Scope of Critical Care Nursing
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Questions and Answers

What is the primary role of a critical care nurse?

  • To ensure optimal care for acutely and critically ill patients and their families (correct)
  • To conduct research on new treatments for critical illnesses
  • To manage the finances of the critical care unit
  • To provide education to patients and their families
  • Which of the following is NOT a potential role for a critical care nurse?

  • Pharmacist (correct)
  • Nurse-educator
  • Clinical nurse specialist
  • Staff nurse
  • What is the main purpose of a critical care unit?

  • To provide care for patients with minor illnesses
  • To educate nurses on critical care practices
  • To provide specialized care for patients with life-threatening conditions (correct)
  • To conduct research on new treatments
  • What is a key principle of emergency care?

    <p>Quick assessment of the casualty and situation to institute life-saving measures (B)</p> Signup and view all the answers

    According to the principles of emergency care, what should be done to prevent heat loss in a casualty?

    <p>Cover the casualty with whatever cloth is available (A)</p> Signup and view all the answers

    In emergency care, why is it important to avoid unnecessary handling of the casualty?

    <p>It can worsen the injury (C)</p> Signup and view all the answers

    What is the primary goal in managing an emergency?

    <p>Maintaining a patent airway and providing adequate ventilation (B)</p> Signup and view all the answers

    What does the term "emergency patient" refer to in emergency nursing?

    <p>A patient with serious problems requiring immediate medical attention (C)</p> Signup and view all the answers

    What are the primary goals of Critical Care Nursing? (Select all that apply)

    <p>To restore and maintain the patient's physiologic and psychosocial stability. (A), To prioritize information and take immediate patient-focused action. (B), To respond with confidence and adapt to rapidly changing patient conditions. (D)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of a critically ill patient?

    <p>They typically have a stable baseline health status. (D)</p> Signup and view all the answers

    Which of the following is NOT an example of a non-physical need for a critically ill patient?

    <p>Basic physiological needs for air, nutrition, and elimination. (C)</p> Signup and view all the answers

    What is the most accurate definition of the scope of critical care nursing practice?

    <p>A dynamic process that involves the patient, the nurse, and the environment. (A)</p> Signup and view all the answers

    What does the American Association of Critical Care Nurses (AACN) define as the specialty of acute and critical care nursing?

    <p>The management of human responses to actual or potential life-threatening problems. (D)</p> Signup and view all the answers

    Which of the following is NOT a component of the scope of critical care nursing practice?

    <p>The specific type of medical equipment available for patient care. (B)</p> Signup and view all the answers

    What is the main focus of emergency nursing?

    <p>Providing immediate care for patients with unexpected and critical health events. (B)</p> Signup and view all the answers

    Flashcards

    Critical Care Nursing

    Specialized nursing for critically ill patients needing intensive care.

    Goal of Critical Care Nursing

    Maintain physiologic stability and adapt to patient conditions.

    Components of Critical Care Nursing

    Involves patients, nurses, and the care environment.

    Critically Ill Patients

    Patients at high risk for life-threatening health issues.

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    Physical Needs of Critically Ill Patients

    Include basic physiological needs like air and nutrition.

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    Non-Physical Needs of Critically Ill Patients

    Include social and psychological support for wellness.

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    Principles of Emergency Nursing

    Guidelines for providing urgent care to patients in crisis.

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    Health Care Interventions

    Actions designed to restore or maintain patient health.

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    Critical Care Nurse

    A licensed professional nurse responsible for the care of critically ill patients.

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    Roles of Critical Care Nurses

    Includes staff nurses, nurse-educators, nurse-managers, and more.

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    Critical Care Unit

    A specially designed facility for life-threatening patient care.

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    Emergency Nursing

    Specialty focused on caring for patients needing urgent medical attention.

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    Emergency Patient

    A patient with serious problems needing immediate intervention.

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    Guiding Principles of Emergency Care

    Quick assessment, appropriate positioning, and first aid measures.

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    Preventing Heat Loss

    Cover the body of the casualty to maintain body temperature.

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    Safe Transportation

    Arrange for safe transfer to hospital post first aid.

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    Study Notes

    Scope of Critical Care and Emergency Nursing

    • Critical care nursing involves delivering specialized care to critically ill patients with life-threatening illnesses or injuries. These patients have complex needs and require intensive nursing care.
    • The AACN defines acute and critical care nursing as the specialty that manages human responses to actual or potential life-threatening problems.
    • Goals of critical care nursing include restoring and maintaining the physiological and psychosocial stability of patients.
    • Prioritizing information to enable immediate patient-focused action is crucial.
    • Responding with confidence and adapting to rapidly changing patient conditions is essential.
    • Meeting the unique needs of patients and families coping with unanticipated treatment, quality-of-life and end-of-life decisions.
    • Establishing and maintaining safe, respectful, healing, and caring environments.
    • Using healthcare interventions designed to restore, rehabilitate, cure, maintain or palliate patients of all ages across the lifespan.

    Scope of Critical Care Nursing practice

    • The scope is a dynamic process with three components:
      • Critically ill patients and their significant social relationships
      • The critical care nurse
      • The environment where critical care nursing is practiced

    Critically Ill Patients

    • These patients are at high risk of actual or potential life-threatening health problems.
    • Their needs require continuous assessment and intervention to restore health and prevent complications.
    • Physical needs include basic physiological, or biological needs for air, nutrition, and elimination.
    • Non-physical needs include social and psychological needs. Social integrity (self-esteem), information, and communication are also included. Comfort and support from social relationships are included.

    Critical Care Nurse

    • A critical care nurse is a licensed professional nurse responsible for ensuring acutely and critically ill patients and their families receive optimal care.
    • Critical care nurses fill multiple roles such as staff nurses, nurse educators, nurse managers, case managers, clinical nurse specialists, nurse practitioners, and nurse researchers.

    Role Call

    • Staff nurses make independent assessments, plan and implement patient care, provide direct care, make observations and implement interventions, administer medications, and promote activities of daily living.
    • Nurse educators assess patients and families' learning needs, plan and implement teaching strategies, evaluate teaching effectiveness, educate, and have excellent interpersonal skills.
    • Nurse managers act as administrative representatives; ensure quality and timely care, and ensure a fiscally sound environment.
    • Case managers manage comprehensive care of patients, handle the patient's entire illness episode, and involve the collaboration of all personnel involved.

    Critical Care Unit

    • This is a specially designed and equipped facility staffed by skilled personnel to provide effective and safe care for dependent patients with life-threatening problems.

    Scope of Emergency Nursing

    • Emergency nursing is a specialty of nursing that focuses on the care of patients with medical emergencies requiring prompt attention to avoid long-term disability or death.
    • Emergency patients have serious needs that require immediate or timely nursing and medical intervention.

    Principles of Emergency Nursing

    • Guiding principles for emergency care involve quick assessment of the casualty and situation to enact life-saving measures.
    • Key principles include keeping the casualty in a dorsal position, covering them to prevent heat loss, avoiding unnecessary handling except to remove from danger, giving first aid to the injured area, recording and observing, reassuring the victim and relatives, preventing crowding, not giving water to victims with abdominal injuries and arranging for safe transport to the hospital after first aid.
    • Principles of emergency management cover aspects like maintaining the patient airway and providing adequate ventilation, controlling hemorrhage and its effects, evaluating and restoring cardiac output, preventing and treating shock, carrying out a rapid and ongoing physical examination, assessing patient consciousness, checking pupil size and reactivity, starting ECG monitoring if appropriate, splinting suspected fractures (including cervical spines), protecting wounds with dressings, and creating a flow sheet of vital signs, neurological status.

    Qualities of Emergency Nurse

    • Observation and assessment skills
    • Quick decision-making skills
    • Patient care skills in emergency situations
    • Emotional stability, self-confidence with the ability to lead and control patients
    • Recording and reporting skills

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    Description

    This quiz explores the essential aspects of critical care and emergency nursing. It covers the specialized care provided to critically ill patients, the goals of critical care nursing, and the importance of prioritizing patient-focused actions in high-pressure situations. Dive into the unique challenges faced by nurses in this vital field.

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