What does the nurse practice act describe?
scope of practice RN vs LPN
Who gets airborne precautions?
CMTV
covid
measles
tuberculosis
varicella
When should a nurse consider patient preference?
When it's not a safety concern. Things like ADLs/food choices ect.
libel vs slander
Subjective vs Objective data collection
Subjective = symptoms - I feel anxious for this exam
Objective = measurable - I spent 20 minutes studying for the exam
Good principles of documentation
document as soon as its done
never share log ins
don't chart for anyone else's actions
Everything is time/date/signed with credentials
legible
use only appropriate abbreviations
Describe standard/universal precautions
Hand hygiene
Safe disposal of needles
Wear gloves when touching blood, body fluids, or contaminated surfaces
Use leakproof containers/spill clean appropriately
Clean common use equipment between clients
Cough and sneeze hygiene
Aseptic technique
In ADLs how do we increase circulation?
Range of motion
firm strokes during bed baths
Examples of false imprisonment
using restraints inappropriately (physical or chemical)
locking doors/using seclusion not for its intended purpose
criminal and civil offense
Qualitative vs Quantitative
Quality - human experience - non measurable/opinions
Quantitative - data that can be measure
What is the nurses role in informed consent?
Can be witnesses
Reinforce teaching
verify information - procedure/interpreter
IF patient does not understand, you need to ask the MD to come back and explain
What kind of isolation is this and who gets it?
Gown and gloves = contact
RSV
MRSA/VRE
GI (not C diff)
Skin
How do nurses establish patient outcomes?
through ADPIE!
Assessment
Diagnosis
Planning
Implementing
Evaluation
What is veracity?
Where is the best source of health history for children?
Caregiver!
How can a nurse commit malpractice?
not acting within the standard of care
- not using safeguards(with medications)
- not reporting critical lab values/vitals
- not providing a safe patient environment
After bedpan care
clean patient first
always clean from cleanest to dirtiest
make sure patient is clean and dry
What is QSEN
Quality and Safety for Education of Nurses - national standards for Patient-Centered Care, Teamwork and Collaboration, Evidence-Based Practice, Quality Improvement, Safety, and Informatics.
What does RN/LPN stand for?
RN - Real Ninja
LPN - Lower paid ninja
BSN - BS nurse...
Why is it important to not have wrinkles in your linen?
Prevent pressure ulcers and skin breakdown
What can you delegate to the UAP vs the LPN
UAP - vitals and ADLs
LPN - stable pt care,
can not do initial Evaluations/Assessment/Teaching, IV push, blood, removal of CVLs, titratable medication
What does sterile mean?
What areas are considered not to be sterile on sterile gloves?
All germs have been killed/removed
1 inch border on any sterile field
cuff of the non dominant hand of sterile gloves
examples of nursing diagnosis for pneumonia (PNA)
impaired gas exchange related to excess mucus production
ineffective airway clearance related to increased secretions
ineffective breathing pattern related to increased work of breathing/increased respirations
Example of a smart goal
specific, measurable, attainable, reasonable, timely
Fundamental students will spend a minimum of 1 hour per day studying.
goal met, student studied 1 hour per day for the last 7 days.
maslow's hierarchy of needs