ATI flashcards unit 2
interprofessional team
providers, nurses, nurse practitioners, physical therapists, nutritionists, case managers, and social workers working together toward one client goal
Describe TeamSTEPPS
stands for Team Strategies, Tools to Enhance Performance and patient safety; it is intended to enhance performances of the team across the health care continuum
who is responsible for a client during a consultation
a consult occurs when one physician requests another physician’s opinion or advice as to how to approach or treat a condition. The primary provider stays in this role until the client is referred to another provider
when does discharge planning begin
at the time of admission
what does I-SBAR-R stand for
Introductions; Situation, background, assessment, and recommendation; repeat or read back
when are medication errors most likely to occur
can occur during any part of prescribing, transcribing, dispensing, administration, or documentation cycle.
- most likely during the prescription phase
interpersonal communication
relationship skills enable one to communicate more effectively with clients, their families, coworkers, and other health care providers with the result of improving therapeutic outcomes and client-practitioner satisfaction
why is collaborative care important
client safety, quality of care, and health care outcomes are significantly improved when strong collaborative relationships are in place using members of different disciplines, specialties, and practices
barriers to collaboration
hierarchy of professionals or roles, lack of knowledge about health care team members’ roles/titles and scope of practice, poor or lack of communication, lack of trust in the competence of other team members, lack of cultural competency
conflict management
a method of settling disagreements peacefully and respectfully, by compromise; accommodation of other’s needs and sharing goals; and avoiding competition with the other party
what types of disruptive behaviors call for zero-tolerance in an organization
verbal or physical threats; behaviors of impatience or refusal to answer questions; not returning phone calls; condescension; negative intonation; especially from those in positions of power, are strictly not tolerated in many organizations
who manages a client during referral
a provider is delegating responsibility for management of a specific condition to another provider
what change turns incivility into bullying
incivility consists of unprofessional behaviors meant to harm someone, such as gossiping, spreading rumors, rudeness, treating someone like a subordinate, accusing, exclusion, or interruption. Incivility turns into bullying when there is a repetition of these behaviors of repeated incidences
cognitive rehearsal
visualizing a difficult scenario in your head, ahead of time, so as to prepare yourself for constructive action and responses for when that situation arises in real time
what are the five conflict management strategies used in emotional intelligence
integration, domination, avoidance, obliging, and compromise
what are the essential elements of EBP
identifying a problem
searching credible sources of evidence
evaluating evidence
implementing recommendations
reviewing their effectiveness
disseminating with others
what does PICOT stand for
population
intervention
comparison
outcome
time
what is the difference between quantitative and qualitative research
quantitative uses numerical data to objectively evaluate the outcomes of all kinds of interventions
qualitative uses analyzing and reports
what is an example of the best evidence in the hierarchy of evidence
systematic reviews and meta-analysis of multiple studies
what is translational research
the process of evaluating evidence and then implementing practice changes based on the pertinent research findings.
what is plagiarism
failure to cite or give credit for the work of others
what domain names are associated with credible evidence
.gov
.edu
.org
what are clinical practice guidelines
statements of evidence-based recommendations to be sue das guidelines in the medical management of disease processes and in preventive care
what are critical pathways
clinical tools used within a health care organization that help nurses manage the delivery of client care for a specific circumstance, category, or disorder
what are standard of care
evidence-based interventions that are typically implemented when caring for a client with a specific disorder
what is conventional medicine
the type of medicine predominately practiced by medical doctors, doctors of osteopathy, nurses, and other health care professionals during what would be considered regular courses of treatment
the categories of therapy included in complementary and integrative health
biological, mind and body, manual, bioenergetic, alternative systems of care
what is the most commonly used natural product in the US
fish oil
example of holistic nursing interventions
animal-assisted therapy, coaching, community health development, mutual goal setting, forgiveness facilitation, presence, reminiscence, value clarification
some common mind and body practices
massage, meditation, mindfulness, aromatherapy, acupuncture, chiropractic, music and are therapies, guided imagery, yoga, etc.
where has yoga been shown to be useful
cardiac rehabilitation, asthma, brain injury, mental health, MS, diabetes, pregnancy, anxiety, depression, cancer effects, balance, flexibility
what are some potential adverse effects of massage therapy
blood clots, nerve injury, bone fractures
the six components of pilates
centering, concentration, control, precision, flow, breathing
how to Reiki, and qi gong work
by stimulating the biofield and triggering a healing response
what are some benefits of cultural competence in nursing care
can improve caregiver-client communication, reduce discrimination and disparities, can focus on the norms of cultural and linguistically diverse clients
examples of whole medicine systems
Japanese kampo
traditional Chinese medicine
what is the fundamental belief of homeopathy
substances that cause manifestations of a condition in a health person may also cure the disease in an individual who is ill
naturopathy
an alternative medical approach based on the philosophy of the power of nature as the ultimate healer
ayurveda
an ancient Indian medical system based on the theories of health and illness that include integrating, or balancing the mind and body
what natural product contains isoflavones that are believed to mimic estrogen
soy
saw palmetto is most often associated with the treatment of what
benign prostatic hyperplasia
what are biological therapies
nonprescriptive substances form nature, including herbal therapies, nutritional supplements, vitamins and minerals, dietary therapies, and probiotics
health literacy
the ability to read, write, and understand health-related information
the three main modes of transmission
contact
droplet
airborne
type of precautions used on all people
standard precautions
the three lines of defense
physical and chemical, nonspecific immunity, specific immunity
steps of inflammation
pattern receptors on cell surfaces recognize harmful stimuli
inflammatory pathways are activated
inflammatory markers are released
inflammatory cells are recruited
what is the expected WBC count
5,000 to 10,000/mm3
the five types of WBCs
Ballet moves never look easy
neutrophils, lymphocytes, monocytes, basophils, eosinophils
medical asepsis (clean technique)
minimizes the presence of disease-causing micro-organisms
type of room needed for someone needing airborne precautions
airborne infection isolation room (AIIR), also called a negative pressure room
PPE needed for droplet precautions
mask
Multi drug resistant organisms
organisms that are resistant to one or more classes of existing antimicrobials
infection control bundles (care bundles)
guidelines for practice that are bundled together to help prevent HAIs such as, CAUTIs, CLABSIs, VAPs, and SSIs
informatics
the use of information and technology to communicate, manage knowledge, mitigate errors, and support decision making
electronic monitoring devices
a form of telehealth medicine that assists in tracking client data and facilitates the immediate transfer of information to the health care provider. Examples include implantable devices and monitors that are worn on the body
what does HIPAA stand for
Health Insurance Portability and Accountability Act
telehealth
using telecommunications and video conferencing to provide client care outside of the typical clinical settings
name three categories of nursing-sensitive quality indicators
structure, process, outcome
what actions occur during the study phase of the plan-do-study-act (PSDA) cycle
studying and summarizing the results of the change
list the common root cause analysis (RCA) questions
what happened?
why did it happen?
what can be done to prevent it from occurring again?
provide an example of a ‘never evet’ in the surgical events category
total knee replacement done on the wrong knee
list examples of quality improvement tools
flow chart
histogram
run chart
