CHAPTER 1.docx

CHAPTER 1 There are 5 milliliters in 1 teaspoon. There is 1 teaspoon for every 5 milliliters. The four stages of the nursing process are Assessment, Diagnosis, Planning, Implementation, Evaluation. Your planning phase of the nursing process includes your goals and outcome criteria. Your implementat...

CHAPTER 1 There are 5 milliliters in 1 teaspoon. There is 1 teaspoon for every 5 milliliters. The four stages of the nursing process are Assessment, Diagnosis, Planning, Implementation, Evaluation. Your planning phase of the nursing process includes your goals and outcome criteria. Your implementation phase of the nursing process includes patient education. Ginkgo can interact with multiple medications. Assessment includes data collection, review, and analysis as well as medication profile. We need to know all drug use for our patients; legal drugs, illegal drugs, compliance and over the counter medications are all included. When assessing a patient make sure you also ask about medication allergies and what reaction the patient has. The interprofessional education collaboration was formed in 2009 to develop core competencies for interprofessional collaborative practice with the goal of improving health outcomes. When students from two or more professions learn from and with each other, this is called interprofessional education. Planning is the identification of short- and long-term goals and outcome criteria. We want the goals to be objective, measurable, and realistic with an established time period for achievement of the outcomes that are specifically stated in the outcome criteria. For medications, the outcome criteria is safe and effective administration. Implementation is where we start putting our care plan into action. Implementation can be independent, collaborative, or dependent. An example of independent implementation would be measuring urine output. An example of collaborative implementation would be working with a RT to care for an intubated patient. An example of dependent implementation would be following orders given by a provider. All right of medication administration must be present in order to accept an order from a provider. Name the 9 rights of medication administration: Right drug Right dose Right time Right route Right patient Right documentation Right reason Right response Right to refuse Any preventable event that may cause or lead to inappropriate medication use or patient harm is considered a medication error. The two types of medication errors are Patient-related and System-related. An example of a patient-related medication error would be when a patient takes too much of a medication. An example of system-related medication error would be if a cooler that stores medication malfunctions and stores the medication at the wrong temperature. We want to education patients on: Keeping a list of their medication with them Keeping their medications in a safe place How to correctly administer medication including teach back Taking all medication as prescribed If your patient meets a goal, close it out. If your patient does not meet the goal, modify it. There are two types of responses from medication, expected and unexpected. An example of an expected response would be giving a patient with HTN metoprolol and seeing their BP lower. An example of an unexpected response would be giving a patient with HTN metoprolol and seeing hypotension result.