module 1.1 Flashcards
is analysis of data a part of assessment?
yes
what are the two types of patient problems?
nursing diagnoses and collaborative problems
how is a collaborative problem different from a nursing diagnoses?
Collaborative:The nurse cant legally order the primary interventions to achieve a goal. Physiologic complications or potential problems that require involving other health care professionals eg Dr or OT. Its the nurses role to carry out the prescriptive orders. They are addressed using Dr interventions and nursing interventions.
when treating a collaborative problem what is the primary focus of nursing?
monitoring pts for the onset of complications or changes in the status of existing complications
during planning how can you prioritize needs?
By urgency of the issue. (ABCDE) By using Maslow’s hierarchy
components of planning and order in which they occur?
setting priorities, establishing expected outcomes, establishing goals
when are the patient and family included in establishing goals for the nursing actions
after prioritizing and establishing expected outcomes and the appropriate nursing actions to achieve those goals
after the combination of NANDA, NIC, and NOC into a taxonomic shceme what are the four clinical domains? an example of each
- functional eg sexuality, self-care, sleep, nurtrition
- physiologic eg tissue integrity, cardiac fx, fluid and electrolyte
- psychosocial eg roles, coping
- environmental (the diagnoses, outcomes, and interventions that promote and protect the environmental health and safety of indiv, communities etc) eg risk management, health care system, populations
components of IDRAW and what IDRAW is best used for
- Best used for patient handover
- I= two pt identifiers and the most responsible pratitioner
- D= diagnosis and current problems
- R=recent assessment changes and relevant vital signs
- A=anticipated changes or tasks needing attention in the imminent future
- W=the opportunity to ask questions and clarify (what should I be worried about?)
SBAR. what info do you include for S?
s=situation
-state your name, unit, and client name
SBAR. what info do you include for B?
B=background
- client admission diagnosis and date of admission
- pertinent medical hx
- brief summary of treatment to date
- (if nec.) code status
SBAR. what info do you include for A?
a=assessment
- vitals
- pain scale
- change from prior assessments
SBAR. what info do you include for R?
R=recommendation
- state what youd like to see done or specify that the DR should come in and see pt
- ask if DR wants to order tests or meds
- ask Dr if they want to be notified for any reason
- in case theres no improvement, ask the Dr when you should call again
What are the QSEN competencies?
- Patient-Centered Care
- Teamwork & Collaboration
- Evidence Based Practice
- Quality Improvement
- Safety
- Informatics
(mnemonic=Put The Queen In Every Safe)
What is QSEN’s goal or function?
to prepare nurses with the knowledge, skills, and attitudes (KSA!) to improve the quality and safety of the healthcare systems in which they work.