HealthCare Delivery Systems
Also known as acute care, involves the provision of specialized and highly technical care,
What is Tertiary health care
Assesses, plans for, and educates regarding nutrition needs. Designs special diets, and supervises meal preparation.
What is a registered dietician
Ethical principle; fulfillment of promises.
What is Fidelity
A person is confined or restrained against their will.
What is false imprisonment
Documentation format that shows trends in vital signs, blood glucose levels, pain level, and other frequent assessments.
What are flow charts
The use of current knowledge from research and other credible sources on which to base clinical judgment and client care.
What is Evidence Based Practice
Works with clients and families by coordinating inpatient and community resources to meet psychosocial and environmental needs that are necessary for recovery and discharge.
What is a social worker
Support and defend clients' health, wellness, safety, wishes, and personal rights, including privacy.
Legal process by which a client or the client's legally appointed designee has given written permission for a procedure or treatment.
What is informed consent
Document this data as direct quotes, within quotation marks, or summarize and identify the information as the client's statements.
What is Subjective data
Healthcare financing mechanism for clients who have low incomes.
What is Medicaid
Includes CNAs, CMAs, and non-nursing personnel such as dialysis technicians, monitor technicians, and phlebotomists.
What is assistive personnel.
Generally address unusual or complex ethical issues.
What are ethics committees
Legal document that expresses the client's wishes regarding medical treatment in the event the client becomes incapacitated and is facing end-of-life issues.
What is a Living Will
What is charting by exception
The use of information technology as a communication and information-gathering tool that supports clinical decision-making and scientifically-based nursing practice.
What is Informatics
The lead team member of the nursing team, soliciting input from all nursing team members and setting priorities for the coordination of client care.
What is the Registered Nurse
Occurs when the nurse is placed in a difficult situation where the actions taken are different from what the nurse feels is ethically correct.
What is moral distress
Define and direct the level of care nurses should give, and they implicate nurses who did not follow these standards in malpractice lawsuits.
What are Standards of Care
Nurses give this report at the conclusion of each shift to the nurse assuming responsibility for the clients.
What is change-of-shift report
What is Medicare
Assesses, diagnoses, and treats disease and injury.
What is the medical Provider
The right to make one's own personal decisions, even when those decisions might not be in that person's own best interest.
Health care providers legal obligation to report finding in accordance with state law regarding abuse and communicable diseases.
What is Mandatory Reporting.
Documentation format that is organized by problem or diagnosis and consist of a database problem list, care plan, and progress notes. (i.e. SOAP, PIE, DAR)
What are Problem oriented medical records