Fluff Flashcards
Function of National Patient Safety Goals
To try to prevent never events
Function of the institute for healthcare improvement
Another form of joint commission that chimes in with ideas like:
Rapid response teams
Med reconciliation
Care bundles
*Ventilator associated pneumonia bundle
What is the VAP bundle?
Ventilator associated pneumonia bundle = best practices to prevent VAP
Website for evidenced based clinical practice guidelines
Guideline.gov
2 examples of Professional networks to support nurses and critical care practice
American association of CC Nurses (AACN)
Society of CC medicine (SCCM)
What is an ethics committee?
Moral authority with no bias to help make decisions.
Involved are nurses, pharmacy, billing, CFO and chief nurse.
Must have bioethics background
Definition of negligence
Didn’t do something you were supposed to do
Definition of malpractice
Being sued for negligence (must have proof of negligence)
Definition of standard of care
The level at which the average, prudent provider at a given community would practice
RNs role in informed consent
Witness the pt signature and sign that we witnessed it
Not our job to interpret or clarify
3 things that must be documented to pronounce a patient brain dead
1 - bedside test
2- 24 hour EEG (brainwave study) - to see slowing or stopping of brainwaves
3 - Blood flow study
3 bedside tests that may be done as part of pronouncing a patient as brain dead
*Babinski
Cold choleric
Doll’s eyes test
Two types of blood flow studies to see slowing of blood in brain dead patients
Ventriculogram
Arteriogram
Definition of brain death
Complete, irreversible cessation of brain function
(Life support can be terminated based on state laws)
Definition of persistent vegetative state (PVS)
Person does not meet criteria for brain death but displays profound neurological impairment with little to no chance of recovery
What is the difference between ordinary and extraordinary care
Ordinary = common, noninvasive, tested treatments
all things you would do for every patient
Extraordinary = complex, invasive, and experimental treatments
much of the care in ICU (ex: vent, CPR, dialysis, Lucus machine)
What has to be done first if a patient has requested to be DNR?
Dr. Needs to put an order in for it.
Still need to code patient until the order is in
When should a nurse report a patient to donor services?
- Every actual death
- Imminent death (brain death)
Which network facilitates fair allocation of organs and tissue for transplant?
UNOS netowrk
(United Network of Organ Sharing)
What are a critical care nurses roles for organ donation?
- Referral
- Caring for the family
- Assisting with consent
- Assisting with determination of brain death & appropriate time for withdrawing life support
- Providing humane EOL care
