Intro, Periop, Delegation Flashcards
How can a nurse promote safety in nursing practice?
minimize the risk of harm to patients and providers
- follow safety recommendations
- communicate and report any hazards/errors or unsafe conditions
- contribute to improve safety
- reduce workplace violence
How to develop cultural competence? Cultural Awareness.
- understand your cultural background, values, and beliefs, especially as r/t health & healthcare
- examine your own cultural biases towards people whose cultures differ from your own culture
How to develop cultural competence? Cultural Knowledge.
- learn basic information about predominant cultural groups in your area
- assess patients for the presence or absence of cultural traits
- do NOT make assumptions based on cultural background
- read research studies that describe cultural difference
- read ethnic newspaper articles and books
View documentaries about cultural groups
How to develop cultural competence? Cultural Skill.
- be alert for unexpected responses w/ patients, especially as r/t cultural issues
- become aware of cultural differences in predominant ethnic groups
- develop assessment skills to do a competent cultural assessment of any patient
- learn assessment skills for different cultural groups, including cultural beliefs and practices
How to develop cultural competence? Cultural Encounter.
- create opportunities to interact w/ different cultural groups
- attend cultural events
- visit markets and restaurants in ethnic neighborhoods
- explore ethnic neighborhoods, listen to different types of ethnic music, learn games
- visit or volunteer at health fairs in local ethnic neighborhoods
What are some interventions to promote health equity?
- treat all patients equally
- be aware of your own biases
- learn about services that focus on specific cultural/ethnic groups
- inform patients about health care services available for their specific cultural/ethnic group
- recognize health care & cultural practices that are important to cultural & ethnicity
- take part in research focused on improving care for culturally and ethnically diverse populations
- identify stereotypic attitudes toward culture/ethnic groups that may interfere w/ getting appropriate healthcare
- support patients who are fearful about traveling outside their accepted neighborhood for health care services
- advocate for patients to receive health care services that pay attention to English-language limitations and cultural health practices
- learn advocacy & interpersonal strategies from leaders of specific cultural/ethnic groups
- ensure the availability of culturally appropriate patient education resources
What are some health inequalities that patients in the LGBTQ+ community face?
- many stem from stigma and discrimination
22% of LGB and 29% of transgender people live in poverty (compared to 16% cisgender) - rates of substance use (alcohol, tobacco) are 2x as high
- mental health issues such as depression & anxiety are higher
- higher rates of violence & victimization, cancer, and obesity
What is the job of the circulating nurse, nonsterile?
- helps prepare room; ensures equipment is in working order & sterile
- monitors practice of aseptic technique in self & others
- confirms informed consent is present and the patient has no questions
- takes part in surgical time-out
- records intraoperative care; keeps count of sponges, needles, etc.
- gives hand-off report to PACU nurse (SBAR)
What is the job of the scrub nurse, sterile?
- helps prepare the OR
- completes surgical hand antisepsis and gowns and gloves self and other members of the surgical team
- takes part in surgical time-out
- passes instruments to surgeon and assistants
What are some common intraoperative nursing activities?
Maintain safety
- the integrity of the sterile field
- ensure sponge, needle, instrument, and medical device counts are correct
- positions patient to prevent injury
- prevents chemical injury from prepping solutions
Monitors physical status
- monitor & report changes in vital signs
- monitors blood loss and urine output
Monitor Psychological status
- emotional support
- ensure the patient’s right to privacy
- communicates patient emotional status to the healthcare team
How to manage Tongue falling back (Respiratory Complication)?
patient stimulation, head tilt-jaw thrust, artificial airway
How to manage Laryngeal edema (Respiratory Complication)?
O2 therapy, antihistamines, corticosteroids, sedatives, possible intubation
How to manage Retained thick secretions (Respiratory Complication)?
suctioning, deep breathing & coughing, IV hydration, Chest PT
How to manage Aspiration (Respiratory Complication)?
O2 therapy, cardiopulmonary support, antibiotics
How to manage Atelectasis (Respiratory Complication)?
Humidified O2 therapy, deep breathing, Incentive spirometry, early mobilization
