High Acuity Nursing Flashcards
What is a key process and starting point when assessing patients in clinical settings?
ADPIE - specifically assessment
What are intermediated medical care units (IMCU) intended for?
For pts needing close observation, but not in need of life-saving, critical interventions
In the triage prioritization model what is considered priority 1?
acutely ill patients requiring life saving, critical interventions
In the triage prioritization model what is considered priority 2?
seriously ill patients possibly in need of immediate medical interventions
In the triage prioritization model what is considered priority 3?
critically ill patients, who will not likely recover from their disorders
In the triage prioritization model what is considered priority 4?
patients who might be terminally ill
What are advantages of technology in the ICU?
- allows for close monitoring of pts
- provides programs to diagnose pt disorders
- source of readily available reference information
What are disadvantages of technology in the ICU?
- depersonalization of the pt
- overload
- over - reliance
- nurse / caregiver burnout
What does “taming the technology mean”?
connecting on a human level despite the presence and dominance of technology
What is cultural competence?
self-awareness of one’s own to communicate thoughts and feelings about others with different backgrounds
- knowledge
- respect
- understanding
- acceptance
What is the CRASH model?
consider Cultures
show Respect
Assess and Affirm differences
show Sensitivity and Self-awareness
provide care with Humility
What are causes of nursing burnout?
- nursing shortages
- long work hours
- loss of concentration
- repeated exposure to pts during suffering
- feelings of powerlessness
- exposure to pain and traumatic loss
What are work related factors that improve the ability of the nurse to manage stress
- positive social climate
- managerial support
- staff cohesiveness
- availability of debriefings
What are needs of the family of the pt with high-acuity illness?
information, comfort, support, accessibility, assurance
What are educational needs of pts and families?
- information about pt progress
- informed decision making
- acknowledgement of the past
- optimal learning environment
- orientation to routines and care
- support
What are barriers to learning for the high-acuity patient?
- condition related fatigue
- communication barriers
- pain
- medications
What is transfer anxiety?
Care result from movement to a less-acute care unit
Environmental Stressors for pts in high acuity environments?
- sensory overload
- sensory deprivation
- pain
- loss of sleep
What is kinetic injury?
Injury caused by motion
- blunt trauma or penetrating trauma
What is blunt trauma?
shearing, accelerations and deceleration, compression
What is penetrating trauma?
low to medium energy missiles, secondary missiles, high energy missiles
What does AVPU stand for?
Alert, Verbal Response, Pain response, Unresponsive
What is the primary survey?
ABCDE - a systematic approach to assessing pt, trauma is viewed as a multi system disease
What is the secondary survey?
Head to toe assessment, thorough assessment of each body system, roll patient to see all wounds in all areas of pts body, AND resume primary survey (ABCDE) if patient becomes stable
What are the 3 peak periods of death from trauma?
1st peak - within minutes of injury
2nd peak - within 2 hours of injury
3rd peak - within days to weeks after injury
