NRN11 - Exam 1 Seminar (Shipway)

Elaborate on the educational avenues required for Licensed Vocational/Practical Nurses (LVN/LPN).

• Settings:

  • High schools, Vocational Schools, Community College

• Length: ~1 year ( classroom, clinical/lab) 1⁄3 2⁄3

• Exam: NCLEX-PN

Elaborate on the LVN/LPN’s scope of practice.

• Provider of Care

  • Works under the supervision of an RN/Provider.

  • Can EDIT/ADD ON to a plan of care.

  • Can Administer Medications (NOT IV)

Elaborate on the educational avenues required for Registered Nurses (RN).

Elaborate on the RNs scope of practice.

• Manager of Care

  • Works under the supervision of a provider.

    • Must start the initial plan of care.

    • Must perform a head-to-toe assessment on every patient every shift.

    • Must determine if patient education took place.

Describe the various roles and responsibilities of the professional nurse.

• Responsibilities:

  • Promote Health

  • Prevent Illness

  • Restore Health

  • Facilitate Coping (w/Disability & Death)

Who determines a nurses scope of practice?

Board of Registered Nursing-—Nurse Practice Act

Discuss the Nurse Practice Act and the importance of practice regulation.

• Nurse Practice Act (NPA): state laws regulating nursing practice — varies by state but every state’s NPA:

  • Defines legal scope of nursing practice

  • Creates a regulatory body (Board of Registered Nursing)

  • Defines legal terms/activities for RNs and LPNs.

  • Sets education & licensure criteria.

• Why does regulation matter?

1. Prohibits unlicensed individuals from practicing.

2. Requires continuing education for renewal.

3. Allows license to be denied/revoked/suspended (incompetence, negligence,

impairment, criminal action).

4. Enables licensure reciprocity between states.

True/False:The American Nurses Association (ANA) does not outline National Standards of Practice.

False

Explanation: The American Nurses Association (ANA) DOES outline National Standards of Practice.

Describe each element of thoughtful, person-centered practice (nurses' attributes, knowledge base, blended and QSEN competencies; clinical reasoning, judgment, and decision-making; person-centered nursing process; reflective practice leading to lifelong learning).

Elaborate: Reflective Practice

• Caregiver is self-aware, aware of their own biases, and understands how those biases affect relationships with patients/families/team.

• Involves thinking back on what happened, purely to learn and improve.

• Why it matters: keeps you open-minded about strengths/weaknesses, open to learning from others → better patient-centered care.

Nursing Process: Assessment

Elaborate on this step of the nursing process. What does it entail?

• Detect/Notice Cues (Signs/Symptoms/Risks)

Nursing Process: Diagnosis

Elaborate on this step of the nursing process. What does it entail?

• PRIORITY PROBLEM LIST—-”What will kill my patient FIRST?”

• Analyze, Synthesize, & Interpret Data

• Consider Differential Diagnoses

Nursing Process: Planning

Elaborate on this step of the nursing process. What does it entail?

• Predict Complications

• Anticipate Consequences

• Consider Actions

• Prioritize

• Make Decisions

Nursing Process: Interventions

Elaorate on this step of the nursing process. What does it entail?

• Reassess

• Interventions

• Medications

• Teaching

• Action

*Take action, monitor responses, & make adjustments!

Nursing Process: Evaluation

Elaorate on this step of the nursing process. What does it entail?

Reflect — repeat ADPIE as needed!

How does the nursing process benefit the patient?

It bases their care on scientifically-based, holistic, individualized care; team collaboration; and continuity of care.

QSEN Competencies: Quality, Safe, Evidence-Based, Patient-Centered Care

Elaborate. Give examples if applicable.

• Patient-Centered Care

  • Listen actively; include the patient’s values/preferences in the care plan.

  • Provide comfort and emotional support.

• Evidence-Based Practice

  • Blend research + clinical expertise + patient values in care decisions.

• Quality Improvement:

  • Recognize your impact; apply nursing theory/skills to standards to improve outcomes.

• Safety

  • Recognize threats to safety; use strategies to minimize harm.

QSEN Competencies: Professionalism

Elaborate. Give examples if applicable.

• Carrington Booklet

• Professional Boundaries

• Uniforms

• Being On Time

QSEN Competencies: Leadership

Elaborate. Give examples if applicable.

• Student Nurse Organization (SNO)

QSEN Competencies: Teamwork & Collaboration

Elaborate. Give examples if applicable.

• Know Other Roles

• Communicate Openly

• SBAR

• Documentation

*Facilitates Patient Trade-Offs

*Reduces Medical Errors

QSEN Competencies: Critical Thinking

Elaborate. Give examples if applicable.

• Critical Reasoning & Judgment

QSEN Competencies: Informatics

Elaborate. Give examples if applicable.

• Use technology/info systems to support decisions and coordinate care.

  • Computer Skills

  • Patient Electronic Health Records