Standard of Care, Standards of Nursing Practice, Standards of Professional Performance

standard of care tells us _____________________?

HOW we do what we do

standard of care

- LEGAL term - NATIONAL standard - establishes minimum level of duty owed to the recipient of care by the registered nurse - describes the MINIMUM requirement of acceptable care - NOT to be confused with objective of care, philosophy of care or guidelines

standard 4 - planning

- the nurse develops a plan of care that prescribes interventions to attain expected and measurable outcomes - INTERVENTIONS NEED TO BE PATIENT SPECIFIC (i.e change dressing every shift, MUST include dressing change materials and steps)

standard 6 - evaluation

- the nurse evaluates progress toward attainment of goals and outcomes - revisions to care plan can then be made

standard 3 - outcome identification

- the nurse identifies expected outcomes individualized to the healthcare consumer or the situation *(outcomes must be observable)

what are organizations that establish the professional standards of nursing?

American Nurses Association (ANA) Joint Commission specialty organizations (AACN, ENA, AORN, etc.)

standards of nursing practice tell us _______________________?

WHAT we do (the nursing process, aka ADPIE)

standards of professional performance tells us ______________________?

WHO we are

what are the standards of professional nursing practice (1-6)?

authoritative statements of the duties that all registered nurses, regardless of role, population, or specialty are expected to perform competently *(these standards reflect the NURSING PROCESS)

goals are __________________?

long term (discharge)

standard 2 - diagnosis

nurse analyzes the assessment data to determine the diagnosis or issues *(a nursing diagnosis if a patient response to a medical diagnosis, i.e patient has CHF, nursing diagnosis is fluid overload)

how are external standards established within the nursing standard?

set by state boards, professional organizations, specialty nursing organizations, nursing literature, federal organizations and guidelines

how are internal standards established within the nursing standard?

set by the role and education of the nurse or by individual institutions

outcomes are ________________?

short term (48-72 hrs)

what are the standards of professional performace (7-17)?

standard 7 - ethics (covered in ANA code of ethics) standard 8 - culturally congruent care standard 9 - communication standard 10 - collaboration standard 11 - leadership standard 12 - education (nurses are lifelong learners) standard 13 - EBP, research standard 14 - quality of practice standard 15 - professional practice evaluation standard 16 - resource utilization standard 17 - environmental health

standard 1 - assessment

the nurse collects pertinent data and information relative to the healthcare consumer's health or the situation

standard 5 - implementation

the nurse implements the plan