FON THEORY REVIEW PART 2 Flashcards

1
Q
  • oral/written exchange of info b/w healthcare professionals;
    pertinent info onlY
A

REPORTING

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2
Q

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

A

documentation

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3
Q

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

A

CHANGE OF SHIFT REPORTS

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4
Q

KEY ELEMENTS for reporting

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

3 FEATURES

A
  1. 2 way comm.
  2. Written support tools - establish priorities
  3. Content in handover captures problem & interventions
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6
Q

● RELEVANT INFO DURING C.O.S

A
  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
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7
Q

I PASS THE BATON -

A

IPASSBATON

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8
Q

name identifiers, ASL

A

Patient-

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9
Q
  • present chief complaint, VS, Dx
A

Assessment

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10
Q
  • current status
A

Situation

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11
Q
  • factors, allergies, lab reports
A

Safety concerns

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12
Q
  • fam history, MEDS
A

Background

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13
Q
  • what actions were taken?
A

Action

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14
Q

prioritization

A

Timing

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15
Q
  • who is responsible?
A

Ownership

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16
Q

anticipated change

A

Nex

17
Q

ISBAR

A

Introduction, Situation, Background, Assessment, Recommendation

18
Q

nurses’ prayer, greetings

A

Introduction

19
Q

start with pt. #1

A

Situation-

20
Q
  • chief complaint, brief summary of treatment
A

Background

21
Q

VS, pain scale, etc

A

Assessment

22
Q

plan on what to do to pt

A

Recommendation

23
Q

PACE

A

Patient
Assessment/action
Continue treatment/changes
Evaluation

24
Q

5 P’S

A

Patient, Plan, Problem, Purpose, Precautions,
Physician

25
Q

e.g ISBAR tool

A

T.O

26
Q

true or false: Only RN can receive TO

A

TRUE

27
Q

ALWAYS FOLLOW AN AUDIO ORDER

A

FALSE - NEVER

28
Q

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

A

TRUE

29
Q

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

A

FALSE - 24

30
Q
  • identifies self, countersign w/in 24 hrs
A

➔ PRESCRIBER -

31
Q
  • readback the order
A

RECEIVER

32
Q

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

A

Care plan conference

33
Q
  • 2 or more RN visit client at bedside
  • Brief summary of pt’s needs and interventions being
    implemented
A

Nursing rounds

34
Q

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

A

Purpose of Nursing Rounds