Chat QA: unit 3

Sterile field rule dry

Moisture contaminates the sterile field

Sterile field waist rule

Keep sterile field above waist at all times

Turning back on sterile field

Never turn your back or leave it unattended

Sterile field border

Outer 1 inch is considered contaminated

Opening sterile items

Open items away from your body

Reaching over sterile field

Never reach over sterile field to avoid contamination

When in doubt sterile field

If unsure about contamination throw it out

Pouring sterile fluid

Hold bottle 6 inches above and pour away from label

When sterile gloves needed

Catheter insertion trach care wound care central line dressing

Indications for catheter

Urinary retention surgery urine measurement wound healing immobilization end of life

CAUTI meaning

Catheter-associated urinary tract infection

Catheterization risks

UTI urethral trauma urethral erosion

Catheter sizing rule

Use smallest appropriate size to reduce trauma and infection

Straight catheter definition

Temporary catheter used to drain bladder then removed

Straight catheter feature

No balloon lower infection risk

Straight catheter uses

Urine sample diagnose infection drain bladder chronic retention

Indwelling catheter definition

Catheter left in place for continuous urine drainage

Indwelling catheter lumens

One for balloon inflation one for urine drainage

Coudé catheter purpose

Curved tip helps pass through enlarged prostate (BPH)

Triple lumen catheter

Three lumens for balloon drainage and irrigation

CBI meaning

Continuous bladder irrigation to remove clots or deliver meds

Sterile insertion first step

Start with clean perineal area

Indwelling kit includes

Gloves drapes lubricant antiseptic syringe catheter drainage bag

Straight cath kit difference

No drainage bag no balloon syringe

Resistance during insertion

Stop pull back and gently reposition

No urine after insertion

Do not inflate balloon reassess placement

Female insertion error

Catheter may be in vagina instead of urethra

Male insertion difficulty

May require coudé catheter due to prostate

Break sterile field action

Get new kit or gloves immediately

Catheter care cleaning

Soap and water routine per policy

Chlorhexidine use

May reduce CAUTI risk

Closed system importance

Prevents infection and backflow

Urine bag positioning

Below bladder but not on floor

When to empty bag

When two thirds full

Catheter securement

Anchor tubing to thigh

Uncircumcised care

Retract foreskin clean then replace to prevent paraphimosis

Paraphimosis risk

Foreskin left retracted causing swelling

Sterile field mistake

Touching sterile field with unsterile hands

Glove contamination risk

Touching nonsterile surfaces after donning

Hand position sterile

Keep hands above waist

Suprapubic catheter

Inserted through abdomen into bladder

Suprapubic indication

Urethral obstruction injury or long term need

Suprapubic care

Clean daily monitor for infection change every 4 to 6 weeks

External female catheter

Uses suction wick to manage incontinence

Female external contraindications

Agitation bowel incontinence skin breakdown menstruation retention

External male catheter

Condom catheter drains urine externally

Male external risks

Skin breakdown necrosis infection

Male external care

Assess regularly replace daily

Nursing informatics definition

Integration of nursing science with information and analytical sciences to manage and communicate data

Informatics definition

Broad field combining computer science cognitive science and information science

Medical informatics

Use of informatics specifically in healthcare and medicine

Purpose of nursing informatics

Supports nursing practice through health information systems

TIGER initiative

Framework identifying key informatics competencies for nurses

Data collection examples

Vitals physical assessment lab results

Point of care technology

Computers tablets glucometers used at bedside

Timely documentation

Documentation must be accurate and completed promptly

EHR meaning

Electronic health record containing patient data and history

Technology examples in healthcare

Bedside computers WOWs smartphones tablets

WOW meaning

Workstations on wheels used for mobile documentation

HIPAA purpose

Protects patient privacy and confidentiality

HIPAA violation example

Sharing patient info on social media or unsecured devices

Telehealth definition

Use of internet to connect patients and providers remotely

Telenursing definition

Electronic communication between nurse and patient for care

Telehealth benefit

Provides access to care without travel

Telehealth patient population

Rural elderly mobility issues busy schedules chronic illness

Telemonitoring purpose

Remote monitoring to improve outcomes and reduce costs

Telemonitoring benefits

Improves organization outcomes satisfaction and reduces cost

Importance of informatics

Improves patient care safety and efficiency

Patient safety technology

BCMA decision support alerts computerized order entry

BCMA meaning

Barcode medication administration reduces medication errors

Decision support systems

Provide alerts to improve clinical decisions

Override alert risk

Ignoring alerts can lead to errors

Record management

Use of electronic systems to store patient data

EMR vs EHR

EMR is single facility record EHR is broader shared record

Research access benefit

Access to healthcare data for evidence-based practice

Networking in informatics

Use of social media blogs and listservs for communication

Improved patient outcomes

Better decisions from accessible patient data

Enhanced communication

Allows sharing of patient info across healthcare team

Reduced medical errors

Accurate data reduces mistakes

Efficient workflow

Less time charting more time with patients

Evidence based practice

Using research and data to guide care

Data analysis role

Identifies trends for quality improvement

Informatics challenges

Ethical issues privacy concerns and data security

Computer literacy

Ability to use computers effectively

Information literacy

Ability to find evaluate and use information

Ethical issues informatics

Data ownership privacy fraud and documentation concerns

Password safety

Never share login credentials for EHR systems

Social media rule no images

Do not post patient photos

Social media rule no info

Do not share patient identifiers

Professional boundaries online

No contact with patients outside work

Future of informatics

Improves safety supports evidence and expands access to care

Healthcare delivery system

Includes providers patients settings regulatory agencies and financing

Community health nursing

Focuses on populations or individuals in community or home settings

Community health goal

Addresses health disease and disability in a defined group

Types of community health

Public health community-based and home health nursing

Public health nursing focus

Care of populations not individuals

Public health goal

Prevent disease and promote health in large groups

Public health interventions

Immunization clinics housing advocacy disease investigation

Public health competencies

Monitor diagnose educate mobilize policy enforce evaluate research

Community-based nursing focus

Individual or family care in community settings