Pill Poppers
Examples of Generic vs Brand/Trade name
Generic - acetaminophen, aspirin, levothyroxine
Brand/Trade - Tylenol, Bayer, Synthroid
What are Primary (before dz; teach exercise/healthy eating, immunizations, seatbelt use); Secondary (after dz, but before symptoms; screening - mammograms, colonoscopies); Tertiary (after dz occurs, prevent further damage; glucose monitoring in diabetic)
Law that establishes the scope of practice for nurses; also sets standards of care, requirements for licensure, and sets disciplinary actions for violations
Nurse Practice Act
Deontology - follow rules no matter what
Utilitarianism - benefits the social good
RACE and PASS
ADME
Absorption, metabolism, distribution, excretion
Seizure precautions
Lower to the floor, turn head to side, loosen restrictive clothing, suction, oxygen, note time, pad side rails, nothing in mouth
Protects patient privacy and confidentiality of health information
HIPAA
Justice
Ensure fair access to health services (no favorite patient, equal distribution of goods)
Signs of local inflammation
redness, warmth, edema
Med Rights (7)
Right pt, med, time, dose, route, education, documentation
Restraints assessment guidelines
Ck q15 min; remove one restraint at a time to assess VS, ROM, toilet, skin check q2 hrs; remove as soon as no longer needed; orders good for 24 hrs; in-person authorization asap and within 24 hrs; mittens lowest form of restraints
Provides protection for health care professionals (working in their scope) who provide emergency care at the scene of disaster, emergency, or accident; still contact emergency services at start (call 911 to bystander)
Good Samaritan Act
Fidelity
Keep promises (I will be back in 15 min)
SOCRATES
site - location, onset - started when, character - quality (burning, stabbing, sharp), radiates (feel elsewhere), associated fx (bright light, blurred vision with headache), time (duration - intermittent/constant), exacerbating/alleviating fx (what makes worse/better), severity (pain scale 0-10)
Med error occurs - what to do
First, see patient; contact risk management system and file report; root cause analysis (ID underlying reason why the problem is occurring)
Restraint alternatives
Near nurse station, distraction with task, decrease stimuli, orienting, sitter/family, bed alarm, change environment
Unintentional torts vs Intentional torts
Unintentional - did not mean to do the wrong done (negligence, malpractice, abandonment)
Intentional - act done knowingly and on purpose that violates pt rights (assault, battery, defamation of character, false imprisonment, invasion of privacy)
Autonomy
Pt makes independent, informed decisions regarding care, and then we respect their wishes (even if we don't agree)
DON (put on): gown, mask, goggles/eyewear, gloves
DOFF (remove): gloves, gown, wash hands, goggles/eyewear, mask, wash hands
Routine (regular basis), PRN (as needed - requires indication), Single order (once), Standing (may be provided indefinitely), STAT (immediately and once)
Description of procedure to be done, necessity of procedure, alternatives to procedure, risks/benefits of procedure, risk of treatment refusal, voluntary participation; pt signature/sufficient knowledge to make decision (legal age, competence, language, readability)
IRB
Institutional Review Board: protects the rights of human research subjects
Action with dehiscence and evisceration
Prevent with splinting pillow; Dehiscence (popping sound when suture splits); Evisceration (organs emerge - saline soaked gauze and emergency attention)