intro 4

~~what are the element of eviddance based practive

~~what are the element of eviddance based practive

1.) best reasearch evidance- newest things

2.) clinical experise - learing over time and talking to others

3.) pt values and perferance- see what pt feels

~~where is ebp adressed by the ana

scholory inquiery , standared of peression practis

~~how dose QSEN provide direction in the devolpment of ebp

list of competenices for new nurse

~~what is the purpose of a PICOT question

not specific

~~what are tyoes of reasher sources

1.) scholory journal

2.)peer revwied

3.) not quanity vs quality

4.) primary - people who did the study

5.) people who summaried the study

~~disribe the procese of prioitization

1.) higerachy of needs-physologycal

2.) ABC- airway breathing, cirulation

3.) actully vs potentioal- what could happen

4.) acute vs chronic- chronic kinda know how to deal w it

5.) lest invaive things first- not surgery

6.) safty- combative pt

~~higher prioity

acute is more then chronic

~~cure proces- process of proritzing w multiply pt

C-critical- very active acute phyological issue

u- urgent- not good but not bad

r- routine- anthing thats “ normal “

e-extra- making pt day bettter

~~planning tools

planning sheets

formal/ informal

~~rn scope of practice

care planes

meds

education

admission/discarge

deligation of tasks

~~rn tasks

assess pt/ bllood products

high risk meds/ start ivs/ iv meds

change rates of med drips

deligate tasks to lpn/vn/ap/stna

~~lpn scope

assist rn w care plan

assist rn w colleting data

normal meds

deligation to ap

education w rn watching

~~Ap scope

pt w daily living

height/ weight/ input output

~~~Ap tasks

feeding/ personal hygine / vs/transportaion/ restocl/ routine urine

epb-ana

ask?

use current knolage + clinical experance

peer revied/ evidance based finding

qsen

6 compances

area of skill knolage & attidude

needed when graduating

PICOT

p-popultion - who you are talking to

I- Intervention- what specificaly

c-comparion- are there other options

O- outcome- whats the goal

t- time frame - how long

what is PICOT

to formulate ? for ebp

prioritization in the nursing procces

diagnsis- whats going on

planning- what to do

Implementing- what will we do

acuity

who to go to first

statagies for time managemt

planning tools- papers

combing activies + time estimation - efficany, each pt is differant be flexable

deligetion

know your team members

what to do when deligating

rn maintains accntability,

know others scope of proactives,

know pt statuse ( hard pt dont give to new person)

proper communication

Proper supervion

ANA def of deligation

the assiment passed on to a PA or LPN while retaining accounabilty for outcome by the rn whoever did the task must chart it though

important of time mangament

organized and proirites tasks

time estimation

review of planned tasks for the day and how long each task is going to take

process of proitization

identify the most signiicant nursing problems w/ the most important intervention

ANA def of ebp

based on studies not bc “ we’ve always done it this way “