Intro to Med Surg

Question 1

specialty practice of medical surgical nursing

Answer 1

promote, restore and maintain health for 18 and up

Question 2

six QSEn competencies

Answer 2

pt care, safety, collab, EBP, quality improvement, inform

Question 3

patient centered care attributes

Answer 3

respect for pt, values, info, communication, support, physical comfort

Question 3

patient centered care

Answer 3

pt is source of control and decisions

Question 4

care coordination

Answer 4

organization and communication about pt care activities btw team members

Question 5

safe transition management

Answer 5

leadership, identify pt at risk, psychosocial assessment, team involvement, pt/fam engagement, med reconciliation, transfer

Question 5

case management

Answer 5

ensures high quality and cost effective services and resources to achieve pos pt outcomes

Question 6

transition management

Answer 6

ensure safe and effective continuity of care with changes in health care status/setting/provider

Question 7

med reconciliation

Answer 7

compare pt current meds to those at time of admit, transfer and discharge

Question 8

med reconciliation includes

Answer 8

name, dose, frequency, route, and purpose

Question 8

just culture

Answer 8

blame free approach to ensure safety and report deviations

Question 9

safety

Answer 9

ability to keep pt/staff free from harm and minimize errors in care

Question 10

adverse event

Answer 10

variation that may cause changes/harm

Question 11

sentinel event

Answer 11

results in pt death or major harm that must be reported

Question 12

4 interprofessional education collaborative competencies

Answer 12

values, ethics, role responsibilities, teamwork, communication

Question 13

SBAR

Answer 13

method of hand off communication btw teams (situation, background, assessment, recs)

Question 14

delegation

Answer 14

transferring nursing task to UAP where nurse is still accountable for task

Question 15

supervision

Answer 15

guidance, eval, follow up by nurse to ensure task was done

Question 16

nurses can delegate to

Answer 16

assistive personnel, technicians, nursing assistants

Question 17

examples of delegation

Answer 17

turning, positioning, vitals, I/O

Question 18

evidence based practice

Answer 18

integration of current evidence to make decisions about pt care w clinical expertise

Question 19

5 rights of delegation

Answer 19

right task, circumstances, person, communication, supervision

Question 20

quality improvement

Answer 20

indicators used to monitor care outcomes and develop solutions to improve care

Question 21

informativs for pt care

Answer 21

communicate, manage knowledge, prevent errors, support decision making

Question 22

clinical judgement

Answer 22

observed outcome of critical thinking and decision making

Question 23

appropriate judgement “sound”

Answer 23

leads to positive outcomes

Question 24

inappropriate judgement “poor”

Answer 24

leads to risks and safety issues

Question 25

clinical judgement model

Answer 25

recognize/analyze cues, prioritize hypothesis, generate solutions, take action, eval outcomes

Question 26

rapid response team

Answer 26

intervenes at beginning of clinical decline to decrease complications

Question 27

systems thinking

Answer 27

ability to recognize, understand and synthesize interactions to improve outcomes

Question 28

health equity

Answer 28

recognize differences in resources and knowledgeh

Question 29

health care disparities

Answer 29

differences in access to and use of health care

Question 30

ethics

Answer 30

address issues and questions about morality

Question 31

autonomy

Answer 31

self determination

Question 32

beneficence

Answer 32

doing good for pt

Question 33

nonmaleficence

Answer 33

prevent harm

Question 34

fidelity

Answer 34

keep promises

Question 35

veracity

Answer 35

telling truth

Question 36

social justice

Answer 36

equity and fairness