NVCAS NR224 Week 1 Review PowerPoint

NR224 Week 1 Review

Instructors Information

  • Erica Sutton, MSN Ed., RN, PCCN
  • Nicole Sargant, BSN, RN
  • Roles: National Student Learning Specialist, National VCAS

Concept List

  • Clinical Judgement
    • Concept Mapping
    • Documentation & Informatics
  • Infection Control
    • Types of Asepsis
    • Hand Hygiene
    • Sterile Technique
    • Personal Protective Equipment (PPE)
    • Isolation Practices

Fundamental Skills Study Tips

  • Common Themes in Nursing
    • Health & Wellness
    • Health Promotion & Prevention
    • Safety & Prioritization
    • Relation to Maslow's Hierarchy
    • Therapeutic Communication
    • Client Education
    • Nutrition & Dietary Considerations
    • Anatomy & Physiology
    • Anatomical Landmarks
    • Skills Techniques
    • Lifespan Considerations
    • Pathophysiology
    • Disease Process & Cellular Changes
  • New Course Material
    • Documentation Terminology
    • Normal vs. Abnormal Findings
    • Fundamental Nursing Skills
    • Application of the Nursing Process in Implementing Nursing Skills

Example Scenario Analysis

  • Patient Profile: 50-year-old male patient presents to the ER
  • Chief Complaints: Chills, body aches, pain rated 8/10 in left leg, pain following a 1-week-old injury.
  • Physical Examination Findings:
    • Laceration noted on left posterior ankle
    • Drainage: Green, foul odor observed
    • Symptoms: Redness and warmth to touch
    • Edema: 3+ pitting edema to left foot
    • Vital Signs:
    • Temperature: T - 102.2 °F
    • Heart Rate: HR - 110
    • Blood Pressure: BP - 120/75
    • Respiratory Rate: RR - 20
    • Oxygen Saturation: O2 - 98% on Room Air
    • Pain Level: 8/10
  • Diagnostic Imaging:
    • X-ray of left ankle: no fracture, no signs of osteomyelitis, tissue edema observed
  • Laboratory:
    • WBC: 17,000 (normal range: 4,500-11,000)
    • CBC, otherwise normal
    • Wound culture obtained and sent to laboratory
  • Questions for Analysis:
    • What finding(s) are concerning?
    • What could be happening?
    • Can you identify signs of local infection? Systemic?
    • What is the nurse’s priority action?
    • What education and health promotion should the nurse provide?

Clinical Judgement

  • Defining Clinical Judgement:
    • Involves Clinical Decision Making
    • Requires the Nursing Process, Critical Thinking, & Clinical Judgement
  • Critical Thinking Competence:
    • Relates to knowledge base, experience, environment, attitudes, and standards in nursing
  • Concept Mapping:
    • A tool that helps cluster and connect cues, encouraging clinical judgement and critical thinking
    • Reference: Table 15.1 (Potter et al., 2023, p. 211)

Documentation & Informatics

  • Documentation Standards:
    • Nurses must adhere to guidelines for documenting patient care
    • Reference: Table 26.1 (Potter et al., 2023, p. 390)
  • Key Documentation Principles:
    • Information must be factual, accurate, complete, current, and organized
    • Use standardized forms or computerized medical records for routine information
  • Electronic Records:
    • EMR (Electronic Medical Record)
    • Database for a single encounter
    • EHR (Electronic Health Record)
    • Database for multiple encounters

Infection Prevention & Control

  • Breaking the Chain of Infection:
    • Hand Hygiene:
    • Soap & Water vs. Alcohol-Based