PRELIM: LAST Flashcards
PURPOSES OF USING NURSING PROCESS
Continuity of care
* Prevention of duplication
* Individualized care
* Standards of care
* Increased client participation
* Collaboration of care
CRITERIA OF SELECTING THE APPROPRIATE
METHOD OF NURSING CARE DELIVERY SYSTEM
- The skills and expertise of the staff
- The availability of registered professional nurses.
- The economic resources of the organization
- The acuity of the patient
- The complexity of the task to be completed.
PATIENT CLASSIFICATION SYSTEM CATEGORY
Category 1: Minimal Care/Self-Care
* Category 2: Moderate Care/Intermediate Care
* Category 3: Maximum/Total/Complete
* Category 4: Intensive/Critical/Highly Specialized
Patient are capable of carrying out all activities of daily
o CONVALESCING
o REQUIRES DIAGNOSTIC STUDIES
o LESS FREQUENT OBSERVATION AND DAILY
o CARE FOR MINOR CONDITION
o AWAITING ELECTIVE SURGERY
CATEGORY 1: MINIMAL CARE/SELF-CARE
Given to patient who are moderately ill
* Require nursing supervision or some assistance,
ambulating and caring for their own hygiene
CATEGORY 2: MODERATE CARE/INTERMEDIATE
CARE
Patient need close attention throughout shift
* MONITORING; BEDRIDDEN
* Patient requires nursing to initiate, supervise, and
perform MOST of their activities or who require
* FREQUENT and COMPLEX medication and treatment
CATEGORY 3: MAXIMUM/TOTAL/COMPLETE
ACUTELY ILL patients who have high level of NURSE
DEPENDENCY, including those requiring INTENSIVE
nursing care and are in CONSTANT DANGER OF DEATH
CATEGORY 4: INTENSIVE/CRITICAL/HIGHLY
SPECIALIZED
TOTAL PATIENT CARE
* ONE-to-ONE
* OLDEST METHOD
* CONSTANT CARE for a SPECIFIED PERIOD OF TIME
* MANY nurses & FEW patients
* Common to private duty nurses, ICU, educational purposes
CASE METHOD
TASK ORIENTED METHOD
* Based on DIVISION OF LABOR
* PARTICULAR NURSING FUNCTION
* MANY patient. FEW nurse
* NO NURSE is responsible for total care of any patient
* EFFICIENCY: accomplishment of most work in the shortest
amount of time
* Disadvantage: FRAGMENTED NURSING CARE
FUNCTIONAL NURSING
Goal achievement through GROUP ACTION
* DECENTRALIZATION
* PATIENT CENTERED CARE
* Feature: NURSING CARE CONFERENCE
TEAM NURSING
PRIMARY NURSING
RELATIONSHIP-BASED NURSING
* ASSURES COMPREHENSIVE & CONTINUITY OF
* DIRECT CARE
GEOGRAPHIC ASSIGNMENT OF PATIENT
* Modification of TEAM and PRIMARY NURSING
* Module: 5 - 6 rooms (10 - 20 patients ) side by side along a
hall: group of cubicles / room around the nurses station
DISTRICT NURSING OR MODULAR METHOD
this is central to
maintaining and improving quality of care.
Innovative/Contemporary Method
an integration of research evidence,
clinical expertise and a patient’s preferences
S EVIDENCE-BASED PRACTICE
11 CORE COMPETENCY AREAS FOR NURSING
PRACTICE ( KEY AREA RESPONSIBILITY)
Safe and Quality Nursing Care
2. Management of Resources and Environment
3. Health Education
4. Ethico-Moral Responsibility
5. Legal Responsibility
Practices in accordance with legal
principles and the code of ethics in making personal and
professional judgement
RESPONSIBILITY 1
Utilizes the nursing process in the
interdisciplinary care of clients that empowers the clients
and promotes safe quality care
RESPONSIBILITY 2:
Maintains complete and up to date
recording and reporting system.
RESPONSIBILITY 3:
Establishes collaborative relationship
with colleagues and other members of the team to enhance
nursing and other health care services.
RESPONSIBILITY 4:
: Promotes professional and personal
growth and development.
RESPONSIBILITY 5:
(NNCCS)
NATIONAL NURSING CORE COMPETENCY
STANDARDS
provides for the powers,
duties and functions of the Professional Regulatory
Board of Nursing (PRBON), which include the power to
promulgate decisions or adopt measures as may be
necessary for the improvement of the nursing practice
and for the advancement of the profession.
Article III, Sec. 4 of Republic Act (RA) No. 7164 or the
Philippine Nursing Act of 1991
refers to the authoritative statements of the
duties that all Philippine Registered Nurses, regardless of
role, population, or specialty, are expected to perform
competently.
- Philippine Professional Nursing Practice Standards
(PPNPS) –