Nursing as a science Flashcards
In the Philippines, it is termed
Service Delivery Network which were redefined to suit
Universal Health Care or Kalusugang Pangkalahatan
In the US, it is termed as
Integrated Health Care Delivery which were developed with a
focus on improving health care quality and decreasing overall health care costs
TYPES OF HEALTH CARE SERVICES BASED ON
LEVELS OF DISEASE PREVENTION
Explain primary secondary tertiRY
healthcare system whose goals are to provide cost-effective, quality care that focuses on
decreased costs and improve outcomes to group of clients
Managed Care
involves multidisciplinary teams that assume collaborative responsibility for care for
groups of clients. Uses critical pathways to track client’s progress
Case Management
system which utilizes the best possible use of nursing personnel based on education
preparation and skill sets
Differentiated Practice
one nurse is assigned to and responsible for the comprehensive care of a group of
clients during a shift
Case Method – (total care)
focuses on jobs to be completed, based on production and efficiency model
Functional Method
delivery of nursing care to individual clients by a group of providers led by a professional nurse
Team Nursing
one nurse is responsible for overseeing the total care of a number of hospitalized client 24
hours a day, 7 days a week
Primary Nursing
Is a problem-solving approach to
clinical practice that combines
the deliberate and systematic use
of best evidence in combination
EVIDENCE BASED
PRACTICE(EBP)
EVIDENCE BASED
PRACTICE(EBP) (4) ex
Clinical expert, expertise, assessment, preference
What patient of interest
Population
What policy is being studied
Intervention
What is the main alternative
Comparison
What should be measured
Outcome
What is the appropriate time period to assess outcomes
Time frame
Give me the seven levels of nursing
Meaning of level 1 to 7
key communication strategy that produces a written
account of pertinent patient data, clinical decisions and interventions and
patient responses
Documentation
Purposes of the Health Care Record
- Facilitating interprofessional communication
- Legal record of care provided
- Justification for financial billing and reimbursement of care
- Audit, monitor and evaluate care provided for quality improvement
- Resource for education and research
Meaning of soap pie and dar
Subjective objective assessment and plan for pie nursing problem or diagnosis interventions that will be used to address the problem nursing evaluation for dar data action response
standards for normal
assessment findings or for routine
care activities are met unless
otherwise documented
CHARTING BY
EXCEPTION
WDL WNL
”Withini Define Limits (WDL) or
“Within Normal Limits” (WNL)
Determine the hours of care and number of staff required for a given group
of patients every shift or every 24 hours
ACUITY RATING SYSTEMS
independent in all but one or two aspects of care, almost
ready for discharge
patients from 1
totally dependent in all aspects of care, requiring
intensive care
5
is the use of information systems and other information technology to record, monitor, and
deliver patient care, and to perform managerial and organizational functions in health care
HEALTHCARE INFORMATION TECHNOLOGY (HIT)
HEALTHCARE INFORMATION TECHNOLOGY (HIT) 3
Health care information system, Clinical Information System,Clinical Decision Support Systems
computer hardware and software dedicated to the collection,
storage, processing, retrieval, and communication of patient care information in a
healthcare agency”
Health care information system
is a large, computerized database management system that is
used to access patient data needed to plan, implement, and evaluate care”
Clinical Information System
contains rules and logic statements that link information
required for clinical decisions to generate tailored recommendations for individual
patients; the recommendations are presented to health care providers as alerts, warnings,
or other information for consideration
Clinical Decision Support Systems