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Fundamentals of Nursing - Test #1 IvyTech
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Quality and Safety Education for Nurses (QSEN) Assists nursing programs in preparing nurses to provide safe, high-quality care six QSEN competencies Safety, Patient centered care, evidence based practice, informatics, quality improvement, teamwork and collaboration. QSEN: Safety Minimize risk of harm to patients and providers through both system effectiveness and individual performance. QSEN Patient Centered Care Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs. QSEN: Evidence-Based Practice use best current evidence clinical and patient preferences and values for delivery of optimal care. QSEN: Informatics
the use of information technology as a communication and information-gathering tool that supports clinical decision- making and scientifically based nursing practice QSEN: Quality Improvement Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems. QSEN: Teamwork and Collaboration Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. primary health care emphasizes health promotion, and includes prenatal and well- baby care, nutrition counseling, and disease control. is based on a sustained partnership between client and provider. examples include office or clinic visits and scheduled school/work centered screenings (vision, hearing, obesity) Secondary health care includes the diagnosis and treatment of emergency, acute illness, or injury. examples include care given in hospital settings (inpatient and EDs), diagnostic centers, or emergent care centers Tertiary Health Care
Wellness active state of being healthy, including living a lifestyle that promotes positive physical, mental, and emotional health. Illness The body's response to disease; when the body's function is impaired or altered from its previous homeostatic state. License practical nurse Work under the supervision of RN, assist with the plan of care, consult with other team members, possess technical knowledge and skills, participate in nursing care Registered Nurse A nurse who has completed a 2-, 3-, or 4-year nursing program and has passed a licensing test, works legally under state nurse practice art, preforms assessments, establish nursing diagnosis, goals, and interventions, lead team member Autonomy the right to make ones own personal decisions, even when those decisions might not be in their best interest Beneficenece action that promotes good for others without any self-interest Fidelity
fulfillment of promises Justice fairness in care delivery and use of resources Nonmaleficence a commitment to do no harm Vereacity a commitment to tell the trust evidence-based practice clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences Patient centered care providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions Types of Nursing Assessments
- Initial Assessment.
- Focused Assessment.
- Emergency Assessment.
- Time-lapsed Assessment. Initial Assessment
Involves examining items to see if an item is good or defective same going with a patient, and is ongoing Palpation the use of touch to determin the size, consistency, texture, temp, location, and tenderness of the skin, underlying tissues, an organ, or a body part Dorsal Surface most sensitive to temperature palmar surface and base of fingers sensitive to vibration Fingertips sensitive to pulsation, position, texture, turgor, size and consistency fingers and thumb useful for grasping an organ or mass Percussion tapping on a surface to determine the difference in the density of the underlying structure direct percussion striking the body to elicit sounds indirect percussion
placing a hand flatly on the body, as the striking surface, for sound production fist percussion helps identify tenderness over the kidneys, liver, and gallbladder Auscultation process of listening to the sounds within the body; by using a stethoscope Stethoscope diaphragm Used most often For high pitched sounds (breath, bowel, and normal heart sounds) Hold firmly against patient's skin Stethescope Bell best for soft, low-pitched sounds such as heart murmurs Vital Signs temperature, pulse, respirations, and blood pressure Oral Temperature 98.6 f or 37 c rectal temperature 99.5 F 37.5 C
Apical pulse pulse taken with a stethoscope and near the apex of the heart Normal Pulse Rate 60-100 bpm Trachycardia fast heart rate Bradycardia slow heart rate Normal respiration rate 12-20 breaths per minute Normal BP Systolic < Diastolic < Elevated BP 120-129/< Stage 1 hypertension 130-139/80- Stage 2 hypertension greater than or equal to 140/ greater than or equal to 90
