Role Of A Prof Nurse Exam 1 Flashcards
critical thinking
recognize the issue
analyze information
evaluate information
draw conclusions
clinical reasoning
determining
preventing
managing
patient outcome
subjective data
symptom
cannot be measured
objective data
sign
can be measured
medical vs nursing diagnosis
medical - deals with disease of medical intervention
nursing - human response to actual or potential problem
goal statements
SMART Goals
Specific
Measurable
Attainable
Realistic
Timely
Independent nursing intervention
Nurse-initiated
the nurse is licensed and capable of performing and or delegating intervention
EX. Patient Education
Interdependent nursing intervention
Other providers initiated
done in collaboration with other healthcare members
EX. physical therapy comes in to consult
Dependent nursing intervention
provider-initiated
prescribed by a physician or APP
EX. Labs, medications
Delegation principals
Right:
- task
- circumstance
- person
- communication
- supervision
outcomes
any patient response
6 nursing roles
- Stranger - accepting climate that builds trust
- Resource - answers questions, interprets data
- Teaching - gives instructions, provides training
- Counseling - helps patients understand, provides guidance
- Surrogate - advocates for patient
- Active leadership - helps patient assume responsibility for meeting treatment goals
4 developmental phases of a therapeutic relationship
- Pre-interaction phase
- data gathering, care plan - Orientation phase
- identify and observe - Working phase
- active problem-solving - Termination phase
- resolution
Hand hygiene
visibly soiled = soap and water
not visibly soiled = hand sanitizer
Airborne precautions
- TB, COVID
- N95, gloves, gown, goggles
Droplet precautions
- Flu, Rubella, Whooping cough
- mask, gloves, goggles, gown
Contact precautions
- MRSA, C. diff
- gloves, gown, environment
Contact + precautions
- multi-drug resistant infections
- gloves, gown, goggles, environment
Vital Normals
Temp: 96.8-100.4
Pulse: 60-100
Respirations: 12-20
BP: < 120/80
Pulse ox: 95-100%
Blood glucose: 70-110
4 Ps of intentional rounding
- Position
- Pain
- Personal needs
- Placement of items
Morse scale
Preventing falls
1. History of falling
2. Secondary diagnosis
3. Ambulatory aid
4. IV/saline lock
5. Gait
6. Mental status
Braden scale
skin integrity
1. Sensory perception
2. Moisture
3. Mobility
4. Activity
5. Nutrition
6. Friction and shear
Donning PPE
Putting on
1. Gown
2. Mask
3. Gloves
Doffing PPE
Taking off
1. Gloves
2. Gown
3. Mask