: Surgical “time Safe and Effective Care: Nursing Process
4. Describe nursing management for out” Environment: Management of Care Implementation
selected health care concepts. Focus: Surgical team
member roles Circulating nurse responsible for
Scrub nurse responsible for initiating and documenting time
assisting surgical team by out.
handling instruments to the
, San Antonio College
Department of Nursing Education
Generic Level 2
RNSG 1126 Professional Nursing Concepts III
Exam I Blueprint (Student)
Fall 2020
surgeon and assistants
- Preparing sutures
- Receiving specimens for
the laboratory
examination
- Counting sponges and
needles
Exemplar: Core measures Safe and Effective Care: Nursing Process
5. Describe nursing management for Focus: Rationale for Environment: Management of Care Implementation
selected health care concepts. utilizing core measures Lower mortality and morbidity,
disability, length of stay,
The patient- it is about the right readmissions.
care every time. Based on evidence-based practice.
Exemplar: Surgical time Safe and Effective Care: Nursing Process
6. Relate the learned concepts to other out Environment: Management of Care Implementation
concepts or exemplars. Focus: Intra-operative
safety: Patient Two main identifiers; name
Identification and DOB.
Exemplar: Core Measures Safe and Effective Care: Nursing Process
7. Describe the inter-relatedness between Focus: Medication Environment: Management of Care Implementation
health care concepts to assist in developing administration
clinical judgment.
Exemplar: Infection Safe and Effective Care Nursing Process
8. Relate the learned concepts to other Control Environment: Safety and Infection Implementation
concepts or exemplars. Focus: Transmission-based Control
precautions / Personal The elements of standard Droplet; facemask within 3
protective equipment precautions include appropriate to 6 feet of the patient
Department of Nursing Education
Generic Level 2
RNSG 1126 Professional Nursing Concepts III
Exam I Blueprint (Student)
Fall 2020
Concept : Safety
Question Items 1-10
Student Learning Outcome Question NCLEX-RN Patient Need Category Integrative Module
Process Readings
Exemplar: Surgical Time Out Safe and Effective Care: Nursing Process See Safety
1. Utilize a systematic process to analyze Focus: Purpose Environment: Management of Care Implementation Module
selected health care concepts for diverse Time out; final verification of the for
patients across the lifespan. correct procedure, site, and Responsibility of circulating nurse Prevention of wrong site, Resources
implants. confirmed by OR team. wrong procedure, and
Right patient Research suggests that the use of wrong person surgery
Right procedure surgical checklists help create a
Right surgical site culture of safety and reduce
morbidity and mortality.
1. Correct identification of
pt using two identifiers
2. Preoperative verification
process
3. Marking surgical site-
involve pt
4. Checking for implants
5. Checking for arrival of
special instruments or
equipment before
surgery begins
6. Final time out involving
all members of surgical
team
Exemplar: Core Measures Safe and Effective Care: Nursing Process
2. Describe the inter-relatedness between Focus: Medication Environment: Management of Care Implementation
health care concepts to assist in developing administration
clinical judgment. Core measures; evidence based, Right medication
, San Antonio College
Department of Nursing Education
Generic Level 2
RNSG 1126 Professional Nursing Concepts III
Exam I Blueprint (Student)
Fall 2020
Core measures- what would the scientifically- researched standard Right patient
nurse do? of care which has been shown to Right dosage
Infection prevention result in improved clinical Right route
Antibiotic given within one hour outcomes. Right time
prior to surgery start Right care every time for the Right reason
Recommended antibiotic given patient. Right assessment
Appropriate hair removal Pneumonia Right documentation
Perioperative temperature Blood cultures preformed within 24 Right response
management hrs after hospital arrival or prior to Right to education
Urinary catheter removal arrival Right to refuse
Blood cultures performed before
first dose of antibiotic received in
hospital
Antibiotic timing w/in 6 hrs after
arrivsl
Antibiotic selection for ICU patients
and immunocompetent patients
Exemplar: Core Measures Safe and Effective Care: Nursing Process
3. Describe the inter-relatedness between Focus: Medication Environment: Management of Care Implementation
health care concepts to assist in developing administration calculation
clinical judgment.
Exemplar: Surgical “time Safe and Effective Care: Nursing Process
4. Describe nursing management for out” Environment: Management of Care Implementation
selected health care concepts. Focus: Surgical team
member roles Circulating nurse responsible for
Scrub nurse responsible for initiating and documenting time
assisting surgical team by out.
handling instruments to the
, San Antonio College
Department of Nursing Education
Generic Level 2
RNSG 1126 Professional Nursing Concepts III
Exam I Blueprint (Student)
Fall 2020
surgeon and assistants
- Preparing sutures
- Receiving specimens for
the laboratory
examination
- Counting sponges and
needles
Exemplar: Core measures Safe and Effective Care: Nursing Process
5. Describe nursing management for Focus: Rationale for Environment: Management of Care Implementation
selected health care concepts. utilizing core measures Lower mortality and morbidity,
disability, length of stay,
The patient- it is about the right readmissions.
care every time. Based on evidence-based practice.
Exemplar: Surgical time Safe and Effective Care: Nursing Process
6. Relate the learned concepts to other out Environment: Management of Care Implementation
concepts or exemplars. Focus: Intra-operative
safety: Patient Two main identifiers; name
Identification and DOB.
Exemplar: Core Measures Safe and Effective Care: Nursing Process
7. Describe the inter-relatedness between Focus: Medication Environment: Management of Care Implementation
health care concepts to assist in developing administration
clinical judgment.
Exemplar: Infection Safe and Effective Care Nursing Process
8. Relate the learned concepts to other Control Environment: Safety and Infection Implementation
concepts or exemplars. Focus: Transmission-based Control
precautions / Personal The elements of standard Droplet; facemask within 3
protective equipment precautions include appropriate to 6 feet of the patient
