This study guide will only cover Leadership/Management and Professionalism.
I would utilize “The Point”, PrepU, Adaptive Learning Quiz, Nursing Concepts, and then achieving a
mastery level on the concepts for this final (Safety, Clinical Judgement, EBP, Ethical Legal Practice,
Teamwork Collaboration, Communication, Leadership and Management). The questions are extremely
like what has been on the test.
Safety 1-4
1. Transmission based precautions, PPE
a. See ATI fundamentals book page 52
b.
2. Core Measures, Pneumonia
, a.
3. Core Measures, Timeout procedure
a. In addition, the circulating nurse is responsible for ensuring that the second verification
of the surgical procedure and site takes place and is documented (see Fig. 18-1). In some
institutions, this is referred to as a time out, surgical pause, or universal protocol that
takes place among the surgical team prior to induction of anesthesia with a briefing
about anticipated problems, potential complications, allergies, and comorbidities. Every
member of the surgical team verifies the patient’s name, procedure, and surgical site
using objective documentation and data before beginning the surgery. Identifying
patients correctly is a 2016 National Patient Safety Goal (see Chart 17-8 in Chapter 17).
Research suggests that the use of surgical checklists (see Fig. 18-1) help create a culture
of safety and reduce morbidity and mortality
, b.
c. Circulating nurse: Manage the OR and protects patients safety and health by monitoring
the activities of the surgical team, OR conditions, and continually assessing patient for
signs of injury and implementing appropriate interventions. Verifying consent, team
coordination, cleanliness, proper temp., humidity, appropriate lighting, safe function of
equipment, and availability of supplies and materials. Monitors for aseptic technique,
implements fire safety precautions, documents specific activities throughout the
operation to ensure safety and well being of patient. Calls surgical “time out” and leads
debrief session following the completion of surgery to identify potential problems with
post op care and potential areas of improvement. Sends specimens to the lab.
d. Scrub Nurse (RN, LPN, Surgical tech): hand hygiene, setting up sterile equipment, tables,
sterile field, preparing sutures, ligatures, and special equipment (laparoscope), and
assisting the surgeon by anticipating the instruments and supplies that will be required;
sponges, drains, etc. As the incision is closed, along with the circulating nurse, count all
needles, sponges (all used should be visible on x-ray and sponge counts should take
place at the beginning of surgery and twice at the end-when would closure begins and
again as the skin is being closed), and instruments to make sure none are retained in the
patient. Any specimens are labeled by the scrub nurse.
4. Anticipatory Guidance, goals of anticipatory Guidance
a. Anticipatory guidance is primary prevention. The nurse partners with the parents to
create a “road map” to optimal health for the child. Healthy People 2020 provides a
framework for determining health promotion goals. Bright Futures: Guidelines for Health
Supervision of Infants, Children, and Adolescents (Hagan, Shaw, & Duncan, 2008) is
another valuable resource.
I would utilize “The Point”, PrepU, Adaptive Learning Quiz, Nursing Concepts, and then achieving a
mastery level on the concepts for this final (Safety, Clinical Judgement, EBP, Ethical Legal Practice,
Teamwork Collaboration, Communication, Leadership and Management). The questions are extremely
like what has been on the test.
Safety 1-4
1. Transmission based precautions, PPE
a. See ATI fundamentals book page 52
b.
2. Core Measures, Pneumonia
, a.
3. Core Measures, Timeout procedure
a. In addition, the circulating nurse is responsible for ensuring that the second verification
of the surgical procedure and site takes place and is documented (see Fig. 18-1). In some
institutions, this is referred to as a time out, surgical pause, or universal protocol that
takes place among the surgical team prior to induction of anesthesia with a briefing
about anticipated problems, potential complications, allergies, and comorbidities. Every
member of the surgical team verifies the patient’s name, procedure, and surgical site
using objective documentation and data before beginning the surgery. Identifying
patients correctly is a 2016 National Patient Safety Goal (see Chart 17-8 in Chapter 17).
Research suggests that the use of surgical checklists (see Fig. 18-1) help create a culture
of safety and reduce morbidity and mortality
, b.
c. Circulating nurse: Manage the OR and protects patients safety and health by monitoring
the activities of the surgical team, OR conditions, and continually assessing patient for
signs of injury and implementing appropriate interventions. Verifying consent, team
coordination, cleanliness, proper temp., humidity, appropriate lighting, safe function of
equipment, and availability of supplies and materials. Monitors for aseptic technique,
implements fire safety precautions, documents specific activities throughout the
operation to ensure safety and well being of patient. Calls surgical “time out” and leads
debrief session following the completion of surgery to identify potential problems with
post op care and potential areas of improvement. Sends specimens to the lab.
d. Scrub Nurse (RN, LPN, Surgical tech): hand hygiene, setting up sterile equipment, tables,
sterile field, preparing sutures, ligatures, and special equipment (laparoscope), and
assisting the surgeon by anticipating the instruments and supplies that will be required;
sponges, drains, etc. As the incision is closed, along with the circulating nurse, count all
needles, sponges (all used should be visible on x-ray and sponge counts should take
place at the beginning of surgery and twice at the end-when would closure begins and
again as the skin is being closed), and instruments to make sure none are retained in the
patient. Any specimens are labeled by the scrub nurse.
4. Anticipatory Guidance, goals of anticipatory Guidance
a. Anticipatory guidance is primary prevention. The nurse partners with the parents to
create a “road map” to optimal health for the child. Healthy People 2020 provides a
framework for determining health promotion goals. Bright Futures: Guidelines for Health
Supervision of Infants, Children, and Adolescents (Hagan, Shaw, & Duncan, 2008) is
another valuable resource.
