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7 step method
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a. Jean Watson’s Theory of Caring II. Thinking Like a Nurse / The NCSBN Clinical Judgment Model a. Recognize Cues b. Analyze Cues c. Prioritize Hypotheses d. Generate Solutions e. Take Action f. Evaluate Outcomes III. The Nursing Process a. Purpose of the Nursing Process b. Steps of the Nursing Process c. Nursing Process vs. Medical Model d. Assessment i. Clustering of Data ii. Steps in Analyzing Assessment Data iii. Types of Assessment 1. History and Physical 2. Subjective vs. Objective 3. Initial/Comprehensive Assessment 4. Focused Assessment 5. Emergency Assessment 6. Follow-Up Assessment e. Nursing Diagnosis i. Nursing Diagnosis vs. Medical Diagnosis ii. What is a Nursing Diagnosis? iii. NANDA iv. Types of Nursing Diagnoses 1. Problem-Focused (Actual) 2. Risk 3. Health Promotion/Wellness 4. Syndrome v. Parts of the Diagnostic Statement for each Type of Nursing Diagnosis 1. Common Errors Seen with Writing Diagnostic Statements a. Does the etiology and/or defining characteristics “match” the identified nursing diagnosis/patient problem? vi. Prioritization of Nursing Diagnoses f. Planning i. Goals 1. Goal Statement 2. Characteristics of Goals 3. Stem from the Patient Problem/Nursing Diagnosis ii. Outcomes 1. Partially Derived from the Defining Characteristics (if the problem is an actual problem) 2. Characteristics of Outcomes a. SMART Outcomes g. Implementation i. Nursing Interventions 1. Partially Derived from the Outcomes 2. Characteristics of Nursing Interventions 3. Types of Nursing Interventions a. Direct vs. Indirect b. Independent vs. Dependent vs. Collaborative (Interdisciplinary) ii. Implementation of Nursing Interventions h. Evaluation i. How Evaluation Takes Place ii. Continuation vs. Modification vs. Termination of the Plan of Care iii. Parts of an Evaluation Statement IV. The Concept of Elimination a. Intake & Output/Interpreting Fluid Balance b. Prevention of CAUTI c. Common Urinary Elimination Problems (urinary retention, urinary stasis, urinary reflux, urinary calculi, types of incontinence, anuria, dysuria, oliguria, urgency, frequency, UTIs) a. Assessment and prevention for each of the common urinary problems d. Signs of Upper and Lower UTI e. Causes and Prevention of UTI f. Lifespan considerations for urinary and bowel elimination g. Factors affecting urinary and bowel elimination h. Patient education related to urinary and bowel elimination i
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GI Step Up
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Heme/Onc Step Up
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MSK Step up
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GU/ Renal Step Up
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Endo Step Up
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Dermatology Step Up
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Glycolysis Steps
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Neuro Step Up
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OB Step Up
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The 23 Steps
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Glycolysis Steps & Enzymes
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Pulmonary Step Up
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