ACCS Critical care exam 1 (part 1), Questions & Answers, 100% Accurate. VERIFIED.

ACCS Critical care exam 1 (part 1), Questions & Answers, 100% Accurate. VERIFIED. two main professional organizations that support critical care? which one best supports critical care nurses? - -Name the two organizations American Association of Critical-Care Nurses (AACN) Society of Critical Care Medicine (SCCM) Which one do you think best supports critical care nurses? American Association of Critical-Care Nurses (AACN) dedicated to providing knowledge and resources to those caring for acutely and critically ill patients AACN: mission? vision? values? - -Mission: focuses on assisting acute and critical care nurses to attain knowledge and influence to deliver excellence care Vision: supports creating a health care system driven by the needs of patients and families in which critical care nurses make their optimal contributions, which is described as synergy (mixture of nurse, system, and patient along with patient characteristics and nurse competencies) Values: accountability, advocacy, integrity, collaboration, leadership, stewardship, lifelong learning, quality, innovation, and commitment what is the synergy model and how is it used in practice? - -The Synergy Model focuses on the extent to which nurses' competencies match patients' characteristics. The goal of Synergy Model nursing is to "restore the patient to an optimal level of wellness as defined by the patient and family certifications: CCRN? PCCN? ACCNS? ACNPC-AG? why are certifications important? - -CCRN → nurses who provide care for critically ill adult, pediatric, or neonatal populations PCCN → nurses who provide acute care in progressive care, telemetry, and similar units Once nurses achieve the CCRN or PCCN credential, they can be eligible to sit for additional subspeciality certification in cardiac medicine or cardiac surgery ACCNS→ acute and critical care clinical nurse specialist ACNPC-AG→ acute care nurse practitioners Why are certifications important? validates knowledge of critical care nursing, promotes professional excellence, and helps nurse to maintain a current knowledge base What 4 specific projects/organizations are in place to assist nurses in providing safe care? - -The Quality and Safety Education for Nurses (QSEN) National Patient Safety Goals→ by the Joint Commission Institute of Healthcare Improvement (IHI) rapid response teams/ medical emergency teams what does QSEN do? - -roadmap for integrating quality and safety principles into prelicensure nursing education six core competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics, and safety What do national patient safety goals do? - -reduce medical errors and promote an environment that facilitates safe practices reduce infections ex. improve accuracy of patient identification, improve communication among health care providers, improve medication safety, use alarms safely, reduce risk of healthcare- associated infections, identify safety risk, and prevent complications associated with surgery and procedures What does IHI do? - -action plan for reducing health care-associated infections and preventing infections with multidrug-resistant organisms promoted the concept of bundles of care to reduce harms, such as infections bundles→ evidence-based practices that are done as a whole to improve outcomes (ex. ventilator bundle) What is the goal of rapid response teams? - -goal→ identify and manage both stable and unstable patients and those at high risk for cardiopulmonary arrest to prevent unnecessary deaths Can you explain what a bundle of care is? Give an example of one you may see at the bedside? - -Can you explain what a bundle of care is? Bundle of Care→ evidence based best practices that are done as a whole to improve outcomes A "bundle" is a group of interventions related to a disease process that, when executed together, result in better outcomes than when implemented individually. Give an example of one you may see at the bedside Ventilator Bundle What are four barriers to effective handoff communication? Can you give an example of what these would look like at the bedside? - -Physical Setting→ background noise, lack of privacy interruptions Social Setting→ organizational hierarchy and status issues Language→ differences between people of varying racial and ethnic backgrounds or geographic areas Communication Medium→ limitations of communications via telephone, e-mail, paper, or computerized records versus face-to-face what is the highest risk time of communication breaking down? What four standardized measures have been implemented to help prevent communication breakdown at shift change? - -Shift handoff is when communication is at the highest risk to be broken down. What standardized measures have been implemented to help prevent communication breakdown at shift change? Ask-Tell-Ask→ strategy for encouraging nurses to assess concerns before providing more information, especially when discussing stressful issues with patients and families Tell Me More→encourages information sharing in challenging situations SBAR→ Situation, background, assessment, recommendation Crew Resource Management (CRM) → think like an aircraft crew (everyone depends on precise communication to ensure passenger safety) monitor others actions by double checking, verifying. Situational awareness, trusting your gut Can you give examples of things you may need to communicate during multi-professional rounds? - -discharge needs Greatest safety risk Implementation of critical care "bundles