Class 2 Flashcards
ANA Standards of Nursing Practice
1-6
Assessment
Diagnosis
Outcomes Identification:
Planning
Implementation
Evaluation
ANA Standards of Nursing Practice
Standard 1 and describe
Standard 1 Assessment
Collect and analyze data about a client. Includes physical data, psychological, sociocultural, spiritual, economic, and life-style factors.
ANA Standards of Nursing Practice
Standard 2 and describe
Standard 2 Diagnosis
Nurse’s clinical judgment about the client’s response to actual or potential health conditions or needs.
ANA Standards of Nursing Practice
Standard 3 and describe
Standard 3 Outcomes Identification
Nurse sets measurable and achievable short- and long-range goals for this patient
ANA Standards of Nursing Practice
Standard 4 and describe
Standard 4 Planning
Planning interventions to meet the patient’s goals.
ANA Standards of Nursing Practice
Standard 5 and describe
Standard 5 Implementation
Standard 5A Coordination of Care
Standard 5B Health Teaching and Health Promotion
ANA Standards of Nursing Practice
Standard 6 and describe
Standard 6 Evaluation
Developing a Care Plan - 6 steps
Assessment Identify problems Nursing diagnosis Nursing goal Nursing interventions Evaluation
Developing a Care Plan - Assessment describe
Physical exam-subjective &; objective data
Review labs/radiology/procedures
Review admission notes/admission diagnosis
Review medical history
Review surgical history
Review history and physical notes
Review progress notes
Developing a Care Plan - Identify problems describe
What problems are identified from this assessment data?
Developing a Care Plan - Nursing diagnosis describe
Use care plan or nursing book to find appropriate diagnosis
Developing a Care Plan - nursing goals describe
Short term & Long Term
What is the patient’s goal?
Patient will _________________?
Developing a Care Plan - nursing interventions describe
Which nursing interventions will best help the patient to reach goals?
Implement nursing interventions
Developing a Care Plan - evaluation describe
Did the patient meet their goal? Goal met or Goal unmet
Provide assessment data to support evaluation.
Continue or revise the plan.
Standards of Professional Performance 7-17
Standard 7 Ethics Standard 8 Cultural Congruence Standard 9 Education Standard 10 Evidence-Based Practice & Research Standard 11 Quality of Practice Standard 12 Communication Standard 13 Leadership Standard 14 Collaboration Standard 15 Professional Practice Evaluation Standard 16 Resource Utilization Standard 17 Environmental Health
Licensure (Government Regulation)
Based on predetermined minimal competency
Accountable for actions as defined by law
Which is held to a higher standard of care?
LPN
RN
Patient Rights
To have qualified nursing care regardless of race, religion, national origin, sex, age, handicap, marital status, etc.
To review his or her own medical records
To be afforded privacy
To be informed
To know who is responsible for care
To have information held confidential
To be afforded a safe environment
To retain and use personal possessions as space permits
To be provided meals
The right to exercise these rights without fear of retaliation
The right to adequate pain and symptom management
Hospital accreditation definition
“A self-assessment and external peer assessment process to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve.”
