Intro to Med Surg Flashcards
specialty practice of medical surgical nursing
promote, restore and maintain health for 18 and up
six QSEn competencies
pt care, safety, collab, EBP, quality improvement, inform
patient centered care attributes
respect for pt, values, info, communication, support, physical comfort
patient centered care
pt is source of control and decisions
care coordination
organization and communication about pt care activities btw team members
safe transition management
leadership, identify pt at risk, psychosocial assessment, team involvement, pt/fam engagement, med reconciliation, transfer
case management
ensures high quality and cost effective services and resources to achieve pos pt outcomes
transition management
ensure safe and effective continuity of care with changes in health care status/setting/provider
med reconciliation
compare pt current meds to those at time of admit, transfer and discharge
med reconciliation includes
name, dose, frequency, route, and purpose
just culture
blame free approach to ensure safety and report deviations
safety
ability to keep pt/staff free from harm and minimize errors in care
adverse event
variation that may cause changes/harm
sentinel event
results in pt death or major harm that must be reported
4 interprofessional education collaborative competencies
values, ethics, role responsibilities, teamwork, communication
SBAR
method of hand off communication btw teams (situation, background, assessment, recs)
delegation
transferring nursing task to UAP where nurse is still accountable for task
supervision
guidance, eval, follow up by nurse to ensure task was done
nurses can delegate to
assistive personnel, technicians, nursing assistants
examples of delegation
turning, positioning, vitals, I/O
evidence based practice
integration of current evidence to make decisions about pt care w clinical expertise
5 rights of delegation
right task, circumstances, person, communication, supervision
quality improvement
indicators used to monitor care outcomes and develop solutions to improve care
informativs for pt care
communicate, manage knowledge, prevent errors, support decision making
clinical judgement
observed outcome of critical thinking and decision making
appropriate judgement “sound”
leads to positive outcomes
inappropriate judgement “poor”
leads to risks and safety issues
clinical judgement model
recognize/analyze cues, prioritize hypothesis, generate solutions, take action, eval outcomes
rapid response team
intervenes at beginning of clinical decline to decrease complications
systems thinking
ability to recognize, understand and synthesize interactions to improve outcomes
health equity
recognize differences in resources and knowledgeh
health care disparities
differences in access to and use of health care
ethics
address issues and questions about morality
autonomy
self determination
beneficence
doing good for pt
nonmaleficence
prevent harm
fidelity
keep promises
veracity
telling truth
social justice
equity and fairness
