Roles and Responsibilities of the Medical-Surgical Nurse, Exams of Nursing

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Roles of the Medical- Surgical Nurse

(Exam 1)

1. Care coordinator
2. Care giver
3. Patient educator
4. Patient and Family advocate - ✔Role of Med-surg nurse: -Biologic (physiologic) need of patients -psychosocial needs (emotional) -cultural and spiritual needs - ✔Med-Surf problems occurs when patient basic needs are not met. Focus is on the role of nurse safely meeting.... (3 things). Clinical reasoning/ Critical thinking - ✔is self-directed thinking that is focused on what to do or believe in a certain situation clinical reasoning - ✔Occurs when the nurse uses knowledge to consider client care and uses the nursing process to make judgments and decisions about what to do in that situation ADPIE -assess -diagnoses -plan -implement

-evaluate - ✔What is the nursing process? Objective data: what the nurse observes Subjective data: what the patient states interview - ✔What is in the assessment part of the nursing process? -problem focused nursing diagnosis -related too -at risk for -health promotion - ✔What are the 4 types of nursing diagnosis? -goals -expected outcomes - ✔What should you always include in the planning part of the nursing process? treatments or actions based on clinical judgment and knowledge that nurses perform to enhance patient outcomes - ✔What does intervention do in the nursing process? Where the patients goals met or un-met. Does anything need to be done differently? - ✔What do you need to do in the evalusation part of the nursing process? divergent thinking - ✔Clinical Reasoning skills ability to weigh important information reasoning -

✔Clinical Reasoning skills ability to discriminate between facts and guesses clarifying - ✔Clinical Reasoning skills defining terms and noting similarities reflection - ✔Clinical Reasoning skills taking time to think about what has occurred Take a history and a complete head-to-toe assessment. - ✔What should you always do when a new patient enters the floor? assess, diagnose, plan, implement, and evaluate - ✔Nurses have a legal responsibility to: albumin - ✔If patient has a low _________ level than they are at higher risk for a pressure ulcer. respiratory equipment, urinary catheters, sequential compression devices, multiple intravenous catheters, and the infusions - ✔What are some factors that increase the risk of pressure ulcers developing in ICU patients? injury and malpractice - ✔If a patient develops and ulcer or one worsens may be identified as failure to carry out the nursing process.

Resulting in _______ and ______. standard of care - ✔The _____ _____ ______ in a situation would be what any reasonable and prudent person would do with the same credentials. -duty -breach of duty -causation -damages - ✔4 things that must be proven in determining negligence:

1. Documentation of pain assessment and intervention
2. Evaluation of treatment effectiveness
3. Nutritional assessment including serum protein and albumin levels
4. Wound measurements and staging
5. Signs and symptoms of infection - ✔Standard of Care includes (5 things) medical errors - ✔What is the 8th leading cause of death in the U.S?
6. prescribing error
7. omission error
8. wrong time error
9. unauthorized error

5. improper dose error
6. potential error - ✔What are the 6 types of medical errors?
7. insulin
8. morphine 3.heparin
9. warfarin
10. potassium chloride - ✔What are the top 5 high alert medications? sentinel event - ✔an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof