Clinical Judgment & Communication Flashcards
Problem Solving order
Obtain information then use additional information to what they already know to find solution, evaluate solution for effectiveness over time, try different options if problem reoccurs, continue eval over time, obtain more info, use Info in addition to what already known
Decision making
Product of critical thinking, focus on problem, resolution and consequences allowing for a well seasoned decision
Nursing Process
AAPIE
Assement
Analysis
Planning
Implementation
Evaluation
Change of shift report
Transfers from closing shift to opening shift, vice versa. To inform nurses important information about what had happened during their shift and other things needed
Report sequence
- Background Info
- Assessment (what was found during the shift)
- Nursing Diagnosis
- Teaching plan
- Treatments plan (PRN or what is given)
- Family information
- Discharge plans
ISBARR
Intro: Patient, room #, name
Situation: what are we calling about
Background: Reason in hospitals, Vitals
Assessment: What was the problem from
Recommendation
Repeat: recommendation