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NUR2115- Fundamentals of Professional Nursing

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Importance of documentation of assessments & interventions - Accurate documentation of the patient’s assessment is important to provide a baseline for later comparisons as the patient’s condition changes Types of nonverbal behavior which could promote improved communication - Body language - Gestures, movements, touch, appearance, adornments - Personal appearance - May express culture, religion, group associations, self-concept - Posture and gait - Erect vs. slouched posture - Facial expression) the most expressive part of the body) The importance of QSEN competencies in nursing education - To prepare nurses who combine the highest level of scientific knowledge and technologic skill with responsible, caring practice. - To challenge students to identify and master the cognitive and technical skills as well as the interpersonal and ethic/legal skills they will need to effectively nurse the patients in their care. - Patient-centered care - Teamwork and collaboration - Quality improvement - Safety - Evidence-based practice - Informatics What is a sentinel event? - An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. - Serious injury specifically includes loss of limb or function. - An error that causes serious harm to a client and singles out the need for investigation. What is the main purpose for incident reporting? - This helps document what happened to help the healthcare facility learn a way to prevent the incident from happening again. Examples of health promotion activities for primary, secondary and tertiary - Primary: Directed toward promoting health and preventing the development of disease processes or injury. - EX: Immunizations clinics, family planning services, providing poison control information, accident prevention education, teaching about a healthy diet, health-risk assessments. - Secondary: Focus on screening for early detection of disease with prompt diagnosis and treatment it identifies an illness, reverse or reduce its severity or provide a cure, and thereby return the person to maximum health as quickly as possible - EX: Assessing children for normal growth and development and encouraging regular medical, dental and vision examinations; screening for BP, cholesterol and skin cancer, routine GYN exams and mammograms, teaching testicular self-exams to men, administering medications, caring for wounds. - Tertiary: Begins after and illness is diagnosed and treated, with the goal of reducing disability and helping rehabilitate patients to a maximum level of functioning. Maintaining and preventing progression of severe diseases =, dying with dignity, assisting to cope with impending death. - EX: Teaching a diabetic patient how to recognize and prevent complications; using PT to prevent contractures in a patient who has had a stroke or spinal cord injury; referring a woman to a support group after removal of a breast because of cancer. ISBARR, DARE, SOAPIE notes for team communication - ISBARR allows for an easy focused way to set expectations for what will be communicated and how between members of the team, which is essential for developing teamwork and fostering a culture of patient safety. - SOAPIE= used to organize entries in the progress notes of the POMR. The POMR includes the defined database, problem list, care plans, and progress notes. - ISBARR= Introduction, Situation, Background, Assessment, Recommendation/request & Read back of orders or response - DARE= Database of Abstracts of Reviews of Effectiveness - SOAPIE= Subjective data, Objective data, Assessment, Plan, Intervention & Evaluation Review teaching for a patient with modifiable health risk factors - T= Tune into the patient - E= Edit patient information - A= Act on every teaching moment - C= Clarify often - H= Honor the patient as partner in the education process Age related safety concerns across the lifespan - Infant: Falls, SIDS (must lay on back to sleep), Injury from toys, Burns, Suffocation and choking, Electrocution, Ingestion of foreign bodies, Child mistreatment (nurse obliged to report to DCF) **Need rear facing car seat - Toddlers: Falls, Cuts, Drowning, Concussions, Guns and weapons (locked and unloaded), Escape from home, Poison (Poison Control # on fridge), Suffocation and choking, Child mistreatment (nurse obliged to report to DCF) **Front facing car seat in the BACK seat - School age children: Sexual abuse, Burns, Broken bones, Concussions, Drowning

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NUR2115- Fundamentals of Professional Nursing
NUR2115- Fundamentals of Professional
Nursing Final Exam Concept Review- Fall
All Modules 2018
➢ Review various nursing diagnoses related to specific patient problems discussed in Fundamentals
➢ Roughly 60% of the final exam will be cumulative over mod 1-
7 Module 1-3 Concepts:

➢ Importance of documentation of assessments & interventions

- Accurate documentation of the patient’s assessment is important to provide a baseline for

later comparisons as the patient’s condition changes

➢ Types of nonverbal behavior which could promote improved communication

- Body language

- Gestures, movements, touch, appearance, adornments

- Personal appearance

- May express culture, religion, group associations, self-concept

- Posture and gait

- Erect vs. slouched posture

- Facial expression) the most expressive part of the body)

➢ The importance of QSEN competencies in nursing education

- To prepare nurses who combine the highest level of scientific knowledge and technologic skill

with responsible, caring practice.

- To challenge students to identify and master the cognitive and technical skills as well as the

interpersonal and ethic/legal skills they will need to effectively nurse the patients in their

care.

- Patient-centered care

- Teamwork and collaboration

- Quality improvement

- Safety

- Evidence-based practice

,NUR2115- Fundamentals of Professional Nursing
- Informatics

➢ What is a sentinel event?

- An unexpected occurrence involving death or serious physical or psychological injury, or the

risk thereof.

- Serious injury specifically includes loss of limb or function.

- An error that causes serious harm to a client and singles out the need for investigation.

➢ What is the main purpose for incident reporting?

- This helps document what happened to help the healthcare facility learn a way to prevent the

incident from happening again.

➢ Examples of health promotion activities for primary, secondary and tertiary

- Primary: Directed toward promoting health and preventing the development of disease processes or

injury.

- EX: Immunizations clinics, family planning services, providing poison control information, accident

prevention education, teaching about a healthy diet, health-risk assessments.

- Secondary: Focus on screening for early detection of disease with prompt diagnosis and treatment

it identifies an illness, reverse or reduce its severity or provide a cure, and thereby return the person

to maximum health as quickly as possible

- EX: Assessing children for normal growth and development and encouraging regular medical,

dental and vision examinations; screening for BP, cholesterol and skin cancer, routine GYN exams

and mammograms, teaching testicular self-exams to men, administering medications, caring for

wounds.

- Tertiary: Begins after and illness is diagnosed and treated, with the goal of reducing disability

and helping rehabilitate patients to a maximum level of functioning. Maintaining and preventing

progression of severe diseases =, dying with dignity, assisting to cope with impending death.

,NUR2115- Fundamentals of Professional Nursing
- EX: Teaching a diabetic patient how to recognize and prevent complications; using PT to prevent

contractures in a patient who has had a stroke or spinal cord injury; referring a woman to a support

group after removal of a breast because of cancer.

➢ ISBARR, DARE, SOAPIE notes for team communication

- ISBARR allows for an easy focused way to set expectations for what will be communicated

and how between members of the team, which is essential for developing teamwork and

fostering a culture of patient safety.

- SOAPIE= used to organize entries in the progress notes of the POMR. The POMR includes

the defined database, problem list, care plans, and progress notes.

- ISBARR= Introduction, Situation, Background, Assessment, Recommendation/request & Read

back of orders or response

- DARE= Database of Abstracts of Reviews of Effectiveness

- SOAPIE= Subjective data, Objective data, Assessment, Plan, Intervention & Evaluation

➢ Review teaching for a patient with modifiable health risk factors

- T= Tune into the patient

- E= Edit patient information

- A= Act on every teaching moment

- C= Clarify often

- H= Honor the patient as partner in the education process

➢ Age related safety concerns across the lifespan

- Infant: Falls, SIDS (must lay on back to sleep), Injury from toys, Burns, Suffocation and

choking, Electrocution, Ingestion of foreign bodies, Child mistreatment (nurse obliged to report to

DCF)

**Need rear facing car seat


- Toddlers: Falls, Cuts, Drowning, Concussions, Guns and weapons (locked and unloaded), Escape

, NUR2115- Fundamentals of Professional Nursing
from home, Poison (Poison Control # on fridge), Suffocation and choking, Child mistreatment

(nurse

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Geschreven in
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