Critical Thinking
Defines how nurses think about patient problems, make decisions, and develop conclusions
What is critical thinking?
A framework that defines the HOW nursing duties should be carried out under a given license or certification.
What is the scope of practice?
Communication tool used in the hospital?
(Hint: acronym with 4 letters)
SBAR
Vital signs
Pain
Level of consciousness & orientation
NPO status/diet
Risk of infection
Wound debridement
Intake & output
Sign and symptoms to report to the provider
What are surgical nursing assessments?
Whole blood
PRBC
FFP
Platelets
Cryoprecipitate
What are types of blood products?
Assessment
Diagnosis
Planning
Intervention
Evaluation
What is the nursing process?
State specific board of nursing
State specific nurse practice act
What are resources used to clarify state regulated scope of practice?
Listening
Understanding
Responding
What are the 3 basic components of effective communication?
labs completed within 30 days of surgery
chest x-ray
EKG within 3 months of surgery
H&P completed within 30 days of surgery
What is preadmission testing?
72 hours after draw
Expiration time of type and cross/type and screen blood specimen collection.
Right person
Right medication
Right dose
Right reason
Right route
Right time
Right documentation
Right person
Right medication
Right dose
Right reason
Right route
Right time
Right documentation
What are the 7 rights of medication administration?
right task
right circumstances
right person
right direction
right supervision
What are the 5 rights of delegation?
Verbal
Nonverbal
Written
Visual
What are types of effective communication?
Patient ID band
Allergy band
Hospital Gown
H&P is completed
Informed consent (surgeon & anesthesia)
NPO
Last voided
Skin prep complete
Pre-op medications given
Remove dentures, eyeglasses, hearing aids, jewelry
Pre-admission testing is complete
Medical clearances are complete
Pre-op education provided
What are the nurse responsibilities of the pre-op checklist?
Normal saline IV fluid
Y tubing
IV pump
Blood consent
What are parts of the blood administration process?
MICROMEDEX
Resource tool used to review medication dosages, clinical indications, contraindications.
Organization that outlines the nurses' standards of practice in your state.
What is the National Council of State Boards of Nursing? NCSBN
language
tone
attitude
culture
bias
What are barriers to effective communication?
White blood cell count
Fever
Redness
Swelling
Purulent drainage
Changes in urine
Change in Sputum
What are signs and symptoms of infection?
Temp increase of at least 1C or 2F resulting in a temp above 37C or 98.6F
Hematuria
Fever/chills
Headache
Malaise
Nausea/vomiting
Flushing
Rash/hives
Back/chest/abdominal pain
Wheezing/Shortness of breath
What are signs and symptoms of transfusion reaction?
Any preventable adverse drug events involving inappropriate medication use by a patient or health care providers; may or may not cause the patient harm.
What are medication errors?
SharePoint
Prime Healthcare's home intranet page
intimate
personal
social
public
What are proxemics and the territorial bands of space extending outward from the body?
Serous
Sanguineous
Serosanguineous
Purulent
What are types of surgical drainage?
Hemolytic
Febrile non-hemolytic
Anaphylactic
TRALI (Transfusion Related Acute Lung Injury)
Circulatory overload
Urticarial
Bacterial Contamination
What are different types of transfusion reactions?