Clinical Judgment Flashcards
What is Clinical Judgment
Nurses conclusion and interpretation of data to determine the best response for the patient.
APPIE
The nursing Process
What does A stand for in APPIE?
Assessment
Assessment
Involves collecting data and information from pt.
What does the first P stand for in APPIE?
Nursing Problem
Problem
-Not a medical diagnosis
-What is the problem I identified from the data?
-analyze and interpret Cues
Problem focused statement
______(problem) related to ________(related factors/etiology) as evidenced by _______(defining characteristics/symptoms)
Risk Statement
Risk for _____ related to ____(risk factors)
What does the second P stand for in APPIE?
Planning
Planning
-Set priorities
-Goals
-Nursing Interventions
-Collaborate with pt, family and providers
Goals
SMART format
Patient Focused
Customized for pt
SMART
Specific, Measurable, Attainable, relevant,Timely
What does I stand for in APPIE?
Implement
Implementation
Perform interventions
Continually re-assess pt.
What does E stand for in APPIE
Evaluation