FON THEORY REVIEW PART 2

Question 1

• oral/written exchange of info b/w healthcare professionals;
  pertinent info onlY

Answer 1

REPORTING

Question 2

provides an accurate reflection of nursing assessments, changes in clinical state, care provided and pertinent patient information

Answer 2

documentation

Question 3

given to the next shift; orally/audiotape; Healthcare institution
Must use standardized procedure for handoff communication

Answer 3

CHANGE OF SHIFT REPORTS

Question 4

KEY ELEMENTS for reporting

Answer 4

1. Up to date info
2. Interactive comm.
3. Method of verifying
4. Minimal interruption
5. Opportunity for receiver to review relevant data

Question 5

3 FEATURES

Answer 5

1. 2 way comm.
2. Written support tools - establish priorities
3. Content in handover captures problem & interventions

Question 6

● RELEVANT INFO DURING C.O.S

Answer 6

1. Follow order
2. Basic identifying info for each client
3. New clients
4. Change in condition
5. Provide exact info on special procedures
6. Report client’s needs
7. New orders for the pt
8. Priorities of care at start of new shift
9. Be concise
10. Incorporate verification process

Question 7

I PASS THE BATON -

Answer 7

IPASSBATON

Question 8

name identifiers, ASL

Answer 8

Patient-

Question 9

• present chief complaint, VS, Dx

Answer 9

Assessment

Question 10

• current status

Answer 10

Situation

Question 11

• factors, allergies, lab reports

Answer 11

Safety concerns

Question 12

• fam history, MEDS

Answer 12

Background

Question 13

• what actions were taken?

Answer 13

Action

Question 14

prioritization

Answer 14

Timing

Question 15

• who is responsible?

Answer 15

Ownership

Question 16

anticipated change

Answer 16

Nex

Question 17

ISBAR

Answer 17

Introduction, Situation, Background, Assessment, Recommendation

Question 18

nurses’ prayer, greetings

Answer 18

Introduction

Question 19

start with pt. #1

Answer 19

Situation-

Question 20

• chief complaint, brief summary of treatment

Answer 20

Background

Question 21

VS, pain scale, etc

Answer 21

Assessment

Question 22

plan on what to do to pt

Answer 22

Recommendation

Question 23

PACE

Answer 23

Patient
Assessment/action
Continue treatment/changes
Evaluation

Question 24

5 P’S

Answer 24

Patient, Plan, Problem, Purpose, Precautions,
Physician

Question 25

e.g ISBAR tool

Answer 25

T.O

Question 26

true or false: Only RN can receive TO

Answer 26

TRUE

Question 27

ALWAYS FOLLOW AN AUDIO ORDER

Answer 27

FALSE - NEVER

Question 28

Write the order, readback, record time & date, Name & sign the oder & countersign to other RN, transcribe TRUE OR FALSE

Answer 28

TRUE

Question 29

Physician verbally acknowledge the readback & sign w/in 48 hrs

Answer 29

FALSE - 24

Question 30

- identifies self, countersign w/in 24 hrs

Answer 30

➔ PRESCRIBER -

Question 31

- readback the order

Answer 31

RECEIVER

Question 32

meeting of nurses to discuss solutions to problems abt pt’s condition

Answer 32

Care plan conference

Question 33

- 2 or more RN visit client at bedside - Brief summary of pt’s needs and interventions being implemented

Answer 33

Nursing rounds

Question 34

obtain info, provide opportunity to discuss with pt the plan of care, evaluate

Answer 34

Purpose of Nursing Rounds