Questions and Answers
What is a primary advantage of infusion therapy?
What are standards of care for IV
Which route of infusion is considered most common in clinical practice?
What is the nursing process before the assessment
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Which organization mandates testing and validation of professional competence for nurses?
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Nursing process assessment for objective information..........also we decide what size of IV dependent on veins
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What is the nursing process diagnosis
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What are the planning/implementation and interventions in nursing process
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Nursing process in evaluation
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What is some patient education
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What are some risk management and risk assessment
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Which legal term describes harm caused by a professional's failure to exercise an accepted degree of skill or learning?
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What are more legal and ethical issues................Standard of care flushing IV at least once a shift Failure to give call light
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What are some medication safety
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What are smart goals for medication administration
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Study Notes
Overview of Infusion Nursing
- Infusion nursing involves placement, care, and management of vascular access devices (VADs).
- Administers a variety of infusion solutions and medications directly into the vascular system.
- Essential for immediate effects and precise medication control, including dosages in mL/hr or boluses.
- Disadvantage includes irritation caused by certain substances.
Regulatory and Practice Standards
- Practice must comply with State Nurses Practice Acts, Infusion Nurses Society Standards of Practice, and institutional policies.
- Accreditation requirements and CDC guidelines also dictate procedures.
- Standards of Care provide frameworks for assessment, education, documentation, and equipment use.
Infusion Routes
- Most common route is intravenous (IV).
- Other routes include intraosseous, subcutaneous, and intraspinal.
Clinical Competency in Nursing
- Competency is crucial for nurses managing or initiating IV therapy.
- Requires validation of skills through testing, observation, and simulation prior to client care.
- Evidence-based practice is essential across all healthcare sectors.
Nursing Process: Assessment
- Assessment gathers subjective data, such as client fears and understanding of IV therapy.
- Objective data includes medical history review, physical assessment of veins, and laboratory data analysis.
- Important considerations include the type of medication administered, duration of IV therapy, and prior client infusion experiences.
Client Assessment
- Review of client's medical history is crucial for understanding background conditions and current medications.
- Conduct a physical assessment to evaluate the size and placement of the vein for IV access.
- Review laboratory data and radiographic studies to gather comprehensive health information.
- Distinguish between trauma-related medications and regular medications to inform treatment strategies.
- Determine what will be administered through the IV, considering the specific treatment protocol.
- Assess the duration the IV has been in place to ensure safety and effectiveness.
- Establish how long the client will require IV therapy based on the treatment plan.
Nursing Process: Diagnosis
- Define and label client problems based on gathered assessment data to create clarity.
- Provides a foundation for choosing appropriate nursing interventions and ensures clear communication among healthcare providers.
Nursing Process: Planning/Implementation of Interventions
- Develop an action plan for implementing appropriate interventions for IV therapy.
- Implementation must occur in a safe and timely manner to prevent complications.
- Nursing actions related to infusion therapy should include:
- Infection prevention measures to safeguard against infection.
- Proper preparation of infusate and medications to ensure efficacy.
- Monitoring for adverse reactions and having antidotes ready when necessary.
- Educating the client and documenting the process thoroughly.
Nursing Process: Evaluation
- Use evaluation data to determine if the client’s health problems have been resolved.
- Revise the plan of care if the desired outcomes have not been achieved, adapting to the client's needs.
- Continue the plan of care based on the client's progress toward the established goals.
Patient Education
- Tailor educational efforts according to the client’s age, developmental and cognitive level, cultural background, and language preferences.
- Consider the involvement of family members or caregivers in the education process to enhance understanding and compliance.
Risk Management and Risk Assessment
- Implement risk management strategies to minimize potential adverse events associated with IV therapy.
- Conduct thorough risk assessments to identify and mitigate possible complications in the client’s care.
Risk Management and Risk Assessment
- Organizations face concerns regarding potential exposure to losses.
- Loss control involves preventive and protective activities aimed at minimizing risks.
National Patient Safety Goals
- Identify patients accurately to ensure safety.
- Enhance communication among healthcare providers to reduce errors.
- Safeguard the use of medications to prevent adverse effects.
- Implement measures to prevent infections in healthcare settings.
- Identify and mitigate patient safety risks proactively.
Risk Management Strategies
- Use informed consent to clarify treatment and risks to patients.
- Conduct reviews of sentinel events to improve practices.
- Maintain thorough documentation of all procedures and patient interactions.
- Monitor the placement and condition of intravenous (IV) devices.
- Regularly assess how clients tolerate IV treatments.
- Check IV sites frequently through systematic rounding of clients.
Legal & Ethical Issues in Infusion Therapy
- Liability refers to legal responsibility, necessitating proper evaluation of medical orders.
- Malpractice occurs when professional harm is inflicted on a patient due to inadequate skills.
- Negligence entails harm caused by parties lacking professional status.
- Tort denotes a wrongful act that can lead to legal action.
Legal Perils in Infusion Therapy
- Inadequate monitoring and assessment of patient status can lead to serious consequences.
- Failure to prevent infections can compromise patient safety.
- Improper use of medical equipment poses significant risks.
- Duty of care breaches occur when providers do not meet acceptable healthcare standards.
- Coercion of a rational patient to accept IV therapy can lead to charges of assault and battery.
- Legal action for malpractice requires demonstrable harm resulting from the act.
Medication Safety
- Medication errors are the most frequent safety issue affecting patients.
- Adherence to proper storage, ordering, preparation, and administration protocols is crucial.
- High-risk medications must be double-checked with another nurse to prevent errors.
- IV medications have immediate and systemic effects on patients.
- High-alert medications include chemotherapy agents, opioid analgesics, insulin, and parenteral nutrition.
Characteristics of Medication Errors
- Illegible orders are less problematic due to the use of Electronic Health Records (EHR).
- Incorrect dosages must be reviewed, verified, and corrected through communication.
- Pump programming errors can lead to significant medication administration issues.
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Description
This quiz covers Chapter 1 on Overview, Professional Practice Issues, and Infusion Therapy in the context of infusion nursing. You will explore the placement, care, and management of vascular access devices, as well as the administration of infusion solutions and monitoring protocols. Test your knowledge on this recognized nursing specialty essential for effective patient care.
