Clinical Reasoning and Infection Control Unit 1 NR224

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A series of flashcards focusing on key concepts related to clinical reasoning and infection control.

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10 Terms

1
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Clinical Judgement

The ability to assess and understand a situation and make decisions based on that assessment.

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SOAP note

A standardized format for organizing nursing documentation, including Subjective Data, Objective Data, Assessment, and Plan.

3
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EMR

Electronic Medical Record; documentation of a single encounter between an individual and a healthcare professional.

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EHR

Electronic Health Record; a comprehensive longitudinal record of an individual’s encounters with multiple healthcare professionals.

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Concept Mapping

A visual representation of clinical reasoning and judgment to see relationships between data and understand the whole person.

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Chain of Infection

The sequence of events that allows the transmission of infection, including the pathogen, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host.

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Medical Asepsis

Clean technique techniques that reduce the number of microorganisms to prevent the spread of disease.

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Surgical Asepsis

Sterile technique that ensures absence of all microorganisms during procedures.

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Personal Protective Equipment (PPE)

Devices worn to protect healthcare personnel from exposure to infectious materials.

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Hand Hygiene

The practice of washing hands with soap and water or using hand sanitizer to prevent the spread of infections.