High-Acuity Nursing Flashcards
What is the confusion assessment method for the ICU used to assess?
Delirium
How many levels are there for ICU centers?
three (I,II, and III)
What is the benefit of having intermediate care units?
They provide an efficient distribution of resources
Which priority level indicates that the client is acutely ill and unstable and requires intensive treatment and monitoring that cannot be provided outside the ICU?
Priority 1
Evidence suggests that which factor reduces mortality and life-threatening complications in the hospitalized client?
Constant surveillance of clients by nurses
A hospital with an ICU that has the capability of providing comprehensive care to most critically ill clients but not to trauma clients meets the criteria for which level ICU?
II
What is the most significant development that contributed to the shortage of nurses?
The passing of the Affordable Care Act in 2010
Who needs to be contacted before life support may be removed?
Donor Network
When can a UAP perform tasks?
UAP perform only those tasks delegated to them by a professional nurse
What does the designation of Magnet status indicate?
The hospital uses practice models that promote professional nursing.
According to some, ICU resources should be used for which clients?
Those who have the greatest possibility of benefiting
What is a major advantage of having technology available in a high acuity environment?
the patient’s status can be continuously monitored
Why may technological devices lead to a feeling of depersonalization?
Little surface area may be left over for physical contact of the patient once all of the devices are connected
What are the hazards in the inherit use of technology?
Fragmenting clients into subpopulations,
Increasing the nurse’s stress level, and increasing nurse dependence on machines for decision making
What are negative effects of using technological devices in the high acuity setting?
They present mechanical impediments to touching.
They may evoke fear in clients.
They lead to a feeling of depersonalization.
They may increase client anxiety
What should be the focus of care of the high-acuity client?
Individual client needs
What should the nurse use to validate the technologic data?
Nursing assessment data
What are the six standards identified by the AACN to create and sustain a healthy practice environment for nurses?
skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, and authentic leadership
What are some current reasons for burnout in the nursing profession?
decreased staffing, long working hours, and loss of concentration
What is a structured group discussion that occurs within several days following a crisis that is designed to address symptoms of stress, assess the need for follow up and provide a sense of closure?
Critical incident stress debriefing
What are the components of a healthy work environment?
True collaboration
Appropriate staffing
Authentic leadership
Skilled communication
Critical incident stress debriefings (CISDs) can be used for which purposes?
Address staff symptoms of stress
Provide staff with a sense of closure
Assess the need for follow-up
The term burnout refers to which feelings?
Personal and professional frustration
Physical and emotional exhaution
Job dissatisfaction
Which factors can help buffer the negative effects of stress?
Positive social climate
Managerial support
Cohesiveness among staff
What are healthcare errors considered?
A public health problem
What is the Joint Commission’s mission?
to continuously improve the safety and quality of care provided to the public
What does TJC recommend when the person preparing a medication differs from the one administering it?
all medication labels be verified both verbally and visually by two people
What is the goal of a rapid response team?
enable healthcare staff members to directly request additional assistance from a specially trained individual when the patient’s condition seems to be worsening
What is confirmed during a time out?
the correct patient, site, positioning, and procedure are identified; all relevant documents (such as a consent form) have been signed; and necessary equipment is available
What does a computerized provider order entry (CPOE) do?
block incorrect medication orders, warn against drug interactions, allergies, and overdoses
What do the current client safety and healthy work environment cultures in the high-acuity environment promote?
An increase in error reporting and systems improvement
Which factors contribute to medical errors?
Staffing ratios
Overtime
Excessive documentation
What must be done to ensure client safety before a percutaneous tracheostomy is placed at the bedside?
The correct client, site, and procedure should be identified during a time-out.
What is the proper procedure to ensure client safety when the nurse is preparing a medication that will be administered to the client by another person?
Labels should be verbally verified by the two healthcare providers.
Labels should be visually verified by the two healthcare providers
