Part One Flashcards
Principle of Instruction
Mentoring/coaching: instructing patients and how to successfully manage their own conditions
Role modeling: instructing patients through examples of healthcare processes in action
Counseling: instructing patients on how to responsibly manage medication’s, conditions, and courses of treatment
Health Literacy
Health literacy is the degree to which healthcare professionals have the capacity to obtain, process, and understand basic healthcare information and services necessary to make appropriate healthcare decisions
– considered to be the single best predictor of one’s health status
The average adult in America reads an eighth grade level
Medical/health information literature should be written at no higher of a grade level than 6–8 grade
Legislative and Regulatory Process
Accreditation guidelines
Joint commission also lays out national patient safety goals in areas of concern for healthcare professionals in accredited institutions
Goals in a cute/critical care
Institutional bylaws
Legislative and Regulatory Process
Goals in acute/critical care
Proper identification of patients and relevant health data
Proper staff communication
Safe use of medication
Ensuring alarms are easily heard and responded to in time
Legistlative and Regulatory Processes
Prevention of Infection
Maintaining set standards of hygiene, including hand cleaning
Use a proven guidelines to treat resistant infections
Use a proven guidelines to prevent infection of blood from Central lanes
Use approve and guidelines to prevent infection after surgery
Use approve and guidelines to prevent urinary tract infection from catheter
Prevention of mistakes in surgery via proper marking of surgical areas and pausing to evaluate process
Legislative and Regulatory Process
Institutional Bylaws
Rules laid out by the institution that may provide further qualifications and restrictions on the role of healthcare staff (the duties, responsibilities, and privileges of an adult gerontology acute care nurse practitioner)
Economics
Resource utilization involves:
– how consumers use healthcare resources and services
– and how patients interact with healthcare providers
– special concerns in acute care: links of stay, top reasons for hospitalization, preventable hospitalizations, long-term care, emergency room in primary care clinic utilization
Multidisciplinary Response Teams
Team of multiple healthcare professionals across various disciplines, assemble to deal with emergency situations
Rapid response team: deals with rapid deterioration in health, such as respiratory distress or cardiac arrest
Institutional disaster: a mass casualty event which Mårts frequently train to intervene
Integrating Health Information Technology
Utilizing healthcare technology and databases to optimize the course of treatment
EMR: integrated database that allows NP’s Realtime access to patient health information
Meaningful use: using EMR technology to improve quality, efficiency, and safety, reduce healthcare disparities, engage patients and family members in course of care, improve care coordination
Evaluating Safety Initiatives
Uses multi cause variable system such as root cause analysis
Effective systems of evaluation should answer the following questions:
– are we providing safe care?
– How safe was this care in the past?
– How safe will we be in the future?
– Can our process and health systems reliably delivers safer care?
– How can we be sure that we are getting better?
Standardized Assessment tools
Mental Health: General
Patient stress questionnaire
-used in primary care to screen for behavioral health symptoms
– accesses symptoms of depression, anxiety, trauma, and alcohol use
Standardized Assessment Tools
Depression
Patient health questionnaire (PHQ-9) Most common screening tool for depression Patient self rings nine signs and symptoms over the last two weeks on a scale of 0 to 3, with three indicating nearly every day 1–4 = minimal depression 5–9 = mild depression 10–14 = moderate depression 15–19 = moderately severe depression 20–27 = severe depression
Standardized Assessment Tools
Anxiety Disorders
Generalized anxiety disorder – seven (GAD-7)
Self-administered screening tool that identifies weather in complete assessment for anxiety is indicated
Patient Rick seven signs and symptoms over the last two weeks on a scale of 0 to 3, with three indicating nearly every day
5–9 = mild anxiety
10–14 = moderate anxiety
15–21 = severe anxiety
A total score greater than or equal to 10 indicates a probable diagnosis of generalized anxiety disorder
Standardized Assessment tools
Drug and Alcohol Use
CAGE-AID
Self-report questionnaire design to quickly assess whether in alcohol or drug assessment is needed
Answering yes to two or more questions weren’t a complete assessment
Standard Assessment Tools
Pain: Wong Baker FACES
Self-assessment tool
Patient rates pain by choosing among six faces, ranging an expression from smiling to crying
