Communication
Examples of non-therapeutic communication
close-ended
asking why?
Advice-giving
agreeing
asking unnecessary questions
What is the nursing process?
ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
What are the five rights of delegation?
Right Person
Right Task
Right Circumstance
Right Feedback
Right Communication
What is the order of Maslows Heirarchy of Needs?
Physiological
Safety
Love and Belongingness
Esteem
Self Actualization
Nursing priorities (ABC)
Airway, Breathing, Cardiac/Circulation
Disability, Exposure
Phases of Helping Relationships
Pre-Interaction phase- preperation, review data
Orientation phase- gain patient's trust, assess the patient, prioritize
Working phase- encourage expression of feelings, help set goals, implements interventions
Termination phase- evaluation, summarize
The 3 types of assessment are
focused- broken bone
special needs- nutrition/ radiology
comprehensive- head to toe
What are the 3 Torts? What do each mean?
Unintentional- malpractice or negligence
Intentional- done with intent to harm another person
Quasi-Intentional- harmful to one's reputation
Define Evidence-Based Practice and give examples of evidence based research
The use of theories, research, and previous acquired information to make a decision.
-cohort study
-case-controlled study
-Guidelines
Randomized control trial
What is Clinical Reasoning and Clinical Judgment?
Clinical Reasoning- Using previous knowledge, data, theories, or studies to determine a conclusion
Clinical Judgment- applying information based on an actual observation of a patient using subjective and objective data
Communication boundaries
-Know your limits
-dont over-extend yourself
-expressing emotions
-its not about you
-self discolsure
-warning signs
When planning, goals must be...
1) Specific
2)Measurable
3) Achievable
4) Relevant
5) Time-bound
Respect of person's
Beneficience
Nonmaleficence
Justice
Fidelity
Veracity
What is HIPAA
- The Health Insurance Portability and Accountability Act
- A federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed.
What is SBAR reporting
Situation
Background
Assessment
Recommendation
Communication with colleagues
-Mutual respect
-Trust/Honesty
-Team mentality
-Direct communication
-Adult to Adult
During Diagnosis, you must
Identify significant data
Identify Cluster cues
Identify Inconsistencies
Who is QSEN and what are the Competencies?
Quality Safety Education for Nurses
provides nurses with the knowledge, skills, and attitudes it takes to provide safety and quality care.
Quality improvements, Safety, Informatics, Teamwork and Collaboration, patient centered care, evidence based practice
Define Critical Thinking and the skills associated with Critical Thinking
Critical thinking is a combination of reasoned thinking, openness to alternatives, the ability to reflect, and a desire to seek the truth.
Critical thinkers are:
open
non-judgmental
inquisitive
interested in seeking the truth
flexible
Care Mapping
represents a plan of care that is prioritized, indvidualized, and organized
Effective verbal and nonverbal communication techniques
-open-ended questions
-paraphrasing
-focusing
-exploring
-empathy
-confrontation
-personal space
The four types of data are
1) subjective (what the pt tell you)
2) objective (what you observe)
3) Primary data (what you assess and gather first hand)
4) Secondary data (data out of a health record or from a coworker)
Discuss the various components of the Nurse Practice Act.
State legislation regulates the practice of nurses and establishes standards for nursing schools.
The NPA also writes specific regulations for nurses and PROTECTS THE PUBLIC
How do nurses use critical thinking in evidence based practice?
Evidence based practice supports nursing care so that it is individualized to the patient and thus maximizes the effects of clinical judgment
-pain assessment
-triage
What is the Joint Commission and what are the National Patient Safety Goals?
The Joint Commission holds healthcare workers responsible by evaluating organizations and coming up with ways to better them.
Identify Patient correctly
Identify patient safety risks
Prevent spread of disease/infection
Prevent mistakes in surgery
Use alarms correctly/safely
use medications correctly
Use good communication between employees