Final 🥞 Flashcards
Effective communication blocks
Casual banter Platitudes Advise/ concrete solutions Forming opinions Placing patient on the defensive Invalidating feelings Anger Mean body language Jumping to conclusions Disconfirming responses
Effective communication
Set aside other tasks Sit at eye level Give full attention Assist patient to form their own goals Restate what is said Use non-direct approach Listen carefully Apologize
Barrieres to accurate perception
Stereotypes
Assumptions
Inadequate time investment
Good listening v bad listen
Good Be open and accepting Neutral and professional Factual information Take action
Bad
Personal agenda
Criticize the speaker
Experiencing physical difficulty (headache etc..)
Therapeutic relationship v non therapeutic relationship
Therapeutic
Active listening
Clarifying
Sharing EMPATHY
Non Personal questions Confrontations SYMPATHY Asking for explanations Automatic responses
Boundary crossing vs boundary violations
Crossing
Crossing over boundary while still attempting to meet a therapeutic need for the patient
Violation
Confusion between the needs of the nurse and those of the patient
Alternative to discipline program/ADP
may require
Periodic random drug testing
Documented attendance of 12 step program
Professional support and/ or group council
Return to work contract
Designated workplace monitor Drug screening Standard for performance Restricted access to controlled substances No night shift
Informed consent
Risks of procedure
Alternatives to procedure
Risked of alternatives
No consent leads to assault
Diversion
Taking drugs for your own use from the treatment of others
Board of nursing
Oversight of nurses
Public protection
Licensing
Enforce laws of nursing practice /safety
Investigation to resolution
Complaint Communication Investigation Determination Response
Closed
Informal / formal negotiated discipline action ADP
Administrative hearing :requires evidence board decided conclusion
Substance abuse
Identify and report
Intervention
Diagnose and treatment
Monitoring
Misuse to dependency to addiction
Ethics
Ones individual view on what is right or wrong /moral compass
Based on: Religion Culture Family background Politics Personal exp
How to decide Stop and think Clarify goals Self restraint Determine the facts Develop options Consider consequences Make you choice Can you live with it?
6 unifying principles
Trustworthiness Respect Responsibility Fairness Caring Citizenship
Culture competent care
Be open minded Patient centered care / dignity Respect patient cultural needs Learn about other cultures and care Be sensitive/get translators when needed
Legal pitfalls to avoid
Neglecting to make safer a priority Failing to spot and report violence Not filling standards of care Failing to monitor asses or communicate Not being careful when doing procedures Giving wrong medication wrong dose or wrong time Diverting medication Hippa breach Failing to act like a professional Failing to communicate Not following documentation guidelines Acting outside of the dope of practice
Documentation guidelines
Begin entry with date and time
End each entry with with your nursing signature / credentials
Write legibly in black
Use clear objective language / be factual
Do not criticize patient / caregivers
Do not give opinions
Nursing notes should be completed accurately complete and organized in chronological order
Always make an entry even if it is late
Correct all errors / do not erase white out or cross out / draw single line through error don’t lane as error only initial and date
Never alter a patient’s record
Do not leave blank spaces
Document only for yourself
Do not share password
Living will
A will that tells you which treatments you want if you are dying or permanently unconscious you can accept or refuse medical care
Advance directives
Legal documents that allow you to spell out your decision of end of life care ahead of time
Durable power of attorney
A durable power of attorney for health care is a document that claims your health care proxy who can make decisions in healthcare if you are not able too
DNR
Do not resuscitate or do nothing if one is dying
Law suits must prove negligence
1 nurse owed a duty to a patient
2 nurse did not carry out that duty
3 the patient was injured
4 the injury was caused by the nurses failure in complete if their duty
Conversion chart
1 g = 1000 mg
1 L = 1000ml
5ml = 1tsp
15ml = 1 Tbsp
30 ml = oz
28 g = oz
1 kg = 2.2 lb
Madeleine leininger
Nurse who spent time in Papa new guiñe with indigenous tribes to find out more about their cultures view on health and healing came up with the culture care theory
Culture care theory
theory that emphasizes culture and care as essential concepts in nursing
provide care measures that are in harmony with an individual or group’s cultural beliefs, practices, and values
Ana code of ethics
Provision 1: practice respect compasión dignity for everyone
Provision 2: commitment to the patient
Provision 3:protect health safety and rights of the patient
Provision 4: accountable for individual nursing practice and aprópiate designated tasks to perform optimum patient care
Provision 5: same duties to herself as others preserve integrity and safety
Provision 6:nurse participates in establishing maintaining and improving health care environments and conditions
Provision 7: participates in advancements through practice, education, administration, and knowledge development
Provision 8: the nurse collaborated with others in order to better care for patients
Provision 9: maintains the integrity of the profession
