Nursing traits / protocols Flashcards
What do you do if a patient is medically unstable?
Vitals BBGM Call doctor - 911? Review medication Supportive care
How do you build a therapeutic relationship?
Introduce self (Name, designation, duty) Ensure privacy when giving care Maintain eye contact Maintain professional boundaries Respect, trust Empower pt, motivational interviewing
How do you maintain boundaries?
Clarify therapeutic relationship, not friend
If pt crosses boundary, address it right away
Clear limit setting
Nurses needs should not be fulfilled by patient
Provide example of time you built trust with a patient
Difficult to pin point because its built overtime
- Show respect and caring
- Listening, being non-judgemental
- Answer questions, be open
- Share decision making process
- Doing what you say you are going to do
What is compassion?
Feeling motivated to relieve suffering
“to suffer together”
What are the qualities of a leader?
- Being self aware
- Develop yourself
- communicate clearly
- Take responsibility for successful outcomes and mistakes
- Be king, approachable and dependable
Qualities of RPN?
- Self awareness
- Reliability
- Professionalism
- Critical thinking
- Interpersonal / listening skills
- Work under pressure
What are your strengths?
Unit awareness Critical thinking Through, attention to detail Documentation Ensuring safety Team player Ability to acknowledge weaknesses
What are your weaknesses?
Too self critical
Have been improving by treating difficult situations as a learning opportunity
Example process for admission
Pt either comes in from community referral or transfer
- Receive report
- give tour, fluids and nutrients
- Show to room
- Search belongings
- Vital signs
- MSE
- Suicide risk assessment / safety plan
- Admission paperwork (Expectations sheet, copy of certs, formal patient acknowledgment, formal patient information booklet, explain rights, consent to disclose information)
- Call DMO, receive orders and process
- G drive
- chart
Explain process for discharge
- Confirm doctors order for discharge
- Discharge note (SW)
- Fax prescription to outpatient pharmacy / supports
- Discharge meds
- Review safety plan with patient
- Give back belongings
A patient is supposed to be going on a weekend pass, they tell you they’re suicidal. What are your next steps?
- Notify charge nurse
- Phone doctor
- Check to see if the patient is certified
- Suicide risk assessment, plan and intent
- Initiate safety planning
- Constant observation, no grounds
- Room search
Describe Suicide Risk Assessment
Includes, assessing: Stressors, Symptoms, Substance use to cope, Prior behavior
Looks at previous suicide thoughts, plans. Have they carried out this plan?
What is their current plan if they have one, What Are The Specifics? Where,when,how, Method and access to means
Goes over resources and support
Protective factors (hobbies, family, stability
Have They Talked To Someone About This?
How would you go about treating someone new to the unit
Introduce your name, occupation, and duty and other members of the team
Follow any protocols in place with COVID-19 screening
Offer nourishment
Answer any immediate questions
Settle into patient room
Explain need and reason for belonging to be searched
Give them a tour and show them where their belongings are and how to access them
Explain privileges and observation level
Explain to them their rights and why they are in the hospital
Suicidue risk assessment
How do you participate in keeping the unit safe?
Awareness of patient observation level, passess and privelges.
Activity checking on and observing patients throughout shifts, not just waiting for a call bell or when patients approaches nursing station
Using patient identifiers before giving treatment or medication
De escalation skills to defuse agitation and irritability
Attention to detail of changes in behaviour or mood that can hint of harm to selves or others
