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Ch 66 - E1 - Critical Care.pdf, Exams of Nursing

Chamberlain College of NursingNursing

Ch 66 - E1 - Critical Care.pdf

Typology: Exams

2024/2025

Available from 08/11/2025

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samuel-waweru-2 🇺🇸

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Chapter 1-Overview of Critical Care Nursing
Critical care Nursing -
-Human responses to life threatening problems, critical illnesses or injury
(Physiological/psychological)
-Focus on both patients and family's responses
-Recovery Rooms
-Coronary Care Units -
The first critical care units in 1960:
Electronic Intensive Care Unit (eICU) -
-Patients monitored by critical care nurses and physicians
-Reduced hospital and ICU lengths of stay
-Reduced mortality
-Acutely ill patients with high-technology require
American Association of Critical-Care Nurses (AACN) -
-Established in 1969
-Supports critical care nurses
-Largest Nursing specialty organization in the world
-Provides knowledge and resources to those caring for acutely and critically ill patients
-Focuses on assisting acute and critical care nurses to attain knowledge and influence to deliver
excellent care
Synergy Model -
-AACN's Vision
-Supports a health care system driven by needs of patients and families
Society of Critical Care Medicine (SCCM) -
-Founded in 1970
-Receive care from a multiprofessional team directed by intensivist (physician who has education &
training in management of critically ill and board certified)
-Multiprofessional scientific and educational organization
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Chapter 1-Overview of Critical Care Nursing

Critical care Nursing -

  • Human responses to life threatening problems, critical illnesses or injury (Physiological/psychological)
  • Focus on both patients and family's responses
  • Recovery Rooms
  • Coronary Care Units - The first critical care units in 1960: Electronic Intensive Care Unit (eICU) -
  • Patients monitored by critical care nurses and physicians
  • Reduced hospital and ICU lengths of stay
  • Reduced mortality
  • Acutely ill patients with high-technology require American Association of Critical-Care Nurses (AACN) -
  • Established in 1969
  • Supports critical care nurses
  • Largest Nursing specialty organization in the world
  • Provides knowledge and resources to those caring for acutely and critically ill patients
  • Focuses on assisting acute and critical care nurses to attain knowledge and influence to deliver excellent care Synergy Model -
  • AACN's Vision
  • Supports a health care system driven by needs of patients and families Society of Critical Care Medicine (SCCM) -
  • Founded in 1970
  • Receive care from a multiprofessional team directed by intensivist (physician who has education & training in management of critically ill and board certified)
  • Multiprofessional scientific and educational organization
  • To secure highest-quality care for all critically ill and injured patients Competencies of Nurses Caring for the Critically Ill -
    • Clinical Judgment & reasoning skills
  • Advocacy and moral agency
  • Caring Practices
  • Collaboration with patients, families and health care team
  • Systems thinking promoting holisitic nursing care
  • Response to diversity
  • Facilitator of learning for patients and families, team members and community
  • Clinical Inquiry and innovation to promote best patient outcome Society of Critical Care Medicine (SCCM) - The __________ is dedicated to ensuring excellence and consistency in critical care practice through education, research, and advocacy. 1 - CCRN 2 - PCCN - The certifications for nurses in acute and critical care bedside practice are known as _______ and ________. 1 - CCRN 2 - CCRN-E - The __________ certification is available for nurses who provide care of critically ill adult, pediatric, or neonatal populations. The __________ credential is available for nurses working in eICUs. PCCN - The ___________ is for nurses who provide acute care in progressive care, telemetry, and similar units. ACNPC-AG - Acute care nurse practitioners can become certified as _______________ Standards -
    • Serve as guidelines for clinical practice
  • establish goals for patient care and provide mechanisms for nurses to assess the achievement of patient goals, regardless of the setting for practice
  • Delineate Nursing Process Standards of Practice -
    • Evaluate quality of nursing practice
  • Evaluate own practice

4 - Alarms safety 5 - Reduce risks of health care-associated infection 6 - Identify safety risks 7 - Prevent complications associated w/ surgery and procedures - Examples of Patient Safety Goals: hand-off - Communication breakdowns often occur during ____________ situations, when patient information is being transferred or exchanged

  • Physicial Setting- (background noise, lack of Privacy, interruptions
  • Social Settings-(organizational hieracry and status issues)
  • Language-(Differences between people of varying racial and ethnic backgrounds or geographic areas)
  • Communication medium-(limitations of communications via telephone, email, paper or computer) - Barriers to Effective Hand-off Communication Ask-Tell-Ask - A strategy for encouraging nurses to assess concerns before providing more information, especially when discussing stressful issues with patients and families Tell Me More - A tool that encourages information sharing in challenging situations, and the situation, background, assessment, recommendation (SBAR) approach is useful in communication, especially with physicians SBAR - The _________ technique delivers information in a way that is brief and action oriented 1 - State what is happening at the present time that has warrented the SBar Communication 2 - Explain circumstances leading up to this situation. Put situation into context for the reader or listener 3 - State what you think is the problem 4 - State your recommendation to correct the problem - Situation- Background- Assessment- Recommendation- Crew Resource Management (CRM) - Promotes communication and accountability among team members

Culture of Safety - A nonhierarchic culture in which all members have the opportunity and the duty to ensure safe and effective care. 1 - Performance - Hospitals are often reimbursed based on ______________ and do not receive reimbursement to treat complications that may result from treatment Point-of-Care - _______________ laboratory testing is done at the bedside to provide immediate values to expedite treatment. Universal Care - The _____________________ model eliminates the need to transfer patients to other units and promotes continuity of care 1 - participation in nursing organizations 2 - Regularly reading print and online journals 3 - Attending continuing education offerings - The best ways to influence practice in an ever-changing environment is through:

  • Collaboration
  • Communication
  • Authentic Leadership
  • Meaningful Recognition
  • Appropriate Staffing
  • Effective Decision making - Healthy Work Environment Initiatives