Implementing Nursing Care Flashcards

1
Q

When does implementation begin?

A

After you develop a patient’s plan of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are direct care interventions?

A

Treatments that nursed provide through interactions with patients or a group of patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are indirect care interventions?

A

Treatments performed away from a patient but on behalf of the patient or group of patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Two examples of indirect patient care interventions:

A

Documentation

Interprofessional collaboration
- Communicating nursing interventions (written or oral)
- Delegating, supervising, and evaluating the work of other staff members

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Benefits of standard interventions

A

Allow nurses to act more quickly and appropriately
Help capture patient care info that can be shared across disciplines and care settings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Examples of types of standard interventions

A

Clinical practice guidelines and protocols
Care bundles
Standing orders
Nursing interventions classification (NIC) interventions
Standards of practice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are clinical practice guidelines and protocols?

A

A systematically developed set of statements about appropriate health care for specific health care problems or clinical situations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is a care bundle?

A

Group of interventions related to a disease process or condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are standing orders?

A

Preprinted document containing medical orders
Directs patient care in a specific clinical setting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are NIC interventions?

A

Common interventions recommended for various nursing diagnoses/nursing problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which standards of practice do nurses use as evidence of the standard of care provided to patients

A

ANA standards of professional nursing practice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the Quality and safety education for nurses (QSEN)?

A

Standard competencies in knowledge, skills, and attitudes for the preparation of future nurses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When using critical thinking in implementation, what should nurses do?

A
  • Review all possible nursing interventions for the patient’s problem
  • Review all possible consequences associated with each possible nursing action
  • Determine the probability of all possible consequences
  • Judge the value of the consequence to the patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

*What does implementation always begin with?

A
  • Reassessing your patient
    (This is a continuous process each time you interact with your patient)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does reassessing a patient before implementation entail?

A

Reviewing and revising the existing nursing care plan
- Revise assessment data to reflect current status
- Revise nursing diagnosis, goals, and outcomes
- Select or revise interventions
- Choose methods of evaluation to determine whether outcomes were met

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  • Which steps should nurses take to prepare for implementation?
A
  • Time management
  • Equipment
  • Personnel (can you perform the intervention? Do you need to delegate it to someone else? Or have another RN assist you?)
  • Environment (patient safety)
  • Patient (must be physically and psychologically comfortable first)
17
Q

How should you prevent complications during implementation?

A
  • Identify risks to the patient
  • Adapt interventions to the situation
  • Evaluate the relative benefit of treatment vs. the risk
  • Initiate risk-prevention measures
18
Q

How can you identify areas of assistance during implementation?

A

Seek info about a procedure
Collect all necessary equipment
Consider consequences of performing the procedure
Request another nurse’s assistance and guidance

19
Q

Which type of implementation skills do we perform as nurses?

A

Cognitive skills
Interpersonal skills
Psychomotor skills

20
Q

What are cognitive skills?

A

Critical thinking and decision making

21
Q

What are cognitive skills?

A

Decision making and critical thinking

22
Q

What are interpersonal skills?

A

Developing a trusting relationship
Expressing caring
Communicating clearly with patients and their families

23
Q

What are psychomotor skills?

A

Integrate cognitive and motor skills
Ex: when giving and injection, you need to understand A&P

24
Q

What are ADLs?

A

Direct care measures usually performed during a normal day

25
Q

What are instrumental ADLs?

A

Activities that support daily life and are oriented toward interacting with the environment

26
Q

What are physical care techniques?

A

The safe and competent administration of nursing procedures

27
Q

What is patient adherence?

A

Patients and families invest time in carrying out required treatments