Chapter 18 Flashcards
High priority
Diagnoses that if untreated will result in harm to a patient or others
Planning involves.. (3 things)
Setting priorities
Identifying pt goals & outcomes
Prescribing individualized nursing interventions
Intermediate priority
Diagnoses involving nonemergent, non life threatening needs of a patient
Low priority
Not always related to a specific illness but affects the patients future well-being
Factors affecting priority setting
Organization of the nursing unit Staffing Interruptions from other health providers Available resources Policies/procedures Supply access Patients condition
Define goal
Broad statement describing a desired change in a patient’s condition
Expected outcome
Measurable criterion to evaluate goal achievement
Patient-centered goal
Measurable behavior that reflects a patients highest level of wellness
Nursing-sensitive patient outcome
Measurable behavior in response to a nursing intervention
Choosing correct nursing interventions includes (3)
Knowing the scientific rationale
Possessing the necessary skills
Being able to use other resources effectively
Important factors in choosing interventions (6)
- Characteristics of the diagnosis
- Goals and expected outcomes
- Evidence for the intervention
- Capability of the intervention
- Patient acceptability
- Your own competency
Nursing Interventions Classifications
Provides standardized level of communication of nursing care across all disciplines
Domains: broad organizational terms
Classes: clinical categories to reference
Interventions: any treatment based on knowledge to enhance patient outcomes
Purpose of the nursing care plan
To coordinate nursing care, promote continuity of care & listing outcome criteria
Student care plans
Useful for learning problem-solving techniques, the nursing process, written communication, organizational skills and helps to apply knowledge from the literature and the classroom in a practice situation
Interdisciplinary care plans
Designed to improve the coordination of all patient therapies and communication among all disciplines
Explain the “handoff” process
It’s a critical time where nurses collaborate and share important information that ensures the continuity of careens prevents errors
Critical pathways are
Patient care management plans that provide the healthcare team with the activities to be done in a sequential order
They deliver timely care at each phase of the process for each patient
Consultations are
Where you seek expertise to identify ways to handle problems in management or planning/implementation
Nurses role in seeking consultation
- Identify the problem area
- Direct to the correct personnel
- Provide relevant information
- Do not prejudice or influence others
- Be available to discuss the findings ( remember that is still your patient and you need to adhere to their needs)
- Incorporate the consultants recommendations
