Monitor and ensure the quality of health care practices 1) Nurses are always present and coordinate the patient's multiple interactions with the health care team. Nurses are able to prevent and quickly detect errors. Many nurses are uncomfortable in this area because this area generally goes unnoticed when everything is going well and errors are avoided; but when things go wrong, incident reports must be filed, accepting responsibility for the error and then correcting the error (Benner, 2001, p. 143).2) Monitoring and quality assurance of Health care practices are broken down into three skills:1. Provide a backup system to ensure the safety of medical and nursing care2. Evaluate what can be safely omitted or added to medical orders3. Getting Appropriate and Timely Responses from Physicians (Benner, 2001, p. 137) A few years ago, our hospital transitioned from paper medical records to electronic medical records (EMR). This required staff across the hospital to undergo training on the new software. Each department selected a handful of employees to undergo advanced training to be known as “super-users” and to be a resource for the rest of the staff once we launched the programs. I was fortunate to be invited to be a “super user” and was part of the team that helped integrate many evidence-based practices into the programs with the help of our IT department. While we set up the system to remind you of things like obtaining blood cultures for a pneumonia diagnosis or giving aspirin to the patient with chest pain, the only area we still practice on paper is that of conscious sedation. Just this week I had a 92 year old woman with a dislocated hip prosthesis that required a contra...... middle of paper ...... 2-4). Practical knowledge helps you acquire the specific skills needed for daily work. It is about your learning through practical experiences through the reality of life. This involves knowing how to start an IV line or insert a Foley catheter, which is different from the theoretical knowledge to identify them. Practical knowledge often leads to a deeper understanding of the concept as you practice more and gain experience. Theoretical knowledge Theoretical knowledge is “knowing that” (Benner, 2001, p. 2-3). Theoretical knowledge teaches the why by helping you understand why one method works and another fails. This helps you build on information, strategize, and see the big picture. It helps you teach yourself through the experience of others; leading to a deeper understanding of the source of reason.