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Nursing Services > Final Sem 1 > Flashcards

Final Sem 1 Flashcards

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1
Q

What are the 3 values of HCA?

A

commitment, compassion, competence

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2
Q

Kapolei High School would like its graduates to be…

A

college, community, career ready

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3
Q

What is the Hippocratic Oath?

A

oath of ethics taken by physicians
“maxim primim non nocere”
“first do no harm”

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4
Q

What does autonomy mean?

A

acknowledge that others have the decision making capacity

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5
Q

What does non-maleficence mean?

A

to not inflict harm on others

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6
Q

What does beneficence mean?

A

charity, mercy, kindness, doing good to others

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7
Q

What does justice mean?

A

integrity, fair, and equitable

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8
Q

HIPAA stands for?

A

Health Insurance Privacy and Accountability Act

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9
Q

When was HIPAA passed?

A

1996, (2003 Nationalized)

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10
Q

Who has the right to privacy?

A

those providing care

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11
Q

Confidentiality is about preventing?

A

someone hearing/seeing private health records and any other information unless they have proper authorization

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12
Q

Why do we need to be more concerned about health information?

A

health information is in electronic form, security is a must

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13
Q

Who had to follow HIPAA rules?

A
  • health plans and health insurance companies
  • health care billing services
  • health care workers
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14
Q

What kind of information does HIPAA protect? Give 5 examples

A
  • a person’s past/future/present health information
  • health tx/dx
  • payment for health services
  • name
  • date of birth
  • digits
  • medical record # (MRN)
  • SSN
  • employer
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15
Q

What is DNI, DNR, DNAR, and Full-Code?

A

DNI: do not intubate
DNR: do not resuscitate
DNAR: do not attempt to resuscitate
Full-Code: all procedures performed to keep alive

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16
Q

When thinking about the Patient’s Bill of Rights, the patient has the right to _____ and _____ care.

A

considerate; respectful

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17
Q

What does auscultate mean?

A

listening to the sounds of your heart, lungs, arteries and belly (abdomen)

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18
Q

What does palpate mean?

A

to feel

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19
Q

AIDET, PACE, SPIDIC

A

AIDET: Acknowledge, Introduction, Duration, Explanation, Thank-You
PACE: Presence, Anticipation, Communication, Empathy
SPIDIC: Safety, Privacy, Independence, Dignity, Infection-Control, Communication

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20
Q

What is LTC?

A

Long Term Care

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21
Q

What type of care does LTC provide?

A
  • provide care to persons whose conditions are stable but need monitoring, and nursing care, txs.
  • many are elderly BUT if patient meets requirement for admission then OK.
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22
Q

What are three functions of a Health Care Facility?

A
  • provides services for ill and injured
  • reducing risk factors and preventing disease
  • promoting individual and community health
  • educating healthcare workers
  • promoting research in medicine and nursing
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22
Q

What is a multi-skilled worker?

A
  • being/can cross-trained to perform additional skills
  • enables them to do more than one kind of work
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23
Q

How is healthcare paid for?

A

insurance

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24
Q

What does the Affordable Care Act provide?

A
  • healthcare insurance to pay for preventive care
  • keep uninsured adult, children, under 26 on coverage plan
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25
Q

What facilities are included in short-term care?

A
  • hospital
  • urgent care
  • surgicenter
  • outpatient clinics
  • psychiatric hospitals
  • physicians office
  • acute care
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26
Q

What facilities are included in long-term care?

A
  • long term care hospitals (more than 25 days)
  • subacute and transitional care facilities
  • SNF and NF
  • respite care (temporary relief to allow caregiver time off)
  • group homes and highly specialized LTC facilities
  • home care
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27
Q

When it comes to continuum of care, what does transitions mean?

A

movement of patient between various locations in which care is given as their needs change

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28
Q

What do “transitions” include?

A
  • educating patient and family
  • coordinating health care services that will be needed for discharge
  • making phone calls and visits in the patient’s new locations
  • ensuring that the transition is safe and satisfying to the patient
  • providing important information to the patients next care provider
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29
Q

What increases with each “transition”?

A

risk of poor communication, lack of coordination, potential errors

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30
Q

What are some departments in a “hospital organization”?

A
  • medical department
  • surgical department (PAR/PACU)
  • SNF
  • obstetrics
  • emergency department
  • critical care department
  • dietary services
  • pharmacy
  • diagnostic services
  • laboratory
  • rehab services
  • social services
  • pastoral care
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31
Q

What is Quality Assurance?

A

meets to evaluate care and improve practices in the facility

32
Q

Surveys are done because…

A

review and evaluate to ensure that facilities are maintaining acceptable standards of practice

33
Q

Facilities have to have a _____ to conduct business

A

license

34
Q

Most facilities have _____ if _____ and _____ payments

A

certifications needed; you want to collect Medicare; Medicaid

35
Q

What is voluntary…

A

Process in which a professional organization recognizes a facility for demonstrating its ability to meet certain quality standards

36
Q

What is a magnet hospital?

A

facilities that adhere to the American Nurses Association

37
Q

What is SNF?

A

Skilled Nursing Facility, nursing/therapy care that can be safely performed

38
Q

What is the Interdisciplinary Care Team?

A

patient, physician, nursing team, therapist (ot, pt), other specialists, family members

39
Q

Who provides direct-patient care

A

nursing team

40
Q

I can become an RN through _____ or _____ year programs

A

2; 4

41
Q

What is an APRN and NP?

A

with a masters/advanced degrees

42
Q

Name the specialty services

A
  • Chaplain
  • Dietician
  • Occupational Therapy
  • Orthotist
  • Physical Therapy
  • Respiratory Therapy
  • Social Worker
  • Speech Language Pathologist
43
Q

What are three ancillary services?

A
  • Pharmacist
  • Phlebotomist
  • Lab Tech
  • Administrator
  • Environmental Services
  • Volunteers
44
Q

The NA performs ____ ____

A

delegated tasks

45
Q

What does OBRA stand for?

A

Omnibus Budget Reconciliation Act

46
Q

When was OBRA passed?

A

1987

47
Q

What are three things that the NATCEP must include in its curriculum?

A
  • basic nursing skills, infection control
  • mental health and social services needs
  • personal care skills
  • resident right and good communication
  • safety and emergency care
  • continuing education
48
Q

What is scope of practice?

A

means the skills the NA is legally permitted to carry out

49
Q

Know the typical descriptions for NA

A
  1. Assist w/ patient assessment and care planning
  2. Assist patients in meeting nutrition and elimination needs
  3. Assist patients with mobility
  4. Assist patients with personal hygiene and grooming
  5. Assist with patient and anxiety relief
  6. Assist in promoting patients safety and environmental cleanliness
  7. Assist with unit management and efficiency
50
Q

_____ is a learned quality

A

Professionalism

51
Q

Demonstrating professionalism…

A
  • dressing appropriately in class and in clinical
  • arrive for class prepared and before call time
  • complete assignments w/o offering excuses
  • make good first impressions
  • strive for accuracy in your assignments/patient care documentation
  • do not miss class
  • be polite and respectful, demonstrate courtesy and maturity
  • let patients know that assisting them is a pleasure
52
Q

How long should fingernails be?

A

not exceed 1/4 in beyond the fingertip

53
Q

What is EBP and why is it important?

A

EBP: Evidence Based Practice
- guides decision making by identifying evidence for a practice or activity
- realized that scientific evidence is needed to validate nursing practice

54
Q

Who delegates tasks?

A

RN

55
Q

What are the Five Rights of Delegation?

A
  1. Right person
  2. Right direction and communication
  3. Right supervision
  4. Right task
  5. right circumstance
56
Q

What should the nursing process look like?

A

accurate, succinct, easy to understand, thorough, complete, consistent, analytical, logical, neutral, fair

57
Q

Know the ten time management and organization

A
  1. Establish and develop a systemic daily routine for things
  2. Practice good communication skill with patients and families while making rounds; avoid being defensive, if pt/family members complain; report complaints/needs to nurse
  3. Determine which patients need frequent monitoring
  4. Develop a personal plan for organizing your time by: being realistic, write down plan, complete top priorities first
  5. Be flexible, expected the unexpected
  6. Accept that your priorities might change
  7. Avoid repetition; do things right the first time
  8. Plan to do things simultaneously
  9. Communicate with colleagues; treat others with dignity, respect, integrity
  10. Be assertive
58
Q

What is hand-off communication

A

when the responsibility for a patient changes from one person to another

59
Q

What is informed consent?

A

the person gives permission for care after full disclosure of the purpose of procedure, benefits, and risk involved

60
Q

Advanced directives…

A

documents that describe the consumers wishes for treatment and end-of-life care if the person is unable to communicate or make healthcare decisions

61
Q

What is an ombusman?

A
  • person who advocates for patients and residents of healthcare facilities
  • not an employee, volunteer, or staff
  • monitor facility conditions, assists with problems and complaints, and assist in quality care
62
Q

What is the most basic rule of ethics?

A

life is precious

63
Q

What is the platinum rule?

A

shifting the focus form treating everyone alike to providing individualized patient-focused care by placing patient interests first. Fulfilling legal and ethical obligations

64
Q

How do you follow Legal Issues?

A
  • stay within your scope of practice
  • use good judgment
  • keep your skills up to date
  • request guidance from the RN
  • always keep safety and well being of patient foremost in your hand
65
Q

What is negligence?

A

failure to exercise the degree of care that is reasonable in particular situation

66
Q

What is defamation?

A

false statements

67
Q

Slander vs. Libel

A

slander: verbally
libel: writing

68
Q

What is malpractice?

A

improper, negligence or unethical conduct that results in injury or loss to a patient

68
Q

What is malpractice?

A

improper, negligence or unethical conduct that results in injury or loss to a patient

69
Q

_____ & _____ are the hallmarks of _____ & _____ NA

A

honesty; integrity; sincere; conscientious

70
Q

What is false imprisonment?

A

restraining a person’s movements or actions without proper authorization

71
Q

What is the difference between assault and battery?

A

Battery: ACTUALLY touching a person without consent
Assault: ATTEMPT

72
Q

Being under-involved can be viewed as…

A

neglect

73
Q

When it comes to SNS… facilities do not that people in the community think that their employees…

A
  • lack empathy
  • use making fun of patients
  • disrespecting patients
  • do not take patient illnesses or misfortunes seriously
74
Q

What are membranes?

A

sheets of epithelial tissue supported by connective tissue
- cover the body
- line body cavities
- produce same body fluids

75
Q

What is mucous membrane?

A

produce mucous
lines body cavities that open to the outside
- respiration
- digestive
- genitourinary
- eyelids

76
Q

What is serous membrane?

A
  • produce serous fluid
  • cover the organs and line closed cavities of the body
  • reduce friction as organs move
  • pericardium: surrounds heart
  • pleural: surrounds lungs and thoracic cavity
  • meninges: cover brain and spinal cord, lines dorsal cavity
77
Q

What is synovial membrane?

A
  • produce synovial fluid
  • lines joint cavities
  • reduce friction between bones, joints, tendons

Nursing Services (4 decks)

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