NURS Exam 3 Study Guide Review Notes, Study Guides, Projects, Research of Nursing

NURS Exam 3 Study Guide Review Notes

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NURS Exam 3 Study Guide Review Notes
1.collaborative health care: client-centered approach in which
members of dif- ferent health care professions come together and
work toward common goal of improving or restoring a client's health
more managing problems to optimal levels
2.interprofessional team and benefits: 2 or more professionals working
together improved access to and coordination of health care services
greater efficiency of client referral and client-care services (get where
they need to) increased quality of community health services
decrease in complications, length of stay, sentinel events,
mortality, and staff turnover
3.parts of interprofessional team: primary care physician
dieticia
n
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specialty physician
lab, radiology,
pharmacy nurse case
manage
4.interprofessional education collaborative (IPEC): values and
ethics roles and responsibilities
communication
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NURS Exam 3 Study Guide Review Notes

  1. collaborative health care: client-centered approach in which members of dif- ferent health care professions come together and work toward common goal of improving or restoring a client's health more managing problems to optimal levels
  2. interprofessional team and benefits: 2 or more professionals working together improved access to and coordination of health care services greater efficiency of client referral and client-care services (get where they need to) increased quality of community health services decrease in complications, length of stay, sentinel events, mortality, and staff turnover
  3. parts of interprofessional team: primary care physician dieticia n hospita l specialty physician lab, radiology, pharmacy nurse case manage
  4. interprofessional education collaborative (IPEC): values and ethics roles and responsibilities communication

teams and teamwork

  1. values and ethics: Maintaining a climate of shared value, ethical conduct, and mutual respect
  2. roles and responsibility: use the knowledge of one's role and team member's expertise to address health outcomes
  3. communication: communicate in a responsive, responsible, respectful, and compassionate manner includes body language
  4. teams and teamwork: apply values and principles of the science of teamwork to adapt in various settings
  5. when to use IPE team: rounding--docs, residents, students, pharmacists, nurse referrals consultations discharge planning discharge teaching
  6. consultations: when one provider formally requests another provider's input or advice about how to approach or treat condition ex. requesting pt for patient (Nurse talks to doc) ex. hospitalist sees heart issues with patient so consult cardiologist
  7. referral: when provider delegates responsibility of management of the client's specific condition to another provider more follow up ex. patient is discharged but refer to cardiologist
  8. discharge planning: systematic process of preparing the patient to leave the health care facility and for maintaining continuity of care

how to perform prescribed treatments or special equipment schedule for follow-up appointments or home care

  1. advanced practice nurse: a registered nurse who has more extensive edu- cation and training and a broader set of work responsibilities, which may include providing primary care 4 APRNs: NP, CRNA, certified nurse midwife, clinical nurse specialist
  2. nurse practitioner: a nurse with graduate training who often works as a primary care provider
  3. Certified Registered Nurse Anesthetist (CRNA): Administers anesthesia and provides care during procedures under the supervision of an anesthesiologist OR, airway, sedation, BP regulation
  4. Certified Nurse-Midwife (CNM): Involves the independent care for women in normal pregnancy, labor, and delivery and care of newborns.
  5. Clinical Nurse Specialist (CNS): An advanced practice nurse who provides direct care to clients and participates in health education and research expert fixers 3 spheres of influence: patient, nurse, hospital ex. why does ER have higher rates of UTIs ex. why does patient keep getting readmitted
  6. case manager: nurse or social worker coordinating resources and care facilitating treatment plan look at patients as

whole best outcome for patient questions about care (ex. nursing homes)

evaluation

  1. pharmacist: help with all med orders communicate, ask if unsure about order/medication can decide dosage based on labs records can give nutrition thru veins if cannot PO side effects, interactions
  2. physical therapist: walking, standing larger range of motion
  3. physician: diagnostics, what's wrong?, what do we do? residencies, boards work with not against you can advocate for patient's care
  4. physician assistant: treat, diagnose, prescribe meds/labs work with physician any area where you see NPs round before physician
  5. respiratory therapist: experts in lungs, airway help clients with acute or chronic conditions of the lung breathing treatments, oxygen devices, CPAC, ventilations in charge of secretions keep airways clear

eyes and ears for patient relaying info to doc, NP, etc bridge of communication advocate for patient master communicator

  1. social worker/case manager: collaborates with IPE team for service and follow up patient's advocate esp. if abuse or neglect (mandatory reporters) what resources available in community (ex. homeless shelters) patients given clean clothes
  2. assistive personnel: nurse's aids, CNA, techs, PCAs work under RN or LPN task oriented; not involved in decision making ex. vitals, bathing, ADLs, feeding, emptying catheter
  3. interpersonal interactions and communication: health care silos (everyone in the same barn) communicatio n put biases aside learn people's names
  4. hospital chaplin: faith-based background, pray spiritual needs
  1. health care silo: barriers in communication ex. nurses only talking to nurses & physicians only talking to physicians

grooming, hygiene

  1. who to delegate to--LPNs: can perform tasks of assistive personnel care for stable clients

some invasive tasks: dressing changes, suctioning, urinary catheterization, med administration (some), collect data and review teaching plans created by RN *nurse often does 1st assessment of day then LPNs

  1. care transitions and continuity of care: increasingly complex helped by use of EHRs: pull up records easily make sure communicating with team especially when transporting transitions can make care suffer
  2. eHealth information exchange: payers, patient, government, community hos- pital, academic medical center, specialty practice, pharmacy, primary care physi- cian, labs, independent health facility, other HIE
  3. communication with health care team--breakdowns occur during: client handoffs (ex. EMT to nurses & dr in ER staff/shift changes failing to establish clear cut responsibilities
  4. communication with health care team--to improve:: closed-loop communica- tion, delegation, follow up clear, concise info, minimize interruptions, don't multitask standardized communication tools, terminology and procedures called at hospital
  5. ISBARR: introduction, situation, background, assessment, recommendation, read back/questions 52. ISBARR paper:
  6. handoff report: use ISBARR info, at bedside when possible a nurse or provider hands over the care of a client to another nurse or provider
  7. things that can be reported: background allergies

anticipated needs plan of care

  1. things that should not be reported: personal feelings about patient or fam things that do not directly impact patient care
  2. receiving/transcribing provider orders--orders can be received:: on the phone face-to- face through EHR only RN can take report
  3. read back needs to be performed:: numbers names quantiti es frequenc y route
  4. barriers to collaboration: Hierarchy of professionals or roles lack of knowledge about health care team member's roles/titles and scope of practice poor or lack of communication

lack of trust in the competence of other team members lack of cultural competency inability to resolve conflicts structural factors such as time

ex. migraine treatment

*every patient is different

  1. HIPAA and confidentiality: federal law enacted to safeguard client's medical health info when it is being accessed or shared electronically without the client's consent or knowledge

90: cannot give specific age

  1. privacy rule: protected health info (PHI) any information heled by a covered entity for healthcare that can be linked to an individual unique client identifiers which can link a client to their PHI be coded rights about public health info limits with info used specific set of rules patient's have access to medical records
  2. patient health identifiers: names, geographical data smaller than a state, dates directly related to client, telephone #, fax #, email addresses, SSN, MR numbers, health insurance plan beneficiary numbers, account numbers, certificate/license numbers, vehicle identifiers, device identifiers and serial numbers, web URLs, IP addresses, biometric identifiers (ex. fingerprint), full face photos
  3. aspects of nursing informatics to consider: security rule breach notification rule enforcement rule
  4. security rule: specifically addresses the use and disclosure of electronic PHI