Documentation/Informatics
This documentation format focuses on Subjective data, objective data, assessment, and plan details
What is a SOAP note
Focuses on comfort and supportive services for patient's with a terminal diagnosis and a life expectancy of less than 6 months
What is hospice
To do no harm
What is nonmaleficence?
Immunizations, health education, and encouraging regular physical exercise represent this level of preventing disease or injury
What is primary prevention
The nurse instructs a post op patient to use this bedside device to encourage deep breathing, promote lung expansion, and prevent atelectasis
What is an incentive spirometer
This should be factual, accurate, clear, complete, unbiased and timely
What is documentation/narrative notes/charting
A patient fall resulting in a brain bleed, Giving incompatible blood products to a patient, a patient completing suicide in a hospital
Sentinel Event or Never Event
To keep promises
Fidelity
When educating a patient on home oxygen safety, then use stresses strict non-smoking rules, avoiding heat sources near oxygen tank and avoiding the use of this flammable product on dry nasal passages or lips
What is Vaseline or petroleum, jelly
When a client is experiencing SOB, the nurse should immediately assist them to this position as the least restrictive nursing intervention
What is High Fowler's
This technology promotes access to health care by eliminating the need for travel
What is telehealth
This health policy protects an individual's health insurance coverage portability and protects patient privacy
What is HIPAA
To do good
What is beneficence
This interprofessional health care team can manage the client's oxygen delivery devices, tracheostomy care, or administer nebulizer treatments
Who is the Respiratory therapist
Tachycardia, tachypnea, anxiety, restlessness, pallor, and elevated blood pressure are early signs of this respiratory impairment
What are early signs of hypoxia
A method of creating a situation that mimics a real experience for the purpose of practicing skills or assessment in a safe environment
What is Simulation
Nursing education programs must be in accordance with the requirements of this governing body
What is the BON/SBON
To tell the truth
Veracity
This health care professional can be consulted to help a patient who is experience spiritual distress
Who is the chaplain or pastoral care
These are 3 late signs of hypoxia
What are:
-stupor, cyanosis, bradypnea, hypotension, cardiac dysrhythmias
4 ways to protect electronic patient information
-Log off computers
-Do not share passwords
-Do not share screens
-Report Phishing scams
-Clear devices before disposal
The goal of this health care reform act was to improve health care quality while lowering costs, increasing access to care and to decrease health care disparities
Affordable Care Act
An accidental act or omission of care that results in injury due to a failure to meet the standard of care such as forgetting to put the bed back down in lowest position or place nonskid footwear on the patient
What is an unintentional tort/Negligence
This adventitious lung sound can be heard without a stethoscope and sounds like a high-pitched whistling or gasping sound
What is stridor
Barrel chest, clubbing, weakness, enlarged heart, headaches are signs of this
What is chronic hypoxia or COPD