W1: Nursing Fundamentals/ Infection control

Self- Determination

the responsibility of the nurse to act professionally

Policies and procedures

Health care organization rules and regulations that direct the nursing practice

Nurse Practice Act

State Rules and regulations to guide nursing care delivery

Scope and standards of practice

nursing care and professionalism competency statements

Code of Ethics

values and ideals of the nursing profession

What is Florance Nightgale known for?

founded documentation, hand hygiene, EBP, and data collection

what is Clara Barton known for?

Started American Red Cross, formalized nursing education

What is Dorothea Dix Known for?

Advocacy for mental Health, indigenous rights

What is Eddie Bernie Johnson known for?

Activism for nursing diversity and health equity

Novice

no previous experience, no clinical judgement, relies heavily on rules

Advanced Beginner

Able to recognize patters and similar situations. They still need the rules to aid in their decision-making

Competent

Can plan and organize a care plan, has a mastery in some areas. in problems they may need to continue to sit down and plan or thinkabout their actions but can act independently in familiar situations.

Proficiency

Sees the client holistically rather than in parts, and can make a quick decision based on intuitive understanding

Expert

able to use clinical judgement effectively without being reliant on the rules. Knows what to do and does it well

Care Provider

delivers holistic, client-centered care by addressing physical, emotional, social, cultural, and spiritual needs

Case Manager

coordinates care by facilitating communication between the client and members of the interprofessional team. They manage care transitions, arrange services (such as home health or equipment), ensure continuity of care, and often focus on discharge planning and follow-up needs

Researcher

uses EBP in clinical decision making to ensure safe, effective, and current care

Educator

Assess clients readiness to learn before starting. educated about illness, meds, treatments and discharge planning

Leader

influences, motivates, supports others with goals. fosters positive enviroment

Manager

takes care of day-to-day things like budgeting, staffing, keeping everything stocked, and ensuring client and staff safety

Change Agent

Identifies needs for improvement and leads efforts to see change in a positive way whether in a client or system setting.

From ANA “Code of Ethics”

outlines behaviors and practice that nurses should abide by to provide responsible ethical care

From ANA “Nursing scope and Standards of practice”

What nurses are allowed to do and how well they do it

From ANA “ principles for nursing practice”

provides guidance to nurses on issues such as pay, staffing, and use of social medica to enhance practice

Infections that require contact precautions

VRE, MRSA, RSV, bed bugs, scabies, lice, Norovirus, herpes simplex, wound infection C-Diff(strict contact)

difference between strict and regular contact precautions

with strict, must wash hands with soap and water. only way to get rid of C-diff

Infections that require droplet prcautions

Flu, Adenovirus, Rhinovirus, sars-cov1, mycoplasma pneumoniea pertussis(whooping cough)

infections that require an Airbourne precaution

Active tuberculosis, Covid-19

what is not allowed in a protective precaution

plants(dried or live), fruits or veggies

List effects of a Local infection

heat, redness, swelling, pain, loss of function

List effects of a systemic infection

fever, hypo/hypertension, tachycardia, confusion, sweating, increased WBC, swollen lymph nodes, chest pain, SOB

S/S of Anaphylactic shock

Angioedema(swollen face), low BP, wheezing, difficulty swallowing, tachycardia

what kinds of clients are more susceptible to infection

immunocompromised, chemotherapy, elderly, breakdown in skin, open wounds

what is another name for protective precautions

Neutropenic