Term
Rank the needs of a patient according to Maslow. |
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Definition
1. Physiology--A,B,C.
2. Safety--Avoid harm!!!
3. Love & Belonging
4. Esteem & Recognition
5. Self Actualization
6. Aesthetic--Spiritual goals |
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Term
Who should explain the surgical procedure to the client? |
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Definition
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Term
Who is responsible to be sure the operative (consent) permit is signed & on the patient's chart? |
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Definition
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Term
Who is responsible for explaining the procedure to the patient? |
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Definition
| The one who is performing the procedure. Usually, the Health-care provider |
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Term
What is the Good Samaritan Act? |
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Definition
| Protects healthcare practioners against malpractice when performing emergency care.. |
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Term
A nurse finds a wrong dosage of medication prescribed for a patient. What are the 4 things you must do? |
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Definition
| 1. Notify the Health-care provider 2. Document that they were notified & their response. 3. Tell your nursing supervisor/charge nurse 4. Refuse to carry out the order |
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Term
You are a staff nurse on the floor. The MD asks you to perform a task you are not trained to perform. What do you do? |
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Definition
| Notify the MD you are not trained to perform this task, and do not do it. |
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Term
By what authority can a RN delegate and make assignments to other members of the healthcare team? |
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Definition
| The Nurse Practice Acts of the state |
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Term
What types of procedures are assigned to professional nurses (RN)? |
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Definition
Teaching, sterile procedures, & invasive procedures
LPN/LVN's can do dressing changes, and can be assigned the most stable patient with the most predictable outcome. They can not do any assessment or patient teaching. So if a pt is being discharged, you can not delegate that pt to a LPN/LVN because discharge needs patient teaching. They can also pass PO meds. I think I remembered in nursing school they can do suctioning as well, as long as it's a stable pt. UAP (unlicensed assisted personnel) can do ADL's, ambulating, bathing, feeding (as long as it's a stable pt), turning, collection urine, input and output
As a general rule LPN education is designed to handle stable patients with predictable outcomes. Look at your patients in a given scenario and think about who is stable and predictable. (routine wound care, routine med passes that sort of thing). UAP/NA can do ADL's and routine vital signs.
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Term
When using restraints on a patient, the RN should do the following... |
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Definition
| 1. Only use restraints as a last resort 2. Apply restraints correctly 3. Check them frequently 4. Remove restraints as soon as possible |
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Term
Name the 4 elements needed to prove negligence. |
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Definition
1. Duty-protect from risk
2. Breach of duty
3. Causation
4. Damages |
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Term
| What Types of Procedures are Assigned to Professional Nurses (R.N.) |
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Definition
Sterile, invasive procedures,
teaching,
complex physical assessments |
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Term
| Name 5 Activities a Patient who is declared incompetent cannot perform... |
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Definition
1. They cannot vote in an election
2. They cannot operate a motor vehicle
3. They cannot sue or be sued
4. They cannot make a legal will, or a legal contract
5. They cannot hold a professional license (RN, MD, etc.) |
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Term
What are the 3 Legal Requirements of the Surgical Permit Include ? |
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Definition
1. It must be “voluntary”.
2. It must include a statement that the patient has been made aware of the procedure, side effects, complications, and outcomes.
3. It must include a written consent (a “written” contract). |
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Term
| What are the actions Taken when Questioning a Healthcare Provider’s Prescription of Medication |
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Definition
| Check the prescription/order for the correct medication, and correct dosage for the patient’s weight, and the need for that medication before calling the healthcare provider. Then, obtain further clarification/information from the healthcare provider; if the healthcare provider confirms the order, speak with the nursing supervisor to help resolve the matter. Do not carry out any order if there is risk of harm to the patient. Be an advocate for the patient! |
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Term
The Nursing Process that involves delegating tasks to an UAP |
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Definition
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Term
What are the 5 Rights of Delegation? |
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Definition
1. The Right task
2. The right circumstances
3. The right person
4. The right communication
5. The right supervision |
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Term
Explain the Communication Skills to Implement a Democratic Style of Leadership... |
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Definition
The communication style of a democratic leader is a participative style which involves assertive communication. Assertive communication includes clearly defined goals and expectations. It includes verbal and non-verbal messages that must be congruent. Assertive communication starts with
“I need” rather than “you must.” |
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Term
| What is the nursing process? |
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Definition
AA PIE
Assessment
Analysis-Nursing Diagnosis
Planning-Prioritizing, setting goals
Implementation-Delegating, teaching
Evaluation |
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Term
| What is the purpose of an incident report? |
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Definition
1. Alert administration of possible liability claims,areas of concern
2. They are not a protection against legal action |
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Term
| What are the 3 basic aspects of supervision when delegating to LPN's & UAP? |
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Definition
1. Direction/Guidance
2. Evaluation/Monitoring
3. Follow-up |
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Term
| A UAP measures & records urine output from a Foley catheter. Which component of the nursing process does this belong to? |
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Definition
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Term
| What are the 3 levels of disaster management? |
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Definition
1. Prepare
2. Respond
3. Recover |
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Definition
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