Clinical judgment Flashcards
3 factors that impact clinical decision-making
Recognizing Cues: Gathering subjective and objective data; and Identifying priorities
Analyzing Cues: Interpreting data
Generating Solutions: Creating Nursing Diagnoses
The nursing process
Assessment
Diagnosis
Planning
Implementation
Evaluation
Difference between subjective and objective assessment data
Subjective: Information reported by the patient (e.g., pain level, symptoms).
Objective: Observable and measurable data (e.g., vital signs, lab results).
Principles of medical ethics
Autonomy: Respecting patient’s rights to make decisions.
Beneficence: Promoting good and preventing harm.
Nonmaleficence: Avoiding harm.
Justice: Ensuring fairness in care.
Fidelity: Maintaining trust and confidentiality
The eleven rights of medication administration
Patient
Medication
Dose
Route
Time
Reason
Assessment
Documentation
Response
Education
Refusal.
The five rights of delegation/ the conditions of safe delegation
Right Task: Appropriate for delegation.
Right Circumstance: Suitable environment and resources.
Right Person: The delegate is qualified and competent.
Right Direction/Communication: Clear instructions provided.
Right Supervision/Evaluation: Adequate monitoring and feedback.
Four categories of outcomes
Cognitive: Increased knowledge or intellectual behaviors.
Psychomotor: Development of new skills.
Affective: Changes in attitudes, values, or beliefs.
Clinical/Physiological: Resolution or improvement of health issues.
