CT 3 Flashcards
What kind of DM med is and isn’t taken during pregnancy
oral hypoglycemics are not taken
Insulin is taken
Does insulin cross the placenta?
No
Care for the Maternity Client with Diabetes: maintain blood sugar between
60 and 80
insulin administration the day before delivery
discontinue long-acting insulin
feeding a newborn of a DM mother
small frequent feedings starting an hour after birth
Gestational DM baby size
could be LGA
Could also be SGA because of vasoconstriction
Women who are DM or Gestationally DM often need
C section because the baby is LGA
Treatment for Gest DM woman after she delivers
Standard care except that they need blood sugar testing
It’s possible mom could get type 2 DM
Gest DM: Newborn care
They will be hypOglycemic
Give them oral glucose by bottle
Gest DM: babies are born preterm, watch out for
respiratory distress
HypOglycemia is more effected by
food amount than exercise level
Patient-centered Care
The patient is a full partner and in in control
Teamwork and collaboration
Working with other nurses and other HC workers
Quality improvement
using DATA to monitor outcomes
Make improvements
Safety: minimize harm through
system effectiveness and individual performance
Informatics
use technology to communicate, reduce errors, and support decisions
Value the process of reflective practice
Patient-centered Care
Act with integrity, consistency and respect for differing views
Teamwork and collaboration
Empower contributions of others who play a role in helping patients/families achieve health goals
Teamwork and collaboration
Follow communication practices that minimize risks associated with handoffs among providers
Teamwork and collaboration
Value different styles of communication
Teamwork and collaboration
Adhere to Institutional Review Board guidelines
EBP
Value the need for continuous improvement in clinical practice based on new knowledge
EBP
Explain common causes of variation in outcomes of care in the practice specialty
Quality Improvement
Analyze the differences between micro-system and macro-system change
Quality Improvement
Understand principles of change management
Quality Improvement
Use a variety of sources of information to review outcomes of care
Quality Improvement
Assert leadership in shaping the dialogue about and providing leadership for the introduction of best practices
Quality Improvement
Select and use tools (such as control charts and run charts) that are helpful for understanding variation
Quality Improvement
Design, implement and evaluate tests of change in daily work
Quality Improvement
Evaluate effective strategies to reduce reliance on memory
Safety
Describe processes used to analyze causes of error and allocation of responsibility and accountability
Safety
Describe methods of identifying and preventing verbal, physical and psychological harm to patients and staff
Safety
Promote a practice culture conducive to highly reliable processes built on human factors research
Safety
Engage in a systems focus rather than blaming individuals when errors or near misses occur
Safety
Prevent escalation of conflict. Respond appropriately to aggressive behavior
Safety
Evaluate the strengths and weaknesses of information systems used in patient care
Informatics
Evaluate benefits and limitations of different communication technologies and their impact on safety and quality
Informatics
Describe and critique taxonomic and terminology systems
Informatics
Serve as a resource for how to document nursing care
Informatics
Appreciate the need for consensus and collaboration in developing systems to manage information
Informatics
Value the importance of standardized terminologies
Informatics
