Care coordination Flashcards
4 aspects of clinical reasoning
- identify/establish priorities
- identify rational (helps determine priority)
- identify relevant clinical data
- grasp essence of the situation
first level of clinical reasoning
life threatening priorities requiring nursing interventions related to ABC’s
- tanking BP, wheezing, dyspnea, etc..
second level of clinical reasoning
non-emergent problems such as medication administration or discharge teaching not being done yet
- not doing pericare (because it can lead to infection if the patient is incontinent and sitting in it)
third level of clinical reasoning
overall well-being and personal care
- the “nice to do” things
priority patient factors
- age
- admission date
- surgery date
- body systems
- gut
age
priority factor
the older the patient is, the higher the complication risk
admission date
priority factor
the more recent, the higher the acuity and increased risk for change in status
surgery date
priority factor
the more recent, the higher the chance of complications
body systems
priority factor
the more systems involved, the higher priority
5 rights of delegation
- right person
- right task
- right circumstance
- right direction/communication
- right supervision and evaluation
4 “c’s” of initial direction
- is it concise
- is it correct
- is it complete
- is it clear
Acuity
level of patient care required based on severity of illness
Intensity
time needed to complete nursing care and interventions
Maslow’s hierarchy of needs
physiological, safety, emotional, esteem, and self actualization
Physiological needs
Maslows hierarchy
ABC’s
