Values/Ethics/Advocacy and leading/managing/delegating
How can a nurse advocate for patients
communicate with healthcare team, educate patients/family, protect patients rights, ensure safety, barriers to care, patient autonomy
Describe ways the federal, state, board of nursing, and healthcare institution regulate nursing practice
fed: Medicare/Medicaid
state: nurse practice act, boards
board of nursing: rules/regulations, position statements, declaratory rulings, delegation, medication administration, unprofessional conduct, licensing
Healthcare institution: unit-based practice, institutional polices, credentialing policies
How do you assess the learner?
assess knowledge, health literacy level, willingness to learn, learning style, strength, motivation and adherence
Medicare v Medicaid
medicare: 65 and older with 10000 billable hours, fed government
medicaid: state, under certain amount of money
what are these three descriptions describing?
- support physicians by diagnosing and treating illnesses, conducting examinations, and prescribing medications, often providing a broad range of healthcare services under a supervisory arrangement with a physician.
- specialize in improving patient mobility and quality of life through prescribed exercise, hands-on care, and patient education about injury prevention and rehabilitation.
- diagnose and treat medical conditions, perform surgeries, and lead healthcare teams in developing and managing comprehensive care plans for patients.
- PA
- PT
- Physician
Nurses role in delegation
assessment/evaluation, data interpretation, discharge planning, health ed, care planning, triage, invasive lines, tube
Definitions of Negligence and malpractice
negligence: performing/nonperforming an act a prudent nurse wouldn't/would do
malpractice: failure to follow standards of care, use equipment, assess/monitor, communicate, document, act as an advocate
2nd step of nursing process when teaching
decide on best way tot teach based on assessment
Fee for service v pay for performance
fee: paid for each separate service they do
pay: pay if you do a good job, like a reward
1. specialize in treating and managing breathing disorders, providing therapies and care for patients suffering from conditions like asthma, COPD, and during recovery from acute illnesses requiring ventilatory support.
2. help patients develop, recover, or maintain daily living and work skills, particularly after life-altering injuries or illnesses, to enhance their independence and participation in everyday activities.
1. respiratory therapist
2. occupational therapist
Assistive Personnel role in delegation
basic care, vitals, I/O, documentation, transfers
Process of informed consent
disclosure --> comprehension --> competence --> voluntariness
3rd step of nursing process when teaching
plan teaching, when/where/what to use with patient and family members... use SMART to plan a goal (specific, measurable, attainable, reasonable, time period)
DRGs
set amount of money given to hospital for each thing instead of actually cost. only get it if you follow Medicare rules
1.design nutrition programs to promote health, manage diseases such as diabetes or heart disease, and advise patients on healthy eating habits and nutritional balance.
2. manage and dispense medications, counsel patients on proper medication use, and work with healthcare providers to ensure optimal pharmacotherapy outcomes.
1. Dietitian
2. Pharmacist
Five rights of delegation
right person, right circumstance, right task, right communication/direction, right supervision/feedback
SBAR v I-SBAR-R
1. nurse to nurse; situation, background, assessment, recommendation
2. nurse to provider; identify, situation, background, assessment, recommendation, readback
How do you implement actions
: do the teaching
HCAPS
a survey that is send to patient to fill out on the provider; if satisfied Medicare reimbursed
1.provide spiritual support and guidance to patients and families, helping them cope with emotional and spiritual issues related to illness, trauma, or loss.
2.assist patients and families by providing emotional support, navigating healthcare and financial resources, and planning for care transitions or long-term needs.
1. Chaplain/Spiritual Care Provider
2. Social Worker
Definitions of:nonmaleficence, beneficence, justice, fidelity, veracity
1. obligation to not harm the patient
2. charity, mercy, and not harm the patient
3. just behavior/treatment
4. keep ones promise
5. provide honest/accurate information
how to promote communication with people who have cognitive, vision or hearing impairment
cog: minimize distractions, pictures, two choice questions, eye contact, patience
vision: communication boards, mouth visible, normal speaking pace
How do you evaluate if a patient has learned
teach back, direct questions, patient comments/behaviors, explain back, observe them doing it
Hospitals, Outpatient facilities, Primary care centers/clinics, home health care, and extended-care services
H: acute care
O: quick
P: see and know patient
HH: going to the home to help
E: nursing homes
1. perform basic care tasks under the supervision of licensed healthcare professionals to support the daily needs and comfort of patients.
2.diagnose and treat communication and swallowing disorders, helping individuals improve their ability to speak clearly, understand language, and eat safely.
1. Unlicensed assistive personnel
2. speech pathologist