Week 4 Assessment Flashcards
CUS communication tool
Concerned:
Clearly state your concern. Express your worry or unease about a specific aspect of the patient’s condition or care.
Uncomfortable:
Clearly communicate that you feel uncomfortable with the current situation. This emphasizes the emotional aspect of your concern and the impact it may have on the patient.
Safety:
Explicitly reference the safety implications. Connect your concern and discomfort to
ability to understand and share the feelings of another person. It involves putting oneself in someone else’s shoes,
Empathy
A __________ is a professional and purposeful connection between a (counselor, therapist, nurse, or mentor) and an individual seeking assistance or support
helping relationship
_________, also known as lateral violence or workplace bullying, refers to aggressive, intimidating, or disruptive behavior that occurs among individuals at the same hierarchical level within an organization.
Horizontal violence
__________ refers to the exchange of information, thoughts, feelings, and meaning between individuals
Interpersonal communication
_____ communication refers to the internal dialogue and self-talk that occurs within an individual’s mind.
Intrapersonal
The SBAR communication tool helps ensure that essential information is effectively communicated, reducing the risk of miscommunication and improving patient safety.
It is widely used during shift handoffs, when escalating concerns to a higher level of care, or when collaborating among healthcare team members.
What does SBAR stand for?
Suitation
Background
Assessment
Recommendation
study of meaning in language.
How words, phrases, and sentences convey meaning,
Semantics
What does SOAP / SOAPIE(R) Charting
Subjective
Objective
Assessment
Plan
Intervention
Evaluation
Revision
SOAP/SOAPIER
how does the client feel
Subjective
SOAP/SOAPIER
Results of physical exam, vital signs
Objective
SOAP/SOAPIER
What is the client’s status
Assessment
SOAP/SOAPIER
Is a changed needed in the treatment
Plan
SOAP/SOAPIER
What occurred, what did the nurse do?
Intervention
SOAP/SOAPIER
What is the client’s outcome after the intervention
Evaluación
SOAP/SOAPIER
What changes are needed to the care plan?
Revision
SOAP/SOAPIER
Paitent is hypotensive
Assessment
SOAP/SOAPIER
Patient instructed not to get out of bed, notify provider
Plan
SOAP/SOAPIER
0.9 NS 500 cc bolus IV x 1 given per order
Intervention
SOAP/SOAPIER
After intervention:
BP = 110 / 62, patient denies dizziness and light headedness
Evaluation
_____ assessment is an on going process integrated with nursing care. Uses to determine the status of a particular problem identified in an earlier assessment
Exp.
Hourly I&O
Problem focused assessment
This type of assessment is preformed during a crisis to ID life threatening problems
Exp.
Rapid Assessment of patients airway, breathing status, and circulation during cardiac arrest.
Emergency assessment