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nursing scope of practice
defines duties that a nurse is considered competent to carry out and authorized to perform specified by licesenced state law.
What does scope and standards matter?
It matters for the safety and welfare of our patients
TJC
A regulatory agency that enables and affirms the highest standards of healthcare quality & patient saqfety for all.
Regulatory agencies
Enforce standards and practice requirements that play a major role in the quality and costs of care delivered.
Healthcare associated infections
A result of germs entering your body through medical care.
What are the five types of healthcare associated infections?
Catheter- associated UTI’s, surgical site infections, bloodstream infection, pneumonia, gastrointestinal infections
What is an example of a gastrointestinal infection?
C.diff
What is pneumonia?
infection of the lungs
What is a catheter associated UTI?
when germs travel along the urinary catheter and cause an infection in your bladder or kidney.
What is a surgical site infection?
An infection that happens after surgery in the part of the body where the surgery took place.
What does HCAHPS surveys help hospitals assess?
patient satisfactory
What are things that nurses can directly influence?
patient room environment, patient experience, patient satisfaction, HCAHPS scores
What are the 5 different typesof healthcare delivery settings?
Virtual visits, convenience care clinic, office visit,urgent care, ER
Appropriate healthcare setting for life threatening or severe medical conditions
ER (emergency room)
Appropriate health care setting for non life threatening but need care quickly.
Urgent care
Appropriate healthcare setting for wanting routine care or have a minor, complex, or chonic problem.
office visit
Appropriate healthcare setting for having a minor problem that may require a test/ exam but Dr. is not available.
Convenience care clinic
Appropriate healthcare setting for a minor problem that wont require a test
virtual visits
6 levels of healthcare ( less frequent —> most frequent) :
long term, restorative, acute, secondary, primary, preventitve
what are the 4 parts of medicare?
Admission, seeing dr, medication= hospital visit
What age can you recieve medicare
65
How can you qualify for medicaid?
having low income, children, aged, blind, or disabeled
What type of reporters are nurses considered?
Mandated reporters
When do you begin to discharge a patient?
Day 1 of admission
What are the 3 typesof communication methods?
I-SBAR-R, Handoff report, read back
What is lateral/ horizontal violence?
Incivility that that is peer-to-peer.
what is vertical violence?
Incivility from supervisor to employee or vice versa
What is the PDSA cycle?
Plan
do
study
act
What is risk management?
The identificatio, evaluation, and prioritization of risks to eliminate or mitigate their probability to serverity or to leverage opportunities.
What are examples of risk management?
Incident report, sentinel event, never event