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NCM 118 LEC > CHAPTER 1 > Flashcards

CHAPTER 1 Flashcards

1
Q

VALUE OF CERTIFICATION

A
  • to patient and family - caring for them have demonstrated experience and knowledge (licensure)
    exam)
  • to employers - nurse is committed to the discipline
  • to nurses - with sense of professional pride achievement, and confidence
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2
Q

ORGANIZATIONS

A
  • AAC (American Association of Critical Care Nurses)
  • ANCC (American Nurses Credentiality Center)
  • AANN (American Association of Nurse Practitioners)
  • BCEN (Board of Certification for Emergency Nursing)
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3
Q

STANDARDS OF CARE FOR ACUTE AND CRITICAL CARE NURSING
A, D, O, P, I, E

A

Assessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation

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4
Q

STANDARD OF PROFESSIONAL PRACTICE

A
  • Quality of care
  • Individual practice evaluation - evaluates practices of staff
  • Education - bachelor’s degree
  • Collegiality - colleague or relationship
  • Ethics
  • Collaboration - with different departments
  • Research - up-to-date
  • Resource utilizations - respiratory therapist
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5
Q

CRITICAL CARE NURSING ROLES

A
  • Staff nurse
  • Nurse- Educator
  • Nurse- Manager
  • Case Manager
  • Case Nurse Specialist
  • Nurse Practitioner
  • Nurse Researcher
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6
Q

no specialization; bedside nurses

A

Staff nurse

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7
Q

health teachings

A

Nurse-Educator

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8
Q

delegate, supervise, evaluate

A

Nurse- manager

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9
Q

work with the multi-disciplinary health care team to measure the effectiveness of case management plan and to monitor outcomes

A

Case manager

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10
Q

advanced degree or expertise and is considered to be an expert in specialized are of practice

A

Case nurse specialist

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11
Q

advance education and graduate of NP program acute care (hospital) primary care (clinic, hospice care) - they will diagnose or give prescription

A

Nurse practitioner

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12
Q

with advance or doctoral degree investigates nursing problems to improve nursing care to refine and expand

A

Nurse researcher

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13
Q

8 Critical Care Competencies

A
  1. Advocacy
  2. Clinical judgement
  3. Caring practice
  4. Collaboration
  5. Cultural diversity
  6. Education
  7. Clinical inquiry
  8. Systems thinking
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14
Q

working on others behalf or refer

A

Advocacy

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15
Q

decision making and critical thinking

A

Clinical judgement

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16
Q

activities that created compassionate, supportive, and therapeutic

A

Caring practice

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17
Q

intradisciplinary (within unit)
and interdisciplinary (outside unit)

A

Collaboration

18
Q

Sensitivity to recognize differences

A

Cultural diversity

19
Q

create practices changes through
research utilization and experiential learning

A

Clinical inquiry

20
Q

allow the nurse to manage whatever environmental and system resources exist for the patient and family and staff

A

Systems thinking

21
Q

Critical care multidisciplinary team

A
  1. Patient-care technician
  2. Physical therapist
  3. Occupational therapist
  4. Speech pathologist
  5. Wound, ostomy, and continence nurse (CNS)
  6. Dietician
  7. Pastoral caregiver
  8. Social services worker
22
Q
  • involves equipment
  • provide direct and indirect health care to patients by ensuring the cleanliness of their rooms, assisting with medical treatments and basic daily needs, monitoring their health, and performing basic nursing procedures.
A

Patient- care technician

23
Q

important part of preventive care, rehabilitation, and treatment for patients with chronic conditions, illnesses, or injuries

A

Physical therapist

24
Q

evaluate and treat people who have injuries, illnesses, or disabilities. They help clients meet goals to develop, recover, improve, and maintain skills needed for daily living and working.

A

Occupational therapist

25
Q

to prevent, assess, diagnose, and treat speech, language, social communication, cognitive communication, and swallowing disorders in children and adults.

A

Speech pathologist

26
Q

provide highly-skilled acute and rehabilitative care to people with complex wounds, fecal or urinary ostomies, and incontinence.

A

Wound, ostomy, and continence nurse (CNS)

27
Q

qualified to translate scientific information about nutrition and food into practical dietary advice

A

Dietician

28
Q

refers to emotional, social and spiritual support

A

Pastoral caregiver

29
Q

practice-based profession that promotes social change, development, cohesion and the empowerment of people and communities

A

Social services worker

30
Q

EFFECTIVE CRITICAL CARE TEAM COMMUNICATION

(SBAR COMMUNITY TOOL)

A
  1. S- Situation - Introduce yourself, pt. details, location and purpose of call
  2. B- Background - Admission details, history, meds allergies, labs, current treatments
  3. A- Assessment - Subjective and objective
  4. R- Recommendation - Recommended response
31
Q

COMMUNITY IDENTIFIES NEEDS OF FAMILY MEMBERS IN CRISIS

A
  • Need to feel satisfied with the care given
  • Need for caregivers who show an interest in how the family is doing
  • Need to receive information about the pt. at least once a day, and assurance that someone will call the family with any changes
  • Need for honest Information about the patient’s condition, including information about the patient’s progress
  • Need to have understandable explanation of why things are being done
  • Need to see the pt. frequently and be near the pt.
  • Meet physical and emotional needs
32
Q

NURSING INTERVENTIONS FOR FAMILY IN CRISIS

A
  1. Hope and confidence in the family’s ability to deal with situation
  2. Try to perceive feelings that the crisis evolves in the family
  3. Demonstrate concern about the pt. and family as well as the willingness to help
  4. Speak openly to patient and family about the critical illness.
    How?
    - Discuss all issues
    - Avoid generalization
    - Be honest
    - Avoid false reassurance
    - Ensure family receive information
  5. Involve family in decision-making
  6. Advocate for the adjustments of visiting hours
    - Palliative
    - DNR
    - Coma
  7. Locate the space near the unit where the family can be alone and have privacy
  8. Recognize patient and family’s spirituality and may suggest assistance of pastoral caregiver or spiritual adviser if there is a need
33
Q

Ethico-legal of critical care

A
  1. Autonomy
  2. Beneficence
  3. Non-maleficence
  4. Veracity
  5. Fidelity
  6. Justice
  7. Negligence
34
Q

It is the concept that each person has the right to make independent choices and decisions.
It is reflected in guidelines and laws regarding patient rights and self determination.

A

Autonomy

35
Q

It is the duty of any health care provider to actively do good for patients.

A

Beneficence

36
Q

upholds measures to avoid causing harm, minimize har, and correct harmful situations for patients in any form

A

Non-maleficence

37
Q

being completely truthful with clients, families, and coworkers.

A

Veracity

38
Q

implies the quality or state of being loyal or faithful and exhibiting faithfulness to commitments, beliefs, or causes.

A

Fidelity

39
Q

there is an equitable distribution of social benefits and burdens in society.

A

Justice

40
Q

failing to act as a reasonably prudent person would under the circumstances

A

Negligence

41
Q

must be voluntary by a competent adult and understood condition and possible treatment

A

Inform consent

42
Q

Use of restrain (Physical)

A
  • Least restrictive or safest environment
  • Should only be use in clinically situation
  • Pt. must always evaluate
  • Must be documented in medical record
  • Pt. should be monitored
  • Pt. and SO should receive education

NCM 118 LEC (2 decks)

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