Nursing Concept 3110

Professional identity is a subset of

personal identity.

The Joint Commission 2020 National Patient Safety Goals

standards to reduce the risk of medical error. 1. identify patients correctly 2. improve staff communication 3. use medicines safely 4. use alarms safely 5. prevent infection 6. identify patients safety risks 7. prevent mistakes in surgery

soap

subjective data, objective data, assessment, plan, can be used in source or problem oriented

what is important to remember about health literacy?

-life experiences can affect a persons understanding (foods/cultures)

what is one common time when teach back is used? (1) -medication reconciliation -medication administration

-medication reconciliation

QSEN competencies (list six competencies)

1. patient centered care 2. teamwork and collaboration 3. evidence based practice 4. quality improvement 5. safety 6. informatics

3 sources of law

1. statutory law (nurse practice acts in all states) 2. regulatory law (administrative law) 3. common law (judicial decisions)

"Go on." "And then?" "Tell me about it."

General leads Therapeutic

purpose of documentation

_A legal, permanent written record -Shows care provided by all care providers (chronologically) -Communicates plan for patient care -Documents patient responses -Facts about health history -Authorization of care and reimbursement occur based on documentation -Provides data to use in QI and research

Health Information technology for Economic and Clinical Health Act: 2009 -

provided for more enforcement of noncompliance by establishing increased levels of culpability and raising penalty amounts for compliance violations. It also notifies individuals when their protected health information has been breached or improperly used or disclosed without authorization.

Nurse Practice Acts

the statute in each state and territory that describes and defines the legal boundaries of nursing practice

"You appear tense.""Are you uncomfortable when...?""I notice you're biting your lip."

Making observations Therapeutic

Client: "I'm dead. "Nurse: "Are you suggesting that you feel lifeless? "Client: "I'm way out in the ocean. "Nurse: "You seem to feel lonely or deserted."

Translating into feelings Therapeutic

root cause analysis focuses on

systems and process NOT individual performances.

SBAR

use for handoff reports, situation, background, assessment, recommendations

flowsheets and graphic records

use to document assessments and care that are performed frequently, on a reoccurring schedule, or as a part of unit routines. (Vital signs)

Different learning styles

visual, auditory, kinesthetic

soap charting - A

where you write a conclusion, diagnosis, or problem, "data" is what you think the data means

When a strong disease pattern is identified, (genetic counseling or urine testing) is recommended.

genetic counseling

Nurse practice act violation- Misdemeanor

parking in a no-parking zone

Diagnosing (steps)

*Analyze data *Identify health problems *Formulate a diagnostic statement

Evaluate (steps)

*Collect data *Compare to the desired outcome *Relate nursing activities to the desired outcome *Draw conclusions *Continue/modify/terminate care plan

Assessing (steps)

*Collect data *Organize data *Validate data *Document data

Planning (steps)

*Prioritize *Formulate diagnosis/goals *Select interventions *Write nursing interventions

Which points support nursing as a profession and not a job? Select all that apply. One, some, or all responses may be correct. 1. "A specific service is provided." 2. "A basic liberal foundation and an advanced education is required." 3. "Nursing has a theoretical body of knowledge leading to defined skills, abilities, and norms." 4. "Members of a profession do not have any autonomy in decision-making and practice." 5. "The profession as a whole lacks a code of ethics for practice and simply follows the state rules and regulations."

1. "A specific service is provided." 2. "A basic liberal foundation and an advanced education is required." 3. "Nursing has a theoretical body of knowledge leading to defined skills, abilities, and norms."

Which questions are applicable in determining nursing malpractice? Select all that apply. One, some, or all responses may be correct. 1. "Was reasonable care provided?" 2. "Was there a breach of nursing duty?" 3. "Was there an act of omission that resulted in harm?" 4. "Except for the nurse's action, would the injury have occurred?" 5. "Were the nurse's actions unintentional?"

1. "Was reasonable care provided?" 2. "Was there a breach of nursing duty?" 3. "Was there an act of omission that resulted in harm?" 4. "Except for the nurse's action, would the injury have occurred?"

Which member of the health care team has committed an action that would be considered a form of battery? 1. Nursing assistant tells the client, "Your family has just left you here. You will never see them again and you'll never get out of here." 2. Despite the client's objection, a nurse gives an intramuscular pain medication, saying, "You know that this will make you more comfortable." 3. Nursing student takes photos of clients during a clinical rotation and posts them on a social media site, noting, "I love my clients!" 4. Health care provider performs a tissue biopsy while examining the client's skin and says, "I just took the sample to save time."

2. Despite the client's objection, a nurse gives an intramuscular pain medication, saying, "You know that this will make you more comfortable."

Which does beneficence in health ethics refer to? 1. The agreement to keep promises 2. Taking positive actions to help others 3. The ability to answer for one's actions 4. Avoiding harming or hurting an individual

2. Taking positive actions to help others

Each child born from two parents who carry a recessive disorder has a (25% or 50%) risk of having the disease.

25%

Which is an example of an intentional tort? 1. Negligence 2. Malpractice 3. Breach of duty 4. False imprisonment

4. False imprisonment

HIPAA Privacy Rule

protects the privacy of individually identifiable health information

State board of nursing

A ________ holds the legal authority for nursing practice and regulated nursing practice through: 1. establishing requirements to obtain a license 2. issuing nursing licenses 3. determining the scope of practice 4. setting minimum education standards 5. managing disciplinary procedures

Planning (def)

A deliberate, systematic phase of the nursing care plan that involves decision making and problem solving. Nurse refers to assessment data and diagnostic statement for direction in formulating client goals and designs interventions designed to prevent/reduce/eliminate client's problem.(4 steps)

Evaluate (def)

A planned ongoing purposeful activity in which the client and healthcare proffesionals determine the client's progress towards the goal.(5 steps)

"Yes""I follow what you said"(Nodding)

Accepting Therapeutic

Electronic Medical Record (EMR)

An electronic medical record (EMR) is a single practice's digital version of a patient's chart. An EMR contains the patient's medical history, diagnoses and treatments by a particular physician, nurse practitioner, specialist, dentist, surgeon or clinic.

Self-Efficacy Theory

An individual's belief that he or she is capable of performing a task.

Tanner's "Noticing" step 3

Assessing Systematically & Comprehensively: Using a systematic method so no important information is missed.

"Don't worry. I'm sure things will work out for you." "Look on the bright side! You have a lot to live for." "Everyone feels this way before surgery." "Many patients have had the same problem."

Belittling Problems Non-Therapeutic

Nurse says nothing but continues to maintain eye contact and conveys interest

Broad openings Therapeutic

Patient Protection and Affordable Care Act of 2010

Requires that every American have minimum essential health insurance.

The Genetic Information Non-Discrimination Act (GINA)

GINA protects individuals against discrimination based on their genetic information in health coverage and in employment.

Tanner's "Noticing" step 2

Gathering Complete & Accurate Data: Collecting data from all available sources to determine the situation.

"The hospital has a wonderful reputation." "We have the best doctors in town!" "I can't believe that. The nurses here are very good!"

Defending Non-Therapeutic

Experiencing another's feelings temporarily

Empathy Therapeutic

"Was it something like...?" "Have you had similar experiences?"

Encouraging description of perceptions Therapeutic

Critical Thinking Involves

Interpretation Analysis Evaluation Inference Explanation

Social cognitive theory

Promote the patients belief in themself that they can do it

Six characteristics for QSEN: STEEP

S-safe T-timely effective E-efficient E-equitable P-patient-centered care

SBIRT stands for

Screening, Brief Intervention, and Referral to Treatment

health care law

The collection of laws that have a direct impact on the delivery of health care or on the relationships among those in the business of health care or between the providers and the recipients of health care.

clinical judgement

The decision made regarding a course of action based on a critical analysis of data when nursing knowledge is applied to a clinical situation

Diagnosing (def)

The reasoning process that uses critical thinking skills to interpret assessment dat to identify client's strengths/weaknesses. It is a statement or conclusion regarding a condition.(3 steps)

Genetics

The scientific study of heredity

Implement (steps)

*Reassess client *Determine need for assistance *Implement intervention *Supervise/delegate cares *Document activity

GINA is divided into two sections or Titles:

-Title I of GINA prohibits discrimination based on genetic information in health coverage. -Title II of GINA prohibits discrimination based on genetic information in employment.

Important consideration (choose more than one answer): -a multigenerational examination for patterns of the same disease -the age of onset o the disease -blood type -generational frequency of the disorder

-a multigenerational examination for patterns of the same disease -the age of onset o the disease -generational frequency of the disorder

Reproductive testing can be done (more than one answer) -before pregnancy -during pregnancy -after pregnancy

-before pregnancy -during pregnancy -after pregnancy

Intervention to achieve professional identity formation

-hear expectations clearly -value feedback from role models -engage in reflection -actively adopt a professional identity -understand your own responsibilities for learning -build relationships with those around you -develop personal self-care habits -embrace an any opportunity for experiences with patients

Diagnostic testing confirm or rule out a suspected genetic disorder. Diagnostic testing may -help medical management decision-making -determine a person's risk of developing the specific condition

-help medical management decision-making

what are the patient risks of low health literacy (3)?

-physical-emotional-financial-includes pretty much everything

Which action would the nurse take if abuse of a 10-year-old child is suspected? 1. Report the suspicion to local authorities. 2. Elicit more information from the parents. 3. Refer the parents to a group therapy meeting. 4. Notify the health care provider of the suspicion.

1. Report the suspicion to local authorities.

(Maintaining eye contact)(Receptive nonverbal communication)

Active listening Therapeutic

Client: "Do you think I should tell the doctor? Nurse: Do you think you should?

Reflecting Therapeutic

DNA has foru nucleotides/bases:

adenine (A) cytosin (C) guanine (G) thymine (T)

focus charting

enter data in DAR format, data, action, response, encourages viewing status from positive perspective, good for repetitive care

Inter organizational collaboration

regional, national, and international coalitions health care consortium

When obtaining informed consent for sterilization from a developmentally challenged adult client, which condition must the nurse ensure has been met? 1. That a parent or guardian signs the consent 2. That the client is able to explain in detail what the procedure entails 3. That the client is able to comprehend the outcome of the procedure 4. That a parent or guardian has encouraged the client to make the decision

3. That the client is able to comprehend the outcome of the procedure

Level of nursing theory. Put in the correct order from general/abstract to specific. 1. grand theory 2. practice level theory 3. middle-ranged theories 4. nursing metaparadigm

4. nursing metaparadigm 1. grand theory 3. middle-ranged theories 2. practice level theory

What is the goal of Shared Governance?

The goal of shared governance is to transition from a traditional hierarchical management style to one in which nursing staff are more involved in decision-making processes and managers are facilitative rather than controlling

"Isn't that unusual?" "Really" "That's hard to believe."

Voicing doubt Therapeutic

Client: I can't sleep. I stay awake all night.Nurse: You have difficulty sleeping.

Restating Therapeutic

"Don't worry. Everything will be okay." "You are going to be just fine."

Offering False Reassurance Non-Therapeutic

"I'll sit with you awhile.""I'll stay here with you.""I'm interested in what you think."

Offering self Therapeutic

Direct-to consumer testing

Sold directly to consumers via the internet, television and other marketing venues w/o involving health care professionals

"Perhaps you and I can discuss and discover the triggers for your anxiety." "Let's go to your room, and I'll help you find what you're looking for."

Suggesting collaboration Therapeutic

"Have I got this straight?" "You've said that..." "During the past hour, you and I have discussed..."

Summarizing Therapeutic

Teaching approaches in patient education: teach back method

Telling, participating, entrusting, reinforcing, incorporate with care, prep instruction, demonstrations, analogies, role play, and simulation

"What day is this?" "Do you know who I am?" "Did you remember I was coming today?" "Who do you think you are?"

Testing Non-Therapeutic

The Institute of Medicine (IOM)

The Institute of Medicine (IOM) is an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision-makers and the public.

how automation decreases error in health care

eliminates not legible handwriting and mistaken abbrevs, improves communication, automatically crosschecks meds, precise delivery of meds, info available at bedside

Medical negligence

is enforced under state statutory law as well as tort law and is referred to as medical malpractice.

interprofessional collaboration

rapid response teams ethics committees patient care handoff

The concept of professional identity is developed through

real stimulated experiences, reflection, and role modeling by professional colleagues.

Common law

results from judicial decisions concerning individual cases. most of these revolve around negligence and malpractice.

Joint Commission on Accreditation of Healthcare Organization (JCAHO) requires health care organizations to establish internal processes to recognize:

sentinel events, conduct root cause analysis, identify and document areas of risk, and implement a plan of risk reducing measures to correct system failures.

Genomics

study and comparison of genomes within a single species or among different species

Common law includes

tort law, contract law, criminal law, employment law.

Federal False Claims Act of 1986

used by the government i combating health care fraud and abusive billing practice.

guidelines for documentation

• Factual • Accurate • Complete • Current • Organized • Abbreviations are not to be used

Maslow' Hierarchy of needs from bottom to top

Physiological needs Safety needs Social needs Egoistic needs Need for Self-Actualization

"What seemed to lead up to...?" "Was it before or after...?" "When did this happen?"

Placing event in time or sequence Therapeutic

Quality improvement teams engages in a series of learning cycles known as

Plan-Do-Study-Act (PDSA) cycles: examines whether or not a proposed test of change actually results in the desired outcome.

Client: "I can't talk to you or anyone. It's a waste of time. "Nurse: "Do you feel that no one understand?"

Verbalizing the implied Therapeutic

The Joint Commission (TJC)

An organization that accredits health care organizations and programs

Type of error: Near miss event

Error of commission or omission that could have harmed a patient, but harm did not occur as a result of chance

Learning Objectives

Must be achievable and avoid words like understanding/feeling/etc.

"I see no one else in the room." "That sound was a car backfiring." "Your mother is not here; I am a nurse."

Presenting reality Therapeutic

When assessing a patient for risk for genetic disorders, the nurse should start with (a family history or vital signs)

a family history

Autosomal recessive disorders occur most commonly when both parents are (carriers or have x-linked), but do not have the disease.

carriers

Patient: "I don't like the food here. "Nurse: "Would you like to be discharged? "Patient: "I'm so afraid of having surgery. "Nurse: "How many children do you have?"

Introducing An Unrelated Topic Non-Therapeutic

"Tell me why you don't want to talk about that?" "Tell me about your relationship." "How often do you have sex?"

Probing Non-Therapeutic

"That's not how we do things around here." "We will be making that decision for you."

Rejecting Non-Therapeutic

"I'm not sure that I follow." "Have I heard you correctly?"

Seeking information Therapeutic

Implement (def)

The action phase. Nurse performs interventions. The doing and documenting phase. Nurse may carry out or delegate.(5 steps)

What address the issue of personal fault within the existing healthcare framework?

a root-cause analysis

when to chart

as soon as possible after care, never before care

The most vulnerable patients are

children, elderly and mentally challanged

CINHAL and Medline

databases

autosomal dominant disorders occur when a person has one parent with the (dominant or recessive) genetic disorder or a new (mutation or variant) in a gene occurs.

dominant, mutation

Nurse practice act violations- Felony

misuse of a controlled substance or practicing without a license

PACE

pt/problem, assessment/actions, continuing/changes, evaluations

what is significant about teach back (2)?

-transfers knowledge and skill to the pt -goal is competency in management of self care

"This gives a whole new meaning to 'just relax'."

Humor Therapeutic

what is an example of a question a nurse should use when assessing if a pt has understood teaching? -"what will you tell your spouse about the changes that we made in your medications today?" -"do you have any questions?"

-"what will you tell your spouse about the changes that we made in your medications today?" -open ended question

Reproductive testing includes tests for the biological father and mother (1 answer) -to see what genetic variants they carry -to see what genetic allele they carry -to see what genetic diseases they carry

-to see what genetic variants they carry

X-linked: -only one altered copy of the gene is needed to cause disease -two altered copy of the genes is needed to cause disease -Variants on the X chromosome in males who have one X chromosome -recessive genes on the X chromosome in males who have one X chromosome

-only one altered copy of the gene is needed to cause disease -Variants on the X chromosome in males who have one X chromosome

what are some helpful tools for pt teaching (6)?

-use non-medical language-use pictures -don't overwhelm pt with the amount of info given at one time -use repetition when able -create a shame-free environment -use teach-back technique

Predictive testing is for those -who have a family member with a genetic disorder -who are planning to have a baby

-who have a family member with a genetic disorder

Nightingale is known for the theory called

Environmental theory Nurse manipulates client's environment to include appropriate noise, nutrition, hygiene, light, comfort, socialization, and hope.

(sharing personal info at opportune moment)

Self disclosure Therapeutic

all documenting must be

dated, timed, signed

what is health literacy (4)? -possess basic reading skills (5th-grade level) -ability to use math and math skills -understanding of how to navigate health system (pt knows who to see based on problem) -able to communicate with hc providers and staff

-possess basic reading skills (5th-grade level) -ability to use math and math skills -understanding of how to navigate health system (pt knows who to see based on problem) -able to communicate with hc providers and staff

Pharmacogenomic testing can tell you about -how the patients will react to certain medication -to decide which medications would be more beneficial to the hospitals

-to decide which medications would be more beneficial to the patients; inform your provider how best to treat patients' conditions and avoid side effects

Mandatory Reporting

If you know or suspect: physical, sexual or emotional abuse or neglect of children, older adults or the mentally ill, must report to DHHS

ROOT CAUSE of incident relating to sentinel event:

Inadequate safety, Inadequate assessment, Inappropriate assignment of patient, Infrequent patient observation, insufficient training, miscommunication

"You are right." "That's good!" "You shouldn't do that." "I agree with you." "That's the wrong attitude."

JudgingNon-Therapeutic

"What a beautiful new baby. You must be so happy! "Patient: "I am being discharged today. "Nurse: "That's wonderful!"

Jumping to Conclusions Non-Therapeutic

Which statements demonstrate acting in an appropriate manner in a professional environment? Select all that apply. One, some, or all responses may be correct. 1. "Care that is consistent with my level of expertise would be provided." 2. "It is important to remember and follow the policies and procedures of the institution." 3. "If I am assigned to care for more clients than reasonable, I would never protest." 4. "I would use restraints on a client only after obtaining a written order from a primary health care provider." 5. "The client's confidential medical information would not be disclosed without the primary health care provider's consent."

1. "Care that is consistent with my level of expertise would be provided." 2. "It is important to remember and follow the policies and procedures of the institution." 4. "I would use restraints on a client only after obtaining a written order from a primary health care provider."

The nurse stops at the scene of an accident and finds a man with a deep laceration on his hand, a fractured arm and leg, and abdominal pain. The nurse wraps the man's hand in a soiled cloth and drives him to the nearest hospital. How would the nurse's behavior be interpreted? 1. The nurse is negligent and can be sued for malpractice. 2. The nurse is practicing under guidelines of the Nurse Practice Act. 3. The nurse is protected for these actions in most states (Canada: provinces/territories) by Good Samaritan legislation. 4. The nurse is treating a health problem that can and should be addressed by a primary health care provider

1. The nurse is negligent and can be sued for malpractice. The nurse at the scene of an accident would function in a responsible and prudent manner; the use of a soiled cloth on an open wound is not prudent, nor is the independent transfer of an accident victim from the scene. Although a nurse practice act defines nursing, it does not provide detailed standards for practice; the nurse's action was not prudent. The nurse's action was not what a reasonably prudent nurse would do, and the nurse is not protected by Good Samaritan legislation. The nurse's intervention was not prudent and placed the client in jeopardy; the nurse was not practicing medicine but attempting to provide first aid.

Statutory law (Nurse practice acts)

1. criminal law (felonies or misdemeanors) 2. Civil law

Four elements to a civil medical malpractice lawsuit which the plaintiff must prove to receive compensation include: the nurse, physician, or alleged healthcare provider

1. owed the patient a duty/standard or care 2. breached the duty/standard to provide adequate care 3. caused injury to the patient (causation) 4. caused and injury that resulted damages

Clinical decision making process

1.Identify that client issue or problem exists 2.Analyze and interpret relevant data 3.Make inference based on this interpretation to determine possible causes 4. List all possible actions that could be taken 5. Evaluate each action and possible outcome 6. Select best action

Which nursing behavior is an intentional tort? 1. Miscounting gauze pads during a client's surgery 2. Causing a burn when applying a wet dressing to a client's extremity 3. Divulging private information about a client's health status to the media 4. Failing to monitor a client's blood pressure before administering an antihypertensive

3. Divulging private information about a client's health status to the media

Informatics

Managing and processing of information necessary to make decisions...applied to nursing practice, education and research

Mentoring in nursing?

Mentoring is described as purposeful activities that facilitate the career development, personal growth, caring, empowerment, and nurturance that are important to nursing practice and leadership.

Showing interest and involvement without saying anything else

Neutral response Therapeutic

Which organization provides scope and practice guidelines on the roles and responsibilities for nursing and nursing specialties? Select all that apply. One, some, or all responses may be correct. 1. State Nursing Association 2. National League of Nursing 3. American Nurses Association 4. Academy of Medical Surgical Nurses 5. Quality and Safety Education for Nurses

American Nurses Association The American Nurses Association develops and publishes scope and standards of practice guidelines for nursing and nursing specialties. Many professional organizations have state-level nursing associations, but they do not publish standards and scope of practice. The National League of Nursing is a professional organization related to the education of nurses. The Academy of Medical Surgical Nurses publishes scope and standards of practice for general medical surgical nursing, but not nursing and nursing specialties. Quality and Safety Education for Nurses supports development of the knowledge, skills, and attitudes needed to improve the quality and safety of the health care system.

Electronic Health Record (EHR)

An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization

ADPIE

Assessing, Diagnosing, Planning, Implementation , Evaluate

Definition of professional identity by American Nurse Association:

Assimilation of nursing skills and knowledge integrated with dignity and respect for all human beings, incorporating the assumptions and values of the profession while maintaining accountability and self-awareness

Categories within the scope of collaboration?

Nurse-patient Nurse-Nurse Interprofessional Inter organizational

Putting into words vague ideas of unclear thoughts of the client. Purpose is to help nurse understand, or invite the client to explain.

Clarification Therapeutic

"Tell me whether my understanding of it agrees with yours." "Are you using this word to convey that...?"

ValidationTherapeutic

"Tell me more about that." "Would you describe it fully?" "What kind of work?"

Exploring Therapeutic

"The point seems worth looking at more closely." "Of all the concerns you've mentioned, which is the most troublesome?"

Focusing Therapeutic

"What could do to let your anger out harmlessly?""Next time this comes up, what might you do to handle it?"

Formulating a plan of action Therapeutic

"If I were you, I wouldn't..." "Why don't you..." "You really should/shouldn't..."

Giving Advice Non-Therapeutic

"My name is...""Visiting hours are...""My purpose in being here is..."

Giving information Therapeutic

"Good morning, Mr. S.""You've finished your list of things to do.""I notice that you've combed your hair."

Giving recognition Therapeutic

autosomal dominant disorders (exemplary) -Huntington disease -cystic fibrosis -familial hypercholesterolemia -neurofibromatosis -sickle cell anemia

Huntington disease, familial hypercholesterolemia, neurofibromatosis

Tanner's "Noticing" step 5

Identifying Assumptions: Arriving at a conclusion w/o supporting evidence.

Tanner's "Noticing" step 1

Identifying Signs & Symptoms: Identifying when a situation is normal, abnormal, or has changed.

Tanner's "Noticing" step 4

Predicting (& Managing) Potential Complications: Looking at the big picture to determine the possibility of complications.

"Why can't you sleep?" "Why do you feel that way?" "Why is this so hard for you?"

Requesting an Explanation Non-Therapeutic

Dorothea Orem is known for the theory called

Self Care Deficit Theory Nursing care is needed when a patient is unable to fulfill biological, psychological, developmental, or social needs. Nursing care is necessary when the client is unable to fulfill biological, psychological, developmental, or social needs

Assessing (Def)

The systematic, continuous collection, validation and documentation of data. It is carried out in all phases and focuses on the client's response to health problems.(4 steps)

"I've noticed that in all the relationships that you have described, you've been hurt or rejected by the man. Do you think this is an underlying issue?"

Theme identification Therapeutic

Purposes of Patient Education

To help individuals, families, or communities achieve optimal levels of health

Madeline Leininger is known for the theory called

Transcultural nursing theory Culturally congruent care. Ex. The pregnant female from the middle East country experienced a difficult labor because of the presence of a male physician and a male nurse in the labor room. Soon after the males were removed from the room and the female physician, she relaxed and delivered a baby with no problem with supports from a female physician and nurse, and her mother.

The Quality and Safety Education for Nurses (QSEN)

addresses the challenge to prepare nurses with the competencies needed to continuously improve the quality of care in their work environments

what is significant about the use of teach-back? -it is a research-based health literacy intervention that promotes (adherence, quality, and pt safety) or (adherence, quality, and frequency)

adherence, quality, and pt safety

Type of error: Adverse event

an event that results in unintended harm to the patient by act for commission or omission rather than by the underlying disease or condition of the patient.

Screening, Brief Intervention, and Referral to Treatment

an evidence-based approach to identifying patients who use alcohol and other drugs at risky levels. The goal of SBIRT is to reduce and prevent related health consequences, disease, accidents and injuries.

Sentinel event

an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Sentinel events require immediate investigation and response.

Transtheoretical Model of Change (choose five) -precontemplation -contemplation -preparation -planning -action -maintenance

precontemplation, contemplation, preparation, action, maintenance

Professional Identity

comprised of a compilation of the knowledge, skills, attitudes, and expertise common to a group of individuals who are part of the same profession.

Autosomal recessive disorders (exemplary) -Huntington disease -cystic fibrosis -familial hypercholesterolemia -neurofibromatosis -sickle cell anemia

cystic fibrosis, sickle cell anemia

Regulatory Law (administrative law)

defines your duty to report incompetent or unethical nursing conduct to the Board of Nursing

What is Collaboration In Nursing?

development of partnerships to achieve best possible outcomes that reflect the particular needs of the patient, family, or community, requiring an understanding of what others have to offer.

American Nurses Association (ANA)

develops standards for nursing practice, policy statements, and similar resolutions. These standards outline the scope, function, and role of the nurse in practice

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

enacted to provide individuals with preexisting medical conditions access to health insurance if they changed or lost their job. Includes a privacy rule for health information privacy requirements for individually identifiable health information.

Healthcare Law: Social Security Act Amendments of 1965

establishment of the Medicare and Medicaid insurance programs for those who do not have medical insurance through employment

actions to use informatics in a professional and safe manner

follow HIPPA, use personal integrity, access records according to policy, protect pw

Emergency Medical Treatment and Active labor Act of 1986

hospitals with active emergency departments have a duty to care for those requiring emergency medical services irrespective of a patient's ability to pay. The hospital must stabilize any emergency medical condition before transferring the patient to another facility.

autosomal genetic disorders

human genetic disorders caused by dominant and recessive alleles located on autosomes

informed consent

permission for any and all types of care, given by pt with full knowledge of risks, benefits, costs, alternatives, for admission/invasive/specialized/diagnostic, consent must be written and signed by pt