transtions Flashcards
reinforce previous teaching
LPN
Assessing Labs
RN
Bathing, hair care, routine oral hygiene
UAP
Routine vital signs on stable patient
UAP
Initiating teaching
RN
Intake and output recording
UAP
Removing staples and sutures
LPN
Patient assessments
RN
Performing complex dressing changes
RN
Checking oxygen saturation using pulse oximeter
LPN
feeding patients with swallowing difficulties
RN
Oral Suctioning
LPN
Administering respiratory treatments
LPN
Applying condom catheter
UAP
Adminstration of blood or blood products
RN
Inserting and removing foley catheters
LPN
Collecting sputum specimens
LPN
Simple dressing changes
LPN
Collecting clean catch UA/UC and taking to lab
UAP
Emptying certain drainage containers, (Foley Cotheters)
UAP
Administration of meds po, topical, eyes, ears, nasal
LPN
caring for invasive lines (Central catheter)
RN
initial post op assessment
RN
Monitoring or reviewing labs
RN
Vital signs prior to medications (BP prior to lasix)
LPN
Teaching about lab test (UA collection procedure)
LPN
Performing ROM
UAP
Inserting rectal tubes
LPN
IV therapy
RN
Administration of ID,SQ,IM, or rectal meds
LPN
Turning patients
UAP
Disconnect NG suction to get up to bathroom
UAP
Recconecting NG Suction when returning from bathroom
LPN
Post mortum care
LPN
Initial admission assessments
RN
Administration of meds NG or PEG tubes
LPN
obtaining a blood glucose reading
LPN
Discharging a patient
RN
Caring for ostomies
LPN
Planning Care
RN
Administration of enemas
LPN
Titration of meds based on patient assessment and physician order
RN
teaching from a standard plan of care. (simple diabetes teaching, simple dressing change)
LPN
assessments as part of collection of data (Breath sounds every 4 hours)
LPN
Evaluating outcomes (outcome of respiratory treatment)
RN
Collecting stool specimens and taking to lab
UAP
Feeding Patients
UAP
Administering tubes feeding
LPN
Normal PH level
7.35-7.45
Acidosis PH Level
Below 7.35
Alkolosis PH Level
Above 7.45
Normal PCO2 Level
35-45
Acidosis PCO2 Level
Above 45
Alkalosis PCO2 Level
Below 35
Normal HCO3 Level
22-26
Acidosis HCO3 Level
Below 22
Alkalosis HCO3 Level
Above 26
What system is affected by PCO2 Level
Respiratory System
What system is affected by HCO3 Level
Metabolic System (Renal/Kidneys)
How do you know if there is partial or complete compensation
If PH is in the normal range, there is complete compensation. If it is outside normal range, it is partial compensation.
Explain the 3 domains of learning
Cognitive-Knowledge
Affective-values and feelings
psychomotor- hands on skills
what is the purpose of patient teaching
to help patients become confident and independent in managing their health.
What factors can interfere with patient teaching
Physical discomfort Environmental Factors Lack of Time Health literacy Pain
Explain Learning
Process by which a person increases knowledge or changes in bbehavior in a measurable way. Patient has to believe they can do something before it can happen
What is the responsibility of the nurse with patient teaching
Determine what the patient needs to know
Determine when the patient is ready to learn
Perform teaching to patients on what they need to know
evaluate effectiveness of teaching
identify the learning needs of the patient
what is they present knowledge and previous experience.
Are there barriers which may prevent patients illness from being managed effectively (literacy)
Is the patient ready or reluctant to learn new info?
How does the patient prefer to be taught?
What is the role of the family in providing care to the Patient?
Explain teaching-learning principles that promote learning
Trust
Motivation to learn
Simplify the language used
What is Health literacy?
degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
Who is at high risk for health low health literacy?
Elderly Minorities immigrants poor homeless prisioners persons with limited education
What are some strategies to help improve communication with patients who have low level of health literacy
Use the same approach with everyone.
Communicate clearly.
Confirm understanding
implications for practice resulting from low levels of health literacy for affected people
- higher incidences of hospitalization
- increased difficulty navigating healthcare system
- Decreased use of preventative services
- Self-medication mismanagement
- chronic disease mismanagement
- premature death