The Nursing Profession
ADPIE
What is the nursing process?
UTIs, PNA, & Flu
What are common infections that older adults experience?
The two EBP scales we have been using in clinical to measure fall & skin injury risks
What are the Braden & Morse scales?
An individual that is notarized to, thus, a legal spokesperson, for a patient that can no longer speak for themselves
What is a DPOA (durable power of attorney)?
Framework for nursing care and practice
What is QSEN? (Quality and Safety Education for Nurses)
Integrity guide for all American nursing practices and decision making
What is the ANA Code of Ethics?
Getting out of bed, going to the bathroom, performing hygiene, such as brushing teeth and showering, getting dressed, cooking, eating, shopping, and cleaning and keeping house
What are ADLs (activities of daily living)?
Use of these devices should be a last resort and needs a physicians order
What are restraints?
The agency that by law must be called within an hour of a patient's TOD
What is One Legacy?
The national licensure test to become a RN
What is NCLEX? (National Council Licensure Examination)
Defines the legal scope of nursing practice
What are state nurse practice acts?
Ages 85+
What is considered the oldest old?
Position, potty, pain, possessions (including call light)
What are the 4 P's (for nurse rounding)?
Neuro, cardiac, respiratory, GU, GI, MS, Skin, endocrine, pain
What are the systems for a nursing head-to-toe assessment?
The five hospital-acquired infections
What are HAPI, CAUTI, CLABSI, VAP, SSI?
(hospital-acquired pressure injury, catheter-associated urinary tract infection, central line-associated blood stream infection, ventilator-associated pneumonia, surgical site infection)
A saying that is part of our past & present nursing culture, which we all must work to eliminate for the future, that illustrates the absence of civility to new nurses
What is "nurses eat their young"?
Near vision (presbyopia), hearing higher pitched sounds (presbycusis), taste buds, skin elasticity, muscle mass, bone density, height (spinal cord compression), amount of calories needed (metabolism slows down)
What are things that normally decrease with aging?
Sitting upright, small bites/sips, chin tuck, no talking, no distractions, watch out for any coughing, drooling, pocketing of food, careful of straws
What are aspiration precautions?
Numeric 0-10 scale, CPOT, PAIN-AD
What are some EBP pain scales?
Nursing data base for research and EBP articles and journals
What is CINHAL? (Cumulative Index to Nursing and Allied Health Literature)
Less than 15% of the RN population, with goals for the near future to reach 30%, and those who need to be especially careful of work place injuries
What are male nurses?
Joint issues/pain, polypharmacy, body fat, cardiovascular issues, digestive issues, UTIs, dental issues, BMI
What are things that normally increase with aging?
Patient personal items that are often expensive and timely to replace, that can impact eating, visual and/or hearing sensory perception
What are dentures, glasses, and/or hearing aids?
Heat, cold, meditation, aromatherapy, music, distraction
What are some non-pharmacological approaches that can provide comfort/manage pain?
What is OLDCART? (Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, Treatment)