I want to PLAN a vacation, IMPLEMENT drinking, and EVALUATE whether or not I want to be a nurse anymore...
Wait... Can you do that? - Delegation
100
What is still a main problem that occurs in health care facilities?
Under reporting errors
100
What is an EHR?
EHR stands for Electronic Health Record. It is a virtual compilation of health data about a person potentially across his or her lifetime.
100
What is the difference between primary and secondary data? Which is more reliable?
primary data is information given directly from the client, and secondary data is information given by sources other than the client (family, friends, etc.).
Primary is more reliable because you are getting information directly from the source.
100
How should a nurse prioritize a patient's health problems?
Depending on the nursing diagnosis, whichever diagnoses is associated with the bottom of Maslow's hierarchy of needs (physiological needs), should be prioritized first.
100
Generally, what can a nurse NOT delegate to a NAP?
Anything that requires the nurse's expertise. (anything involving ADPIE)
200
Nurse educators are required to
hold students accountable for student learning outcomes.
200
What is the most common format used in documentation throughout agencies? What does it stand for?
Focus - DAR - Data (subjective and objective), Activities, and Plan
200
What is the primary reason for performing a nursing assessment?
to establish a baseline
200
Giving a patient a spirometer is an example of a ______ initiated activity.
Nursing
200
What are the 5 rights of delegation?
Right task, right circumstances, right person, right direction/communication, right supervision
300
According to the article, a culture of safety is characterized by
Collective mindfulness that can only be achieved in an environment of mutual respect and in the absence of fear and intimidation.
300
Name at least 3 rights a patient has according to HIPPA. If you can name all of them, double points! 600 POINTS
See and copy their health records, update their health records, get a list of disclosures, request restrictions on uses or disclosures, choose how to receive health information.
Reassess the patient it outcomes were not met. A new NCP may need to be made to met goals. Don't be afraid to terminate a NCP if patient reached all goals you set.
300
A NAP goes into a patient's room. She goes into the room and the patient tells her that his back hurts. The NAP can see that the patient is in pain and tells him that a massage can help. The NAP performs a back massage and notices muscle twitches and redness. After the massage the NAP tells the patient he should feel better now. She goes on with her day without talking to the nurse who is busy. Did the NAP do the right thing? Why/why not?
No! The NAP does not have the authority to assess if the patient is in pain or not. Also the NAP should ask the nurse to assess the patient's back for any redness or alterations in skin integrity before performing a back massage. Since there was redness and muscle twitches there could be something seriously wrong with the patient! She should have told the nurse as soon as possible of these findings.
400
What is the health care society trying to do when it comes to errors?
Changing it into a "blame-free society" where nurses learn from errors rather than being punished.
400
What are the different documentation formats? (There are 5)
Narrative, PIE, SOAP, Focus - DAR, CBE
400
What are the components of the nursing assessment?
Collect patient data, identify priority areas to be assessed, determine types of data needed, establish a baseline, analyze data & patient's symptoms, verify data and it's accuracy.
Can oral hygiene to an unconscious or debilitated patient be delegated to a NAP? What are some things the nurse should ensure the NAP knows before performing this action?
Yes! The patient should be in a proper position. The NAP should know about aspiration precautions, know how to use a suction catheter when cleaning oral secretions. They should also report to you any impaired integrity of mucosa and gums, coughing, or choking.
500
What are the three components of a Culture of Safety?
Collective mindfulness, Accountability, and Employee Empowerment and Engagement.
500
What are the rationales for accurate documentation?
Communication, diagnostic and therapeutic orders, care planning, quality review, research, decision analysis, education, legal documentation, and reimbursement.
500
Excess fluid r/t excessive fluid intake aeb swelling in the legs. What type of nursing diagnosis statement is this?
Actual Nursing Diagnosis Statement
500
What are NICs?
A comprehensive, standardized classification of treatments that nurses perform. Can be independent or collaborative.
500
A NAP is performing denture cleaning. She takes the dentures into the bathroom which she wrapped in a napkin. She turns on the hot water and takes a toothbrush and toothpaste to clean the dentures. As she is cleaning, she accidentally drops the dentures in the sink. She picks them up and continues cleaning. When she is done with both the top and bottom, she wraps it in a clean napkin and puts it near the patient who is asleep. Did the NAP perform this task right? Why/why not?
No! She forgot to put a towel on the bottom of the sink. Also she should keep the dentures in a denture cup marked with the patient's name. Also when she dropped it she did not inspect it for chips or damage. Also she used hot water which can alter the dentures.