Unit 3 Flashcards
What is the definition of standing orders?
Preprinted document containing medical orders for specific patients with identified clinical problems
What are the clinical practice guidelines and protocols?
Foundation of scientific knowledge
Recommendations on how patients with a given condition should be managed everything else being equal
What are the two types of interventions of scope of practice?
Direct care interventions
Indirect care interventions
What are the initiations after interventions based on nursing interventions scope of practice?
Nurse-initiated
Health care provider-initiated
Other provider intimated
Is DNR a standing order?
No
What are the standards of practice?
For all reviewed on a regular basis
Emphasize a timely plan following patient safety goals
What are the qualities and safety education for nurses (QSEN)?
-standard competencies in knowledge, skills, and attitudes for the preparation of future nurses
-Goal of QSEN: to prepare nurses so that they can continuously improve the quality and safety of the health care systems within which they work
What is critical thinking outcomes?
Allows you to consider the complexity of interventions, changing priorities, alternative approaches, and the amount of time available to act
What are the three examples of implementation
1 avoiding adverse events
2 reassessing a patient
3 reviewing and revising the existing nursing care plan
What are the examples of implementation process?
1 time management
2 equipment
3 personnel
4 environment>safe
5 patient> physical and psychological comfort
In the implementation process, what are some examples of anticipating and preventing complications?
Risk from illness and treatment
Identifying area of assistance> need for additional personnel, review of policy or procedure
What are the necessities of implementation skills?
Cognitive skills> scientific knowledge base
Interpersonal communication>building trust
Psychomotor skills>clincial skills (IV)
What are examples of direct care
Activities of daily living
Instrumental activities of daily living
Lifesaving measures
Teaching
Preventative interventions
Controlling adverse reactions
What are examples of indirect care
Communicating nursing interventions
Delegating, supervising
Documentation
What are the methods for prioritizing?
High, intermediate, low based on the ABC’s
Maslows hierarchy
What are the ideas to establish priorities
Methods for prioritizing
Consider patients situation
Avoid classifying only physiological nursing diagnoses as high priority
Priorities in practice (plan of action)
T/F every outcome should have an evaluation
T
What kind of goals should nurses create for planning outcomes?
SMART goals
Specific
Measureable
Attainable
Realistic
Timed
What is Identification in clinical judgment outcomes>
Prioritizing outcomes
Role of health care team in outcomes
Describe the Evaluation step in Clincal Judgement
Examine the results
Compare achieved effects
Recognize errors
Understand and reflect on situation and correct errors
What are the elements of evaluation
Knowledge
Experience
Standards and attitudes for evaluation
Environment
What is the evaluation process
Recognize errors or unmet outcomes
Correct errors
Revising the care plan
(Discontinuing a care plan, redefined diagnoses, revising expected outcomes, revising interventions)
What are the 4 nursing sensitive preventable adverse outcomes?
Severe pressure injuries
Falls and trauma
Catheter-associated urinary tract infections
Central line-associated blood stream infections
What are the components of critical thinking in nursing?
Knowledge base
Experience
Environment
Attitudes
Application of critical thinking to make best clinical decision is-use the nursing process in the development of client care