Introduction to Medical-Surgical Nursing PDF

Introduction to Medical Surgical Nursing 1 What is a medical-surgical nurse?most nurse work isradianseror u One of many specialties u Focus of the med-surg nurse: u Adult client with acute or chronic illness in any health care setting u Adult clients who are at risk for illness preventative 2 What i...

Introduction to Medical Surgical Nursing 1 What is a medical-surgical nurse?most nurse work isradianseror u One of many specialties u Focus of the med-surg nurse: u Adult client with acute or chronic illness in any health care setting u Adult clients who are at risk for illness preventative 2 What is required to be a medical-surgical nurse? u Strong knowledge base: u Biological u Emphasis on correlating nursing care to the physiology/pathophysiology of various disease processes (this understanding fosters more accurate interpretation of collected data) u Psychological Social u u Strong background in gerontology u Critical thinking skills and behaviors u Good clinical skills patient using as 3samehospital I amariness 1 Nursing Competencies u 2008 study by Nursing Executive Center of the Advisory Board showed: u Recent nursing school graduates demonstrated an academic-practice gap u Graduates lacked the expected knowledge/ competency in the following areas: u Knowledge of pathophysiology of patient conditions Knowledge of pharmacological implications of medication u Decision making based on the nursing process u Interpretation of assessment data u u The 2 biggest concerns: u Failure to notice a change in patient’s condition u Failure to act www.t.aiisraugsrunn.tv 4 man Nursing Competencies u L iii Competencies necessary to consistently effective nursing care include: u Nursing process (the 5 steps ) u Clinical decision making u Evidenced-based care (Nursing care practices are based (clinical judgm ent m odel, nursing process and clinical decision m aking are closely linked) on the best evidence from research studies and clinical experiences) u Patient-centered care u Quality and safety ( National Patient Safety G oals) u Interprofessional practice (IO M (patient-centered care is a benchm ark that facilities are evaluated against- nursing care is an im portant com ponent of this com petency) report findings) communication www.ngasateamneea mn fiiiiranteanie sohu.am iEE IEIE i sretyrisiesistandadsslPreventhl ii 5 What is the role of the medical- surgical nurse? u Manager of Care u Provider of Care u Member of the profession 6 2 What is the role of the medical- surgical nurse? u Manager of Care u u u u u u u u u time day Organized management Ability to problem solve Can prioritize appropriately Manages resources effectively Good time manager Recognizes self limitations Participates actively within the unit Communicates effectively with team to provide good care to client(s) Advocates for client(s)/ families 7 Manager of Care 8 What is the role of the medical- surgical nurse? u Provider of Care EEE.IR u Develops, coordinates, and evaluates care for their clients u Effectively communicates with their clients Advocates for clients u u u u u u Educates clients and families Anticipates risks to clients Able to give care to a diverse population Develops a therapeutic relationship with clients Performs skills efficiently and effectively 9 3 Provider of Care 10 What is the role of the medical- surgical nurse? u Member of the Profession u u Is accountable for their own actions Conforms to professional standards Knows the laws and regulations that govern the practice of nursing Knows the resources available to nursing and clients u Incorporates legal and ethical responsibilities in their care u u u u www.nae use to Is a life-long learner Participates in their community 11 Member of the Profession 12 4 What attributes do we see in the medical surgical nurse? u u u u u u u u Caring Honesty/ trustworthiness someone Flexibility patient Ability to critically think Responsive Altruistic Strong work ethic Respectful core when a atten talainanacery 13 What guides the medicalsurgical nurses’ practice? u Codes u Standards u Law u u u Codes of Ethics ANA Standards of Practice Nurse Practice Acts 14 What are some practice settings for the medical surgical nurse? u Hospitals/ Acute Care Facilities u Same-Day Surgery Centers Acute Rehabilitation Faciltiesencompass Ambulatory Care Settings u u u u ex Long-term Care Units Patient’s homes 15 5 Competencies in Medical Surgical Nursing u u The NCSBN (National Council of State Boards of Nursing) defines clinical judgment as “the observed outcome of critical thinking and decision making. It is an iterative process that uses nursing knowledge to observe and assess presenting situations, identify a prioritized client concern, and generate the best possible evidence-based solutions in order to deliver safe client care.” Oudgmt As our client situations have become much more complex, clinical judgment is a REQUIRED competency. 16 The Clinical Judgment Model u Recognize cues u Analyze cues Prioritize hypotheses Generate solutions u u u u 17 Take actions Evaluate outcomes similar How do medical- surgical nurses plan care for their patients? u Nursing Process u A decision making process that requires the ability to critically think u 5 step process u Assessment u Analysis u Planning u Implementation u Evaluation 18 6 The Nursing Process and Clinical Judgment Model ii iii 19 IOM Competencies for Healthcare Professionals (BOX 1.8, Page 6) u Provide client centered care u combination Work in interdisciplinary teams teamwork Use evidenced based practice Apply quality improvement u Use informatics u u 20 QSEN Competencies (Box 1.9 Page 8) when in see to YEH u Patient Centered Care u Teamwork and Collaboration Evidenced-based Practice Quality Improvement u u u u Safety Informatics 21 7 Summary u Medical-surgical nursing: u Is challenging yet rewarding u Requires: uHard work uDedication uCommitment: u Clients u Families u Self u Profession 22 8