Name five goals of the Institute of Medicine (IOM) to increase quality in health care...
Chapter 16 Pg. 227-228
#1 Avoid injuries to clients from the care intended to help them
#2 Provide services based on scientific knowledge to all who could benefit
#3 Avoid waste of equipment, supplies, ideas, and energy
#4 Provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, and socioeconomic status
#5 Provide care that is respectful of and responsive to individual client preferences, needs, and values
What is a critical access hospital?
The can be no more than 25 beds, and be 35 miles or more from any other hospital
What do you know about the Affordable Health Care Act?
(Hide Screen for Professor Instructions)
*Answer on Exam: Increased access to health insurance for all Americans
Complete the True or False "Try This" Pg. 222 Chapter 16
2A client with advanced cancer has been diagnosed as terminally ill. The client says to the nurse, "Well, no more chemo or radiation for me, now I just need someone to give me my medication to keep me comfortable until I die.” Which health care facility is most appropriate for the client?
A hospice facility or unit
Define Capitation...
payment system with a set monthly fee charged by the health care provider for each member of an insurance group
Name four statements in The National League for Nursing (NLN) competencies for LPN program graduates...
Chapter 18 Pg. 303
#1 Promote the human dignity, integrity, self-determination and personal growth of clients, one’s self and other members of the health care team
#2 Provide a rationale for judgments used in the provision of safe, quality care
#3 Assess how one’s personal strengths and values affect one’s identity as a nurse
#4 Question the basis for nursing actions, considering research, evidence and client preferences
Which specialty certification is available for LPNs through National Association of Practical Nurses Education (NAPNES)?
IV therpay
Which type of patient might use a free clinic?
Chapter 15, Pg. 215
Person who can't afford traditional treatment
Age or income limit
An 80-year-old client states to the nurse, "I am not old! I want to stay in my house, and I can still take care of myself. Of course, it would be nice to have someone just help me bathe and get dressed in the morning, and maybe help me with dinner in the evening." Which type of care is appropriate for the client?
Choose from the "Types of Care" in Chapter 15, Pg. 217-218.
Personal care worker (PCW) Pg. 218
To what agency would you report if 52 clients have become sick with a severe upper respiratory infection in the same hospital?
See "Examples of Healthcare Agencies" Chapter 15 Pg. 211
County Health Department
Name four of The Joint Commission's National Patient Safety Goals.
Chapter 16 Pg. 228
#1 Reduce the risks of healthcare-associated infections
#2 Improve the accuracy of client identification
#3 Improve the effectiveness of communication among caregivers
#4 Improve the safety of using medication
What are some of the main attributes for a nurse being satisfied or disatisfied at their job?
Chapter 18 Pg. 302
Satisfied: Perceived value to organization, growth, real connection, and empowerment.
Disatisfaction: Working conditions, broken equiptment, workload, staffing issues.
Name three improvements the Omnibus Budget Reconciliation Act (OBRA) law in 1999 made...
Chapter 15 Pg. 217
Declining use of physical and chemical restraints
Lower UTI rates
Fewer hospitilizations
If a client states "I need to find someplace where I can go and live independently in my own apartment, but when I start to need help, they can offer me health care services, even skilled nursing if or when I need it." Which type of facility can provide these services?
Choose the correct community based health care from the choices in Chapter 15, Pg 215-217
Continuing care retirement community (CCRC)
Pg. 217
How was it lawful for Professor Kiley get fired from her job at the rehabilitation center for implimenting COVID policy?
Because Ohio is an "at-will" state they can fire you for anything that doesn't fall under discrimintation per Federal guidelines. In my case, customer service was considered more important to the company than COVID policy.
Look these organizations up in the back index of the book on pages 347-364
National Association for Practical Nurse Education and Service (NAPNES)
Commission on Collegiate Nursing Education (CCNE)
Accreditation Commission for Education in Nursing (ACEN)
National Federation of Licensed Practical Nurses (NFLPN)
Tell me about them...(Professor Hide Screen)
Which organization is recognized as "the official voice of LVN/LPNs," and is the policy-making body for LVN/LPNs?
National Federation of Licensed Practical Nurses (NFLPN)
What are the two main parts of the Transition to Practice model?
Chapter 18, Pg. 302
A trained nurse (preceptor) is to assist new graduate nurses to apply theory that they have learned to practice, develop clinical reasoning, improve safety, and decrease practice errors in the care of patients.
Five online modules of study are required: communication and teamwork, patient centered care, evidence-based practice, quality improvement and informatics.
Use the glossary Pg. 324-331 to define the following verbs:
Seamless
Voluntary
Primary
Networking
You know one of them bad boys got to be on the exam....okerrrrrrrrrrr
14. A group of nurses is discussing health care financing. One student states, "I want to know what health maintenance organizations (HMOs) are doing to reduce healthcare costs." Which response by one of the nurses is correct?
A. "They focus on only hospitalized care to their members."
B. "They only provide primary health care services to their members."
C. "They focus health care services on preventative health and keeping their members healthy."
D. "They only charge for what a client needs."
*C. "They focus health care services on preventative health and keeping their members healthy."
Look these organizations up in the back index of the book on pages 347-364
American Nurses Association (ANA)
National Association for Practical Nurse Education and Service (NAPNES)
American Association of Colleges of Nursing (AACN)
Accreditation Commission for Education in Nursing (ACEN)
Tell me about them...(Professor Hide Screen)
Which organization promotes the practice, education, and regulation of LPNs, nursing educators, practical nursing schools, and practical nursing students?
National Association for Practical Nurse Education and Service (NAPNES)
Name four statement that reflect the LPN/LVNs role in containing health care costs in the work setting...
Suprise! You find it!
#1 Organize client care for effective and efficient use of time
#2 Implement nursing care to help prevent complications
#3 Follow facility policy for documenting client care for reimbursement
#4 Follow facility policy for charging clients for all supplies used in their care
Which describes the financial reimbursement model that provides hospitals with an incentive to treat clients most efficiently and discharge them as rapidly as possible?
See Chapter 16
A. Third-party reimbursement
B. The retrospective payment system
C. Fee-for-service
D. The prospective payment system (PPS)
D. The prospective payment system (PPS)
"I don't understand the difference between medicare and medicaid", says a nurse LPN that is just graduated. How would you explain it to her/him?
Medicare is for the elderly, Medicaid is for low income individuals.