Class 9 Flashcards
Per study guide, know key elements of the CNA/CRNM documents, nurses roles and involvement in IP practice, and key principle of IPC --> aka pretty much this entire deck
according to the CNA, what is the definition of IPC
- a process that occurs when professionals form different areas of expertise, along w pts, families, and communities, combine elements of respect, mutual understanding, and shared decision making to develop working relationships to maximize healthcare delivery and outcomes
what is CNA position’s on IPC (4)
- pt and family should be the focus/partners in ICP
- ICP should be integrated into nursing education
- IPC should be evaluated at all lvls of care
- IP hierarchies are not conductive to IPC
according to the CNA, IPC is consistent with values in…. particularly…
- consistent w values in the Code of Ethics
- particularly… “the nurse’s responsibility to acknowledge, respect, and integrate other HCP’s knowledge for the betterment of the pt”
according to the CNA, the necessary components of IPC are… (5)
- role awareness
- conflict resolution
- collaborative leadership
- trust
- belief in the effectiveness of IPC
according to the CNA, what are the principles facilitating IPC (8)
- client centered care
- evidence informed decision making for quality care
- access
- epidemiology
- social justice & equity
- ethics
- communication
- cultural safety
according to the CNA, what is involved in client centered care
- clients are actively engaged in prevention, promotion, and mngmt of their health
according to the CNA, what is involved in evidence informed decision making for quality care
- disciplines working together to assess research evidence and evaluate health outcomes
according to the CNA, what is involved in the principle of “access”
- working together to ensure pts can access the appropriate care provider, supporting continuity of care
according to the CNA, what is involved in the principle of “epidemiology”
- assessing trends in healthcare demographics to ensure health services are relevant and appropriate
according to the CNA, what is involved in the principle of “social justice and equity”
- advocating for health promotion by ensuring the health system functions optimally
according to the CNA, what is involved in the principle of “ethics”
- learning from the ethics of other HCP
according to the CNA, what is involved in the principle of “communication”
- active listening
according to the CNA, what is involved in the principle of “cultural safety” (2)
- for pts and family members
- addressing power imbalances in the healthcare system
according to the CNA, what are silos?
- learning in just your professional discipline without overlap with other HCPs
according to the CNA, IPC is negatively influenced by… (3)
- conflicting organizational expectations
- resource requirements
- time constraints
according to the CNA, what is included in institutional support for IPC
- giving HCPs time to understanding each other’s roles
according to the CRNM, IPC occurs when…
- multiple HCPs from different professional backgrounds work w clients, families, caregivers, and communities to delivery the highest quality of care with the client at the center
according to the CRNM, nurses can contribute to a healthy work enviro by… (2)
- maintaining the lens of safety, support, and respect
- becoming a skilled communicator to develop meaningful relationships
according to the CRNM, what is a moral community (3)
- workplace where values are made clear and shared and where these values direct ethical action
- all HCP are moral agents in providing care
- required HCP to reflect on own practice
according to the CRNM, what CNA code of ethics principles are relevant to IPC (5)
- providing safe, competent, and ethical care
- promoting health and well-being
- honoring dignity
- promoting justice
- being accountable
according to the CRNM, what aspects of “providing safe, competent, and ethical care” are relevant to IPC (2)
- nurses foster a safe, quality practice enviro
- when differences among members of the healthcare team affect care, nurses seek constructive and collaborative approaches to resolving them and commit to conflict resolution and a person-centered approach to care
according to the CRNM, what aspects of “promoting health and well-being” are relevant to IPC (1)
- nurses collaborate w other HCP and others to maximize health benefits to persons receiving care and with healthcare needs and concerns, recognizing and respecting the knowledge, skills, and perspectives of all
according to the CRNM, what aspects of “honoring dignity” are relevant to IPC (1)
- nurses foster a moral community in which ethical values and challenges can be openly discussed and supported
according to the CRNM, what aspects of “promoting justice” are relevant to IPC (4)
- nurses work collaboratively to develop a moral community
- all nurses acknowledge their responsibility to contribute to positive and health practice enviro
- nurses support a climate of trust that sponsors openness, encourages the act of questioning status quo and supports those who speak out in good faith to address concerns (ex. whistleblowing)
- nurses protect whistle blowers who have provided reasonable grounds for their concerns
according to the CRNM, what aspects of “being accountable” are relevant to IPC (1)
- nurses are accountable for their practice and work together as part of a team
- when the acuity, complexity, or variability of a person’s health condition increases, nurses assist each other
what does the CNA code of ethics say about maintaining privacy and confidentiality (3)
- nurses do not abuse their access to info by accessing healthcare records, including those of a family member or other person, for purposes inconsistent w their professional obligations
- when using photo, video, or other technology, nurses obtain consent and do not intrude on pt privacy
- handle photos or videos w care to maintain confidentiality of the persons involved
what does PHIA say about accessing personal health info (3)
- right to access own personal health info
- right to protection of that info
- you should not access your own health records –> should be accessed via trustee in a formal way
according to the CRNM, what are the expectations for IPC (6)
- client centered care
- role clarification
- team functioning
- collaborative leadership
- IP communication
- IP conflict resolution
according to the CRNM, what is involved in client centered care
- seeking out, integrating, and valuing the contribution of pts
according to the CRNM, what is involved in role clarification (3)
- understand own role and others
- recognize limitations
- use full scope of knowledge
according to the CRNM, what is involved in team functioning (3)
- acknowledge team dynamics and group processes to enable effective IPC
- encourage respectful interactions and health relationships
- share accountability
according to the CRNM, what is involved in collab leadership (3)
- recognizing formal and informal leadership
- knowing that leadership shifts depending on the situation
- understanding when to lead or step back
according to the CRNM, what is involved in IP communication (2)
- establish common understanding
- choose effective communication tools and techniques
according to the CRNM, what is involved in IP conflict resolution
- actively engaging self and others in dealing w IPC conflict
according to the CRNM, in rural settings, patients can sometimes end up in the situation where they need a med refill and there is no prescriber/pharmacist present.
In these situations nurses can….
- dispense a starter pack of the meds as long as the pt meets certain parameters
according to the CRNM, what is a starter pack?
- limited supply of pharmacy-prepared, pre-packaged, labelled medications so that a client can start safe, efficient medication therapy while awaiting their dispensed prescription
according to the CRNM, rural, remote, and underserved populations are at risk for…
- delays in care
according to the CRNM, how can pharmacy support rural community’s access to prescribed meds (3)
- review med orders
- dispense meds
- provider info about meds
according to the CRNM, how can nurses support rural community’s access to prescribed meds
- provide med therapy
according to the CRNM, how can prescribers support rural community’s access to prescribed meds
- use competencies to meet standards for safe & effective prescribing
according to the CRNM, when meds are needed and pharmacy are not readily available (but can review the DPIN within 48 hr after meds have been given), what applies???
- a set of practice expectations
according to the CRNM, what is the summary of the practice expectations for pharmacists in situations where meds are needed but pharmacy is not readily available (3)
- pharmacy must create starter packs in advance which meet appropriate standards
- must also review prescriptions when received and enter into DPIN
- then send med to pt and notify nurse of this asap
according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what info must the pharmacist include on the med label before supplying meds (8)
- generic drug name, manufacturer id, dosage, route, and strength
- quantity
- direction for use
- date drug was prepared, lot number, expirary date
- pharmacist initials
- pharmacy name where med was packaged
- location name, address, and phone number where med was stocked for supplying
- any other info approp/specific to the med (ex. take w food)
according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what must the pharmacist do upon receipt of the prescription (3)
- review the med order or prescrption for client specific care and safety
- enter the med into DPIN 48 hrs
- notify the nurse when the remained of the prescribed meds is sent to the client
according to the CRNM, what is the summary of the practice expectations for all HCPs in situations where meds are needed but pharmacy is not readily available
- all HCPs must collaborate to meet client needs and create clinical decision tools for med admin
according to the CRNM, what is the summary of the practice expectations for nurses in situations where meds are needed but pharmacy is not readily available (3)
- can supply a starter pack of a med for client if pharmacy is not available to dispense it as long as decision tool is used and client history is reviewed
- must include an assessment on if the med is needed urgently
- document & notify prescriber/pharmacist
according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what competencies must be applied by nurses to manage the current client situation? (10)
- use of the clinical decision tool
- review client’s medical history
- assessment of presenting complaint
- check of the client’s current med list, using DPIN where available
- review of allergies, potential adverse drug reactions and contraindications
- determination of med’s expirary date
- entry of the client name, prescriber name, date, and nurse initials on med label
- client teaching
- supply starter pack directly to the client or their rep
- plan for follow-up care as discussed w the client
according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what is considered in the assessment with the client re: supplying medication? (3)
- risk to client’s health if the med is not supplied at that point-of-care
- wait time for prescription pick up or delivery including impact of distance, extreme weather and/or other unusual factors
- potential adverse effects of the medication
according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what is included in documentation? (9)
- document as per applicable standards
- date
- drug name
- strength
- dose
- lot number and quantity supplied
- length of med therapy
- client instructions
- nurse signature and title
according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what must the prescriber do? (2)
- meet necessary standards in prescribing
- sign & send prescription to the pharmacy within 24 hrs
