Week 1 Jan 14 Math I&O Nursing Process (PDF)

Math 180 1,000,000 19 1,000m g 1mg Apothecary fl oz Ch 8 Quality Safety Education for Nurses QSEN pros has goal toprep St nurses w knowledge skills att 6rights of Medication admin DrugDose Pt Route Time doc MAR medication administration record DO NOT USE ABB...

Math 180 1,000,000 19 1,000m g 1mg Apothecary fl oz Ch 8 Quality Safety Education for Nurses QSEN pros has goal toprep St nurses w knowledge skills att 6rights of Medication admin DrugDose Pt Route Time doc MAR medication administration record DO NOT USE ABB Iiaiinanuai i.it 9d daily god every other day MS morphine sulfate MS04MgsOn magnesium sulfate Tall Man Letters look sound alike DOBUTAmine Dopamine Elec Iv pump may have ding calc safeguard param Automated medication Sys Ppt satis btime for narcotic count bmed errors Important for old ex adults to understand die for medic wh Ch 9 Electronic healthcare records EHR date med prescribed Name dose med Route of admin freq of a dm spec inst purpose of a dm when med is ordere as needed pen length of time Ch 10 Drug label Trade name Generic name Dosage strength Form Route Amount Directions Fehite a ieiiiiieieiiidm.be causned mL round to 10ᵗʰ 1.34mL 1.3mL p n'iié died jeiii.is eiiccapiet.sim.snapescoat for easy swallowing Tablet pow med comp into hard disk cylinder pain med contains binders disintegrators prom tab dissolution lubricants ea of manufacturing fillers conven tab size Liquid Forms Elixir clear fluid cont water or alcohol off sweetened Extract syrup dried form of pharmacologically active medication usually made byevaporating 501 Aqueous solution substance diss in water syrups Aqueoussuspension finely diss med particles dispersed in liquid medium when left part Settle to bottom syrup med diss in a conc sugar solution Tincture Alcohol extract from plant ani Other oral forms terms assoc w oral preparations Troche lozenge Flat round tablets that diss in mouth to Me ed.bz Aerosol Aqueous med sprayed absorbed in mouthRupp airway Sustained release tab capsule that contains Sm particles of a med coated w mat that req long time to diss  Medication Forms commonly prep for adm byTopical Route Ointment salve cream semisolid externally appliedpreparation usually 1 or more med Liniment us cont alcohol oil or soapy emollient applied to skin Lotion semiliquid susp that usually protects cools or cleanses skin Paste med preparation that is thicker than ointment absorbed more slowlythan ointment oft Skin plot Transdermal disk patch medicated disk or patch absorbed through skin slowly over long period of time Medication Forms commonlyprepared for adm by Parental Route Solution sterile preparation that contains water w 1 or more diss compounds Powder sterile particles of med that are diss in a sterile liquid wate saline bf administration Medication Forms commonlyprepared for instillation into body caviti Intraocular disk small flexible oval sim.to cont lens consisting of 2 soft outer layers a middle layer containing med slowly release med when moistened by ocular fluid suppository solid dosage form mixed w gelatin shaped in form of pellet for insertion into rect vag melts wit reaches bodytemp releasing med for absorption alc 286 Chapter 12 Parenteral Dosages Syringes Hypodermic 2,212,325mL Tuberculin ped I mL Insulin meas Units Chapter13 Dosages unit Epogen drug prod Tbc 140mLm 200mg 500 Fragmin anticoagulantpiev.cl ofbl z Heparin antico inhibitsC1 Insulin Short Rapid Intermediate longacting 20.8 9min PG 412 Chapter14Reconstitution of med In c initials date time exp date time note mg permL Chapter is Intravenous Flow Rate Av 1000mL 5051005250 500mL 5 dextrose 1000mL 5g Dextrose Dropfactor ofgtt in mL Mac 0 10 15,209ft ML micro 609ft ML 225 Chapter16Nursing Assessment NursingProcess dev byANA Assessment allowsyoutosortcues data Tecognize patterns make judgments to id h.prob 2 steps collection of info fromprim pt 2ndsources h c prof fam interpretation validation ofdata to det if more isneeded Types of Assessment Patient centered conductedduringa nursinghistory used forconductingcomprehensivenursing hist cult spiritsoc designed todiscusspt needsfrom their perspective focus on priorityprob areas Periodicassessmentscondduringongoingcontact w pt probfocused Phasesof the Assessment interview pt cent Orientation setting an agendaintroduce yourselfexpwhyyou you are collecting data it'sconfidential Workingphase invgathering acc elev comp infoab.pt cond an ongoing interview updatept status concerns focus on 0 s piev idea rev new problems Termination phase summarize discussion w pt check for accuracy let pt know when interview iscoming to an end Interview Techniques observation observe verbal nonverbalbehaviors inc eyecoat bodylang tone ofvoice app interweaveobserveptperffunc open Endedquestionsgivespt abilitytodisclose asmuchinfoastheywant DirectClosedEndedquestionsused to seek specific info of a problem Leadingquestions limit into pt givesex Itdidn'thappentoo oftendid it Backchaneling active listeningprompts Allright go on Probing encouraging more info is thereanythingelseyoucan tellme Eav in Ass Setting Timepress list prioritize Taskcomplexity Interruptions NursingHealthHistoryusedtocollectdata about a pt ComponentsofNursing Health History Biographical info fact agegenderaddress Chiefconcern reason forseek h c why a pt isseeking care PatientExpectationsass.ptexpectations met PresentIllness or Healthconcerns use PQRST P Provokes precipitatingrelievingfactors Q Quality ptexplains in own words R Radiate sym loc move S severity 0 10 T Time 1ˢᵗsymptom come go FamilyHistory in c geneticsuscept can giveinfo On if fam members are willing to beinvolved in care PsychosocialHistory pt s supportSys also in c info if pt recently lost someone Spiritual Health the spiritualdimension represents the totality ofone'sbeing Review of systems ROS inv systematiccollection of subjective infofrom pt about pies absence of h rel iss in each bodySys Observationof Pt behavior obs verbnon verb func St Data Documentation record results ofnursing health history phy examination Chapter 17 Analysis Nursingdiagnosis 3 Types of Diagnosis Medical Diagnosis identification of a dis condition based on a spec ass phy.sesym.is pt smedicalhistory the results of diagnostic tests procedures NursingDiagnosis Clinical judgmentmade by a RN todescribe a pt sresponse orvulnerabilityto health conditionsNurses cannot treat medical diagnosis butinsteadtreatspts responses to h conditions collaborative problem req both medical nursing interventions to treat InternationalclassificationforNursingPractice ICMP standardterminology sysusedgloballysupp Stand nursingdoc.atbedside NANDA International NANDA 1 1982 nursingdiagnosisclassification taxonomysys prov standard formal diagnosticstatements def char risk f NANDA I refers to Diagnostic labels INCPnursingDiagnosis data clusters sets of ass findingsdefining chat s NANDA I categorizesnursingdiagnoses into 3typesprob focused risk diagnosis healthpromotion Problemfocusednursingdiagnosesnegativediagnoses identify an undesirable human response to existingproblems or concerns of a Pt ex urinaryretention Risknursingdiagnoses applywhen there is an increasedpotential of vulnerabilityfor a pt.todev a prob or complication Health Promotiondiagnosespos diag I N identify the desire of motivation to improve health statusthrough a positivebehavioral Δ ex Positive familysupp ICN  Problem focusednursingdiagnosticstatementNANDA 1 diagnostic label related factors ma'sdefining chat s Risk nursing diagnosis associated risk factors preceded bythephrase as evidencedby Healthpromotionnursingdiagnoses diagnosis label defining characteristics assessmentfindings Components Diagnostic Label or Diagnosis isthe name of anursingdiag approvedbyNANDA 1 ICNPdef foreach char s of human response RelatedFactors apt sresponseto a health prob is related to a set of conditions that caused in fl resp ex circum influences EX Lack of knowledgeregardingpostoperative care related to inexperience w surgery asevidencedbyfreqqueries ab postop Font Ex impairedbreathing related to chest pain from rib fracture evidencedbyreduced excursion dyspnea good Chapter 18Planning outcomes idea in Nursing care planningprioritizediagnosesoutcomesfinter inc rev.pt nuts diagRoth pebim'sprioritizingnursing diagnoses problemssettingoutcomesplanof care choosing eel interventions CriticalthinkinginPlanning recogcues knowledge Ana cues Environmentinterruptionsstaffing mat Prioritizehypotheses Experience GeneratesolutionsStandards Evidencebasedkn about a Nursing Diagnosis or TakeAction collaborativeprob area standardsof care Eval outcome Attitudes creative plansofcare inc efficacybybeingptcent  Prioritysettingorderingofnursingdiagnoses to est preferred order of interventionspt.o orde.ro Gen prob foc neg wellnessat risk 2h prom dia Short term acute pt care longchronic methods forprioritizing Highprioritynursingdiagnoses highestpriority ex trade Oxygenation circulation 9 mediate n diagonses non emergent not life the Low priority n diagnoses not alwayseel to ill prognosis but still aff.pt s fut well being working w ass pers discusspurp of pt hosp outcome expect the plan how you AP will work tog Cognitive shifts shifts in attention from one pt.to anotherduring the conduct ofnursingprocess Outcome eff a h c seeu intervention has on h Status of pt Outcome 1 clear directionforset use of n interv 2 set specificmeasures for eval eff ofmeeting outcomes Nurse sensitivept outcome meas.pt fam comm behavior that is ues seas out 1 safety 2 pt relatedperc Ipt eel use of hic Char'sinc icypt func status main imp 2 pt safetyprotected unh 3pt satis ptrep ofcomecontent 263 NursingoutcomesclassificationNOC links outcomes to NANDA I nursingdiagnosesoutcomesinc labelsdescribing the focusof in care indicators to eval.suc of a interv Indicators 5point likert scale c t eatingsys addsobjectivity Wh evaluatingpt.isprog evalin interv WritingExpectedOutcomes Specific pt beh orresponse 1sing outcome ex pt ambulates in hall 3times adayby4 22 Measurable must be able tomeas obs inpt st pt s pain is 4 on a scale of 0 to10 in48his NOvaguewords normal stable acceptable Attainable set outcomes w the pt toagreeon thedirection time limits of care standardsof peaceevi b kn sat princebas humanneeds Realistic expectedoutcomesare realistictelev within pt s lim abilities fam caregiverto ass Timedtimehelpstheh c team call meas prog promotesaccountability Interprofessional collaboration 2ormore toachcomm profsworking outcomesforapt Nursinginterventionsanytelactbasedonclinicaljudgment knthatnursespext.toach.ptoutcome Independentnuts Interventionpositearlymobility peatcounseling ptisforcopingwstress nutsinterventions Dependent fromh c providesexdiagtests reqorder administeringamedicationinsertingFoley catheter Planofcarescientificliteraturestandprotocolsguidelinesthe Nursingoutcomesindentificationnoc nutsinterventionsclassificationNic Nursinginterventions classification 3 v15 7Domainssoclasses interventions Level1 Domainsin broadtermssafetyephysiological Level2classes csogipioner.int Levelsinterventionssas Nursingcareplanin nursingdiagnosesexpectedoutcomesinaiv.nuss.inteeu.is evaluation Interprofessionalcare inc contributionsfromandisciplinesinvolvedinPtcare plans commonomissionsinwritingnutsinterventionsaction.net.au antitymethodpersonpestinterv  8 56 11 HandoffReportingqualreportenablenursestoquickly recognizeo'sinptstatus toanticipaterisks Criticalpathwaysanotherclinicalmanagementtoolthatprovides aroadmapforbestpracticesbasedonexpertiseclinicalguidelines enhancedrecoveryafter surgeryErasreducedvansinclinical carereduceptstayimprovePtoutcome standardizeevibased practice Consultationused when expertisetoassistinidentifying seeking waysofsolvingspecprobisinPtmanagementorplanningimplen oftherapies sort 276 Chapter19implementingnursingcare N.aeptienaarasof outafterestablishingpt.isplanofcare Implementationcarried whileusingcriticalthinking goodclinicaljudgment I fski p nursinginterventionanytreatmentbasedonclinical judgment knthatanurseperformstoenhanceptoutcome Directcare interventionsaretreatmentsnursesprovide throughinteractionswptisgroupofPts Indirectcareinterventionsaretreatmentspertaway fromaptbutonbehalfoftheptmanagingptise.nu safetyintcont documentationinterprofessionalcollab scopeofNursingpracticeAnanursingistheprotection promotion optimizationofhealth abilitiesprevention ofillness injuryfacilitationofhealingalleviationof Ex fortonyatopromotemacawson'shealthstatusscope ofpracticessheprovides ateachingcoachingfuncdomainof by practices deliveringonetoone pteducationsessionsusing a videoprogramonTvdirectcare  median 1 ClinicalpracticeguidelinesInstituteof statements thatincluderecommendationsintendedtooptimizeptcarethat bass ofthe areinformedbyasystematicreviewofevidence benefits harmsofalternativecareoptions Guidelinesdevforreoccurringhealthproblemsconditionpress injuryDVTCLABS managementof post opsurgeriestwopart 1Foundationsystemiciev ofcurrentresearchevidenceonaclinical focusedonsteofevidonwhich question clinical decision making isbasedon 2setofrecommendations involvingbothevidence value judgmentsregardingbenefitsharmsofalternativecare nowpt.iswthatconditionshouldbemanaged optionsaddress everything elseequal carebundle agroupofinterventionsrelatedto a disease processconditiondesignedtopievthe most common complications associatedwtheirconditionsdiagnoses Standingorderpreprinteddocumentcontainingmedical ordersforroutinetherapiesmonitoringguidelines ordiagnostic pt.iswidentifiedclinicalproblemsforcritical proceduresfor ptsstandingordersgivelegalprotectiontocriticalcarenurses forgivingmedicationtosavept QSEN eststandardcompetenciesinkmskinsattitudesKsa Nursinginterventionapplyintellectualstandardsguidelinesforrational thought responsibleaction AgencyforHealthcareres Quality3categ ofadverseett Preventableadverse duetoerrororfailuretoapplyanacestrategyforprevention eventsoccurred Ameliorableadverseeventsthosethatwhile notpreventablecould'vebeenlessharmfulifcarewasdiff Adverseeventsduetonegligencethosethatoccuredduetocarethatfallsbelowthestandardsexpected ofclinicians Avoidadverseeventss 1reassesspt.blfproc.iseev.nuescareplan considerrevisionsto interventionsbasedon 3organizeresources pt yourdeliveryof careHanticipate preventcomplicatedbasedonwhatyouknow aboutpt simplementtheinterventionscorrectly Reassessmentnotrepeatingisthegatheringofadditional informationtoensurethatthe planofcareiscompletecurrent appropriate implementationskinsseacognitiveinterpersonal psychomotor skillsasyou directindirectnursinginterventions implement Activitiesofdailylivingany aredirectcaremeasures usuallyperformedduringanormday ambulation toileting eatingdressingbathingpersonaldevicecarefunctional mobility grooming InstrumentalactivitiesofdailylivingIADlsactivities thatsupportdailylife areorientedtowardinteracting withtheenvironmentsnappingcleaningmeanstaking meds Lifesavingmeasurephycare techusedwhenpt.isphysio psychhomeoinc psych st isthreatenedrestorephysio cpremergmedinterveningtoprotectconfusedvio.ptobtaining immediatecounselingfromcrisiscenterfor anx suicidalpt Counselingdie caremethodtohelp ptuseprbsolvingprocesses torecog manage facilitateinterpersonalrelationshipsex is counselingptstoaccepto'sresultingfromstress.ptsharespebistow appropriatesessocworker psychpastoralcare pteducation ptcentcare Adversereactionharmful unintendedeffofameddiagtestor therapeuticintervention  Preventiveinterventionspromhealthpeev.in eduprograms Primarypreventionhealthpromotioninc wellness phy Inutritionalfitnessactivities immunizations secondarypsevfocusesonpplwhoareexperiencinghealth peblin whoare atriskfordevelopingcomplicationsworseningconditions earlystagesofdis includeshealthscreenings treating Tertiarypeer iv minimizingeff.oflongterm.inaisinc.cenab.meas Indirectcarenutstreatproced.pext.awayfeompt.isbutontheir ftp.im behalfex handoffeephayroundingdelegationofcare 1communicatingNuesIntervendocwrittenEar 2Delegating.supervising.revaluatingth workofoth.staffassig.n flept.s activitiesliketeanstexmobilityskins.vitalsignsfost PtAdherencept.cominvesttimeincompletingnictreatmentseducation mustbeptcentStargetedtouniquesituation MM 292 Chapter20Evaluation Evaluationdetermineswhetherapt.iscand.improvedaft.nu's interventions youpertassessmentactivitieswithincontextofmakingmeasurementsafter aninterventionhasbeenperformed toeval efficacy Examineresultsaccordingtoclinicaldatacon out.wexpout compareachieved recogexonomissionsunderstandpt.sit.ienect.comexois knowledgeeei.topt.isdiseasepsychostatusass.ses.nues.diag.ie collaborative prbimisass.wpt.cond.aintecunkn.appliedtorecog.pt progressingworsening whentorethinkrevisionofapproachtocare Experience exp.inwitnessingeft.ofinternptid texiorationusiassessingpt kno wingpt.cbaserines.edu forevaluationstandardsforevaluationareoften Standards attitudes Environ outcomes fromclinicalguidelines developed eprotocoislappear.p.esofdrainage woundsize CompetenciesAna cBeing evaluation usingcriterionbased systematic datatorevise ongoingassessment mconaboratingwpt.sen.c.provcausing aplan communicatingresultstopt.sytam.is gift theevaluationprocess Evaluationoccurswheneveryou havecontactw a pt Evaluationmeasoftensameasptassessment Behavioralmeasanysurvorinterviewthatevaluates apt.isability toperformselfcare achieveselfmanagement self reportmeas of apt.isownperceptionsbeliefs2maynottrulyreflect Outcomecategory comfortstatusphysical includesindicatorsexpout intakeFivepointLikesttypescales controlpaywellbeing fluid symptom outcome gaitseverlycompromisedtonotcompknowledgeFanprevention noknowledgetoextensivekm Evaluationmust criticalthinkingintellectual applyobservationalskins can standards istka resultsofcare reflectiontorecogactual standardsofcarestandinteru guidelinescare clinical bundlesminimumiv ofcareacceptedtoensurehighqual care Chapter26 informatics Documentation Documentation keycommunicationstrategythatprod a written accountofpertinentptdataclinicaldecisionsinterventions pt responsesin ahealth because recordImportant Thequalofcarestandardsofregulatoryagenciesnursingpractice thereimbursementstracinthencsys legalguidelines centersformedicare medicaidseevcoms nolongerpayitHAC orpreventableadverse events Chapter27 Patientsafety Quality whopatientsafetypreventionoferrors adverseeffectstopt.is associated w h c vulnerablepopulationatriskforalterationsinsafetybecause ofreducedaccesstoh.cifewerresources increasedmorbidity BasicHumanNeeds mamecoaisoningisprevalent fi Temperatureriskoldyoung cardiovascular drugalcoholpatientshomeless conditions Cheon ill runners Common Environmental Hazards motorvehicleaccidentrearfacingcarseatforinfants toddlerseyes 144am4ft9in a12 yes Poisonanysubstancethatimpairshealthorresultsindeathwhenabsorbed Fallsaresubabusesocioeconomicmedicalcondmedsphyinactivitypoormobilitycognitionor visionunsafeenvironmentfoot problems Fireimproperuseofcookingheating hasacritical DisastersTTC factors Patientclinicalsupport utilities activities staffresponsibilities management safety securityresourcesupplies assetscommunication Transmissionofpathogenspathogenisanymicroorganismthatcancauseillness Infant toddlerincreasedriskforaspiration Preschooler fallsburnsdrowning schoolagedschoolviolence Adultthreatsoftenrelatedtolifestylehabits IndividualRiskFactors workplacecultureinfluencedby safetyculturebeliefs equipmentw 3categories IndividualriskshistoryperofriskEnvironmentalfactorsequip organizationalfactorspoliciesedu Lifestyletexting drivingalcohol Impairedmobilitymuscleweaknessabnormalgaitpoorcoord bat sensorycognitiveorcommunication impairmentdeliriumdementiaptwreducedhealthliteracy Economicresourceslowerincome Pbehavioralhealthissues Lackofsafetyawarenessnotreadinglabelsexpirationdate Procedurerelatedaccidentscaused health careprovidersmedication by errorimproperapplicationofexternaldevice accidentsrelatedtoimproper performance Equipmentrelatedaccidentmalfunctionormisuseofequipment ChemicalexposurematerialsafetydatasheetsMSDS