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NUR 219 > NUR 219 Exam 1 Presentation 4 > Flashcards

NUR 219 Exam 1 Presentation 4 Flashcards

1
Q

What are IOMS six outcomes for a New Health System for the 21st century

A

Safe, effective, efficient, patient-centered, timely, and equitable

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2
Q

What are three things that help achieve IOM’s goals for care

A

Access to health care, quality and safety, and affordability

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3
Q

Requires preventative services be covered without co-payment or coinsurance by more insurance plans/policies including Medicare and private insurance

A

Affordable Care Act

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4
Q

Patient Protection and Affordable Care Act

A

Health insurance marketplace, shortage of providers, legislation addressing health care access, and caring for undocumented persons

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5
Q

Preventing c.dif infections. infections related to overuse of antibiotics (infection prevention, hand hygiene, length of stay)

A

Reliable care accountability matrix

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6
Q

Gov. run insurance, private run insurance, and multi payer insurance, pay cash

A

Multi-payer system (currently)

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7
Q

Government ran health care; no private medical care

A

Single-payer system

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8
Q

Allow incentive for doing more

A

Diagnosis related groups

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9
Q

Allow incentive for doing more; can get reimbursed because the patient has a certain disease; can request more money

A

Resource utilization groups

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10
Q

Fixed sum for care

A

Bundled payments

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11
Q

Set cap on care to equalize cost

A

Rate setting

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12
Q

Compares cost to look for cheaper options (find solution with the cheapest option first)

A

Comparative effectiveness analysis

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13
Q

Treatment of common health problems  preventive care; minor illnesses (strep)

A

Primary health care

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14
Q

Treatment of problems requiring more specialized clinical expertise  heart attack or uncontrolled diabetes

A

Secondary health care

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15
Q

Management of rare and complex disorders  most complex; specialist

A

Tertiary health care

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16
Q

Health care services for the seriously ill or dying

A

Respite, hospice, palliative

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17
Q

The health care team includes

A

Physical, Nurse, therapist, dietitian, pharmacist, chaplain

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18
Q

Provided to people who live within a defined geographic area

A

Community based health care

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19
Q

Ensures smooth transition between ambulatory or acute care and home health care or other types of health care in community settings

A

SBAR

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20
Q

ISBARQ

A

Introduction, situation, background, assessment, recommendation, question and answer

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21
Q

Introduction

A

Identify patient the date of admission

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22
Q

Situation

A

State clients current problem

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23
Q

Tell story, admitting diagnosis, relevant history, brief synopsis to what you have done for the patient up to the date

A

Background

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24
Q

Assessment

A

Last set of vital signs, pain, wounds

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25
Q

Recommendation

A

What does the client need

26
Q

Opportunity to allow the person you report to to ask questions and you answer them

A

Question and answer

27
Q

A continuous process in which a patient’s care shifts from being provided in one setting of care to another

A

Care transitions

28
Q

Identifies and removes barriers to treatment
Clinically trained nurse
Central point of contact for patient care

A

Nurse Navigator

28
Q

Nurse, social worker, or lay person
Focuses on the support aspects of care

A

Patient navigator

29
Q

Which populations are vulnerable

A

Disabilities or multiple chronic condition, mental illness or substance use, cultural, racial, and ethnic minorities, poverty, homeless, and undocumented immigrants

30
Q

Convenient; limits risk of exposure to illnesses; shorter wait times; increased access

A

Telehealth

31
Q

Thigh; infants and toddlers

A

Vastus lateralis

32
Q

Upper arm; older kids

A

Deltoid

33
Q

Hip

A

Ventrogluteal

34
Q

Not used anymore (runs to close to the sciatic nerve

A

Dorsogluteal

35
Q

Sub q injections; short needle that only goes in fat

A

MMR and Varicella

36
Q

Protects agains tetanus, diphtheria, and pertussis

A

DTaP

37
Q

When is the DTaP given

A

2,4,6 months, 15-18 months, and 4-6 years

38
Q

IM injection; person-to person contact

A

Polio

39
Q

When is Polio injection given

A

2,4,6-18 months, 4 years old

40
Q

When is the Hep B given

A

birth, 1-2 months, and 6 months

41
Q

Rotavirus (2 dose)

A

2 and 4 months

42
Q

Rotavirus (3 dose)

A

2,4,6 months

43
Q

Accounts for 30-50% of all hospitalizations for gastroenteritis of children less than 5 years of age

A

Rotavirus

44
Q

Haemophilus Influenzae (3 dose)

A

2, 4, 13-15 months

45
Q

Haemophilus influenzae (4 dose)

A

2, 4, 6, 12015 months

46
Q

Pneumococcal dose ages

A

2, 4, 6, 12-15 months

47
Q

Kills more people in the United States each year than all other vaccine-preventable diseases combined

A

Pneumococcal

48
Q

Hepatitis dose

A

1st dose at 12 months 2nd dose winton 6-12 months after

49
Q

What is the minimum age for Hep A dose

A

12 months

50
Q

Varicella is a live vaccine, doses are given

A

12 months and 4 years

51
Q

What does MMR mean

A

Measles, Mumps, RubellaW

52
Q

When is the MMR vaccine given

A

12 months and 4 years

53
Q

What are two live vaccines given

A

MMR and Varicella

54
Q

When is the influenza vaccine given

A

annually for ages 6 months - 18years

55
Q

What is the exception for the age range for influenza vaccine

A

6 months to 9 years if first vaccination for flu, will need booster

56
Q

When is TDap Given

A

2, 4, 5, 15-18 months and 4-6 years, 11 years then every 10 years

57
Q

When is the vaccine for Human Papillomavirus given

A

11 years (2 or 3 dose series

58
Q

When is the vaccine for Meningococcal given

A

11-12 and 16 years

59
Q

Who is at high risk for Meningococcal

A

College students (spread by droplets)

60
Q
A

NUR 219 (1 decks)

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