Week 1 Lecture

Why is evidence based care important in nursing?

Allows for modern research to deliver the best patient care to promote safety and education and overall effectiveness

-Promotes lifelong learning

Why is nursing considered a profession?

• Requirment of knowledge and education

• has a code of ethics

• licensure test

• Professional overseeing body

• Contains professioanl organizationa nd standards

• Continuous Research to better the field

What is a scope of practice

Set of clinical expectations and actions that a healthcare professional can act out depending on their education and training.

What is the BRN

Board of Registered Nursing

What is the job of the BRN

Serves to protect the public through enforcing strict consistent nursing laws and educational standards

What does the NPA stand for

Nursing Practice ACt

What is the NPA

Law that grants the BRN to changing regulations to keep the public safe

The NPA outlines the laws

Mandates the BRN and allows them to be legal

What the difference between the NPA and BRN

NPA is the law that allows the BRN to enforce their ruels and regulations for nurses to protect the public

What does UAP stand for

Unlicecnsed assistive personnel

what is the scope of practice for CNA/PCA/PCT

Provide Personal Hygiene

Bathing/POsition CHanges

VS

Ambulation of stable patient

I and O empty F.C

What is the scope of practice for the LVN/LPN in terms of data and assessment and analysis

Can Gather Data

Cannot perform assesment

Cannot anaylze data and make decisions from it

What is the scope of practice for LVNs when it comes to skills

Performs

• Foley

• NGT

• Dressing changes

• Ostomy

What is the scope of practice for LVNs when it comes to medication

Gives: PO meds, NGT, Injections

Cannot give. IV push medications

What is the scope of practice for RNs when it comes to assessment and type of patients they see.

Can perform initial assesment, new admit, post op paitents

Sees unstable and unpredictable paitents

What is the medicaitions that RNs can give that lVNS cant

IV push medications/ IV push

Can RNs do paitent teaching

Yes they perform teaching as well as discharge teaching

What is delegation

Transferring authority to another cmopetent individal to complete nursing tasks that are in their scope of practice

What are the 5 rights of delegation

1) Right Task

2) Right circumstance

3) Right Person

4) Right Communication

5) Right supervision and evaluation

What is the ANA

American Nurses Association

What is the purpose of the ANA American Nurses assocation

To Advocate for nurses, not a mandatory assoication to join

What is the difference between the ANA and the BRN

The ANA advocates for nurses and promotes stuff for nurses

The BRN is to regulate nurse to protect public

What is the American Nurse’s Credentialing Center’s Magnet

Recognition Program

Award that the ANA gives for healthcare organizations that make a good workspace for nurses, which directly impacts paitent care

What is the Joint Commision (JACHO)

Accrediations for helathcare facilities nationally

Used for facilities to qualify for their paitents to use medicare and medicaid

What does HCAHPS stand for

Hospital Consumer Assessment of

Healthcare Providers and Systems

What is the point of the Hospital Consumer Assessment of

Healthcare Providers and Systems

A survey to evaluate paitents experience at the hospital

Used also to receive medicare apymenty

What is QSEN

Quality and Safety Education for Nurses

What is the point of QSEN

Are competencies that nurses should follow in order to provide the best paitent care

What are the 6 QSEN competencies

1) Paitent Centered Care

2) Teamwork and Collaboration

3) Saftey

4) Quality Improvement

5) Informatic

6) Evidence-Based Practice

What does SRE stand for

Serious Reportable evet

What is a sentinel event

A event where a paitent gets hurt/ dies in a way thats not realted to their health

What are national performance goals

15 Goals to stop hospitals to improve paitent outcomes

What is evidence based practice

Using modern evidence and practices to ensure paitetnt best quality of care

What is the accroym for the nursing process

ADPIE

What is the 5 steps of the Nursing Process?

1) Assessment of the patient

2) Diagnosis: Nursing

3) Plan / Intervention:

4) Implementation:

5) Evaluation:

What happens during the assessment during the nursing process

Gathering data through objective and subjective means

What happens during the diagnosis step of the nursing process

Making a nursing diagnosis thorugh anaylyzing the data and making conclusions

Problem Identification

When happens during the planning/intervention step of the nursing assesment?

Reviewing the nursing diagnosis

Making goals as well as chosing the correct interventions to meak the goals

Generating solutions to the problems

Nursing Care plan

Looking at outcomes and interventions

What happens during the implementation step of the nursing processs?

Going forwarding the the plans/ interventions to meet the goals

Colllaborative process

What happens during the evaluation step of the nursing process?

Looking continously at how your paitent is respdong to plans to help meet their goals

If not meet go back review Data, Diagnosis, outcomes, interventions

For assesment in the nursing process what are the importnat health info are you looking for

Health History

Medications (Dose, Type)

Allergies

Previous surgies, its outcomes, treatments they receive right now

Their currect and past health levels

Performing a comprehessive physical assesment

What is an emergency assessment?

Assesment for life threatning conditions

Focused on assesment of vital importantce (Airway, Breathing, Circulation)

Rapid, focus on physiological functions for quick treatment plants

What does emergency assesment depend on

Depends on the condition and state of your paitent

Speed is essential

What is an comprehensive assessment?

A detailed head to toe assesment to get a compressive view of the paitent’s current health status

‘

What is a focused assessment?

Assessment on areas of concern

Followed up assesment

Happens during rounding and quick screening

Changes and expected problems

What is objective data?

Data that can be measured and verifiable and factual

VS, Physical assessment

Medical history

Quantifable data

What is subjective data

Data that is reported by the paitent

Told by the paitent cannot be scienfiticaly verified or for sure

What is the difference between a nursing diagnosis and a medical diagnosis

Medical Diagnosis identiifies the disease/ issue. Seeks to treat the disease directly

Nursing diagnosis: Identifies the response of the paitent to the disease they have . Manages paitent symthoms

What does ABC stand for in regards to emergent needs

Airway

Breathing

Circulation

When ranking various issues with a person how should priority be given to

Follow Maslow Hierarchy of needs

What is the format of a nursing diagnosis called

PES

Problems

Etiology

Symptoms

Explain the 3 parts of PES of the nursing diagnosis

Problem: This is the the name of the nursing diagnosis that describes their current issues

Etiology: What is causing the issue, pathophysiology, related r/t

Symptoms: What are the signs of symthoms that prove that problem

What is the formula to write out a PES

What is the accroym of planning?

SMART

What does each part of SMART stand for in the planning part of ADPIE

Specific to the paitent

Measureable

Appropriate

Realistic

Time Frame

How do you write the 3 part format for planning

1) Time Frame

2) Reverse or improve the nursing diagnosis

3) As evidnece by

What are interventions during implmentation

Assess/ monitor paitent

Do action

Collab with team

Paitent teaching

After ever intervention do you need to perform a new paitent assesment

Yes you needd to go through a new asssement/ intervention/ process again

What are factors that can effect how well a person can recieve helathcare

Race

Location

Income

Education

Occupation

Gender, age , sexual oritention

What is Maslow Hierachy of need

1) Physiological

2) Saftey

3) Love/Belong

4) Esteem

5) Self-Actualization

What is culture?

Knowledge values, customs, art, morals, laws, habits and customs of a group of people

Way of life for a group of people

What is cultural competence

The ability to understand and respect and appreciate a culture that is not your own

What are some cultural factors that can affect quality of care

Family Role

Touch

Personal Zone

Food and nutrition

Medication

What are ways to reduce health disparities and increase cultural competency

Learn about their culture, value and understand appreciate

Seek to understand

Develop a plan togehter

REduce Personal Bias