Shared Flashcard Set

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Mangement test 2
things I have trouble with
48
Nursing
Undergraduate 4
11/17/2010

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Cards

Term
Indwelling catheter
Definition
Port-a-cath

Sx, SVC, occlusive dressing only when accessed
Term
External catheter
Definition
Broviac, Hickman

Sx, SVC, tunnels, occlusive dressing
Term
Peripheral line
Definition
PICC

Without or w/out sedation, SVC, occlusive dressing
Term
Most critical skill
Definition
Prioritizing
Term
"Don't Do"
Definition
Take care self
Outdated
Someone else can handle
Throw info away
Term
"Do Later"
Definition
Trivial
No immediate deadline
Procrastinate
Break into smaller tasks
Term
"Do Now"
Definition
Staff needs
Meeting schedule
Equipment shortage
Interviews
Appraisals
'Do later' list
Term
Filley, Bushardt, Decker
Definition
Conflict Resolution
Term
Win/Lose
Definition
Competition
Term
Lose/Lose
Definition
Avoidance
Term
Lose/Win
Definition
Accommodation
Term
Win/Lose
Definition
Compromise
Term
Win/Win
Definition
Collaboration
Term
Competition
Definition
Win/Lose

Force/power
Term
Avoidance
Definition
Lose/Lose

Unassertive
No cooperation
Both unsatisfied
Short-term
Term
Accommodation
Definition
Lose/Win

Own expense
Resentment/Anger
Future conflicts
Term
Compromise
Definition
Win/Lose

Bargain
Moderately assertive
Temporary
No satisfying
Term
Collaboration
Definition
Win/Win

Concern
Confront
Base of conflict
Assertive/Cooperative
Term
Lacks the power to change
Definition
Accommodation
Avoidance
Term
Values relationship
Definition
Accommodation
Compromise
Collaboration
Term
Emergency/Deadline
Definition
Accommodation
Competition
Term
When to call the MD
Definition
Changing pt status
Pain w/out management orders
Acute elimination problems
Problems w/out tx orders
Bad lab values
Safety risks
Term
PTT normal value
Definition
11-12.5

*Coumadin is 1.5-2x the norm
Term
Creatinine normal value
Definition
0.6-1.3

*Increased in renal disorders
Term
Troponin I
Definition
>1.5 = MI
Term
Troponin T
Definition
>0.1-0.2 = MI
Term
K+ normal value
Definition
3.5-5.1
Term
ER unit challenge
Definition
Triage error
Term
OB unit challenge
Definition
Complex technical skills
Term
Peds unit challenge
Definition
Abuse
Informed consent
Injury potential
Term
1st Level Priorities
Definition
Increased glucose with no orders
Bad labs
VS change
Term
2nd Level Priorities
Definition
Teaching
Threat of harm
Incontinent w/ skin breakdown
LOC change
Acute pain
Elimination problems
Risk for infection
Safety/Security
Term
3rd Level Priorities
Definition
Comfort
Coping
Emotional problems
Hygiene
Pt education
Term
Med-Surg unit challenge
Definition
Multiple meds
Multiple diagnoses
Multiple treatments
Term
Home Health challenges
Definition
Sicker patients
Monitoring
Education
Technical skills
Term
Float RN challenge- from ER
Definition
MAR
Documentation
Organization
Special equipment
Term
Float RN challenge- from CCU
Definition
Multitasking
Delegation
Supervision of UAP/LPNs
Term
Float RN challenges- from Peds
Definition
Age issues
Disease processes
Term
Float RN challenges- from OB
Definition
Disease processes
Cognitively impaired adults
Postmortem care
Nursing care plans
Term
Float RN challenges- from Oncology
Definition
Isolation
ACLS
Hemodynamic monitoring
Term
Float RN challenges- from Psych
Definition
Age issues
Ventilator
Chemo
Hemodynamic monitoring
Term
Float RN challenges- from Med-surg
Definition
Infant/child care
L/D
Fetal monitoring
Postpartum care
Psych meds
Chemo
Peds ACLS
Term
Infectious osteomyelitis
Definition
Infected bone tissue

Pain, erythema, fever, increased HR, increased WBC

Notify MD, abx
Term
Avascular necrosis
Definition
No blood to bone = Bone death

Pain, decreased sensation

Call MD, remove necrotic tissue
Term
Fractured hip
Definition
Bone break in joint

30-45 degree meals only
Elevate
Don't flex >90 degrees
No low chairs
Compress Hemovac, Jackson-Pratt
Antiembolism stockings
Flex/extend feet/ankles
Don't cross legs/bend over
Term
Fractured hip drainage
Definition
By 48h, decreased to 30ml/8h
Term
Lewin
Definition
Change Theory (freeze, etc)
Term
Unfreezing
Definition
Before
Believe
Good reason
Not for change's sake
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