Step ONE
Being able to recognize that something isn't "right" or what you would expect to find, picking up clues
What is Getting the Information?
Requires you to analyze data to make sense of all the data collected. Once you sort through the information, and analyze it, you use the results.
What is Making Meaning of the Information?
Deciding what actions to take based on what needs to be accomplished.
What is Determining Actions to Take?
In the 'Getting the Information' step, this is when you use the same approach each time and include all related information.
What is assessing systematically and comprehensively?
The nurse identifies what the patient needs most right now and recognizes any factors in the healthcare environment that could affect safe and effective care.
Collecting information completely and accurately from different sources
Ensuring Accurate Information
Involves analyzing collected data to separate essential information that impacts client care from unrelated or less significant details.
What is distinguishing relevant from irrelevant information?
Involves choosing safe, effective and evidence-based actions to address client needs, symptoms and prevent complications.
What is selecting interventions?
Identifying information that lacks harmony or agreement.
What is recognizing inconsistencies?
This step includes 'determining how to implement the planned interventions', 'delegating', 'communicating', and 'teaching others'.
What is step 4 or the 'taking action' step the CCJM?
The process of recognizing both subjective and objective data that provides evidence of a client's current condition
What is identifying signs and symptoms?
Anticipating possible risks that could arise based on the client's condition or treatment.
What is predicating potential complications?
The ordering of nursing problems using the notion of urgency and/or importance.
What is setting priorities?
The nurse decides how much uncertainty or lack of clarity is safe to tolerate before taking action or seeking more information.
What is judging how much ambiguity is acceptable?
This step includes 'clustering related information', 'identifying assumptions', 'collaborating with healthcare team members', and 'predicting potential complications'.
What is step 2 or making meaning of the information?
To quickly look over immediate surroundings, use one's senses to perceive the elements and events in an environment to determine their meaning.
What is scanning the environment?
The process used when determining patient issues, problems, or concerns that require action by the nurse. Grouping together information with a common theme.
What is Clustering Information?
Thinking ahead to determine what to do to prevent a complication from happening and what to do should one occur.
What is managing potential complications?
Looking at two or more situations that are similar or different by some common characteristic.
What is comparing and contrasting?
This step includes 'selecting interventions', 'managing potential complications', and 'setting priorities'.
What is step 3 or determining actions to take?
Collecting data that will affect the plan of the initial care of the client as well as what information requires vigilant monitoring of the patient.
What is determining important information to collect?
"Jumping to a conclusion"; misconceptions; hastily arriving at a conclusion without supporting evidence.
What is Identifying assumptions?
It’s one of the most well-known theories of human motivation, and it’s widely used in nursing, education, and psychology to understand and prioritize patient care needs.
What' is Maslow’s Hierarchy of Needs?
The nurse works together with other members of the healthcare team—such as physicians, physical therapists, respiratory therapists, dietitians, and social workers—to provide safe, effective, and coordinated patient care.
What is collaborating with healthcare team members?
The nurse checks whether the care provided achieved the desired results for the patient. It involves determining if the interventions were effective, partially effective, or ineffective, and deciding what to do next.
What is step 5 or the 'evaluating outcomes' stage of the CCJM?