CHAPTER 1 Flashcards
certification from AACN
CCRN
VALUE OF CERTIFICATIONS
To patient and family
To employers
To nurses
ORGANIZATIONS OFFERING CERTIFICATIONS
o American Association of Critical Care Nurses
o American Association of Neuro Science Nurses
o American Nurses Credentialing Center
o Board Of Certification for Emergency Nursing
STANDARDS OF CARE FOR ACUTE AND CRITICAL CARE NURSING
ADOPIE
STANDARD OF PROFESSIONAL PRACTICE
o Quality of Care
o Individual Practice Evaluation
o Education
o Collegiality
o Ethics
o Collaboration
o Research
o Resource Utilization
Work with the multidisciplinary health care team to measure the effectiveness of the case management plan and to monitor outcomes
Case manager
Delegate, supervise evaluate
Nurse-manager
Has an advanced degree or expertise and is considered to be an expert in a specialized area of practice.
Clinical nurse specialist
Advance education and graduate of NP program.
Nurse practitioner
investigate nursing problems to improve nursing care and to refine and expand
nursing knowledge
Nurse researcher
With advance or doctoral degree
Nurse researcher
8 CRITICAL CARE COMPETENCIES
Advocacy
Clinical judgment
Caring practice
Collaboration
Cultural diversity
Education
Clinical Inquiry
Systems Thinking
CRITICAL CARE MULTIDISCIPLINARY TEAM
o Patient-care technician
o Physical therapist
o Occupational therapist
o Speech pathologist
o Wound-ostomy-continence nurse (cns)
o Dietitian
o Pastoral caregiver
o Social services worker
Effective Critical Care Team Communication
SBAR Communication Tool
counsel abused clients
Social services worker
admission details, history, meds allergies, lab, current treatments
Background
Introduce yourself, pt detail’s location and purpose of call
Situation
SBAR
Situation
Background
Assessment
Recommendation
Assessment
subjective and objective data
recommended response
Recommendation
COMMONLY IDENTIFIED NEEDS OF FAMILY MEMBERS IN CRISIS
-to feel satisfied
-for courteous caregivers
-to receive information about the patient
-for honest information about the patient’s condition
-to have understandable explanations of why things are being done
-to see the patient frequently and be near the patient
-to meet the physical and emotional needs
Autonomy
To not interfere with choices and actions
To do good /welfare
Beneficence
Fairness
Justice
Nonmaleficence
To do no harm
Tell the truth
Veracity
Fidelity
Keep and fulfill commitment
o Breach of duty / responsibilities
o Common law suit against nurses
NEGLIGENCE
USE OF RESTRAINTS
o Create the least restrictive but safest environment.
o Least invasive option.
o Should be used only in clinically appropriate situations.
o Patients must always be evaluated.
PRINCIPLE COMPONENTS: INFORMED CONSENT
o Must be made voluntarily.
o Must be made by a competent adult.
o The patient must understand his condition and the possible treatments.
Create the _______ restrictive but safest environment.
least
Patients must always be___________.
evaluated
______invasive option.
least
