ADVANTAGE FOR MEDICAL SURGICAL NURSING
MAKING CONNECTIONS
Academy of Medical-Surgical Nursing (AMSN) - ANSWER: professional organization for
med-surg RN; mission is too "promote excellence in med-surg nursing"
Values of AMSN - ANSWER: -Engage in ongoing professional development
-Use EBP
-Speak w/a unified voice
-Serve as leaders on health-care teams
-Have the necessary resources to deliver excellent care
-Practice in a healthy work environment
Strategic Message of AMSN - ANSWER: -Improving patient care
-Developing personally and professionally
-Advocating for the specialty of med-surg nursing
-Connection w/other nurses who share their compassion and commitment
American Nurse Credentialing Center (ANCC) - ANSWER: can certify nurses in med-
surg
ANCC's Magnet Recognition Program - ANSWER: awarded to health-care facilities that
demonstrate excellence in the recruitment, recognition, and retention of nursing staff as
well as excellence in patient care and quality
Certified Medical-Surgical Registered Nurse (CMSRN) - ANSWER: RN who is
credentialed in med-surg, entitled to the credential of Registered Nurse-Board Certified
(RN-BC)
often in the role of care coordinator
Primary direct care provider in acute care setting- often the KEY to communication
between various HC members
****Higher patient acuity and increased complexity of pts care needs accompanied by
shorter lengths of stay in acute care place RN in vital role of ensuring the pts are
prepared for transitions to different levels of care. Facilitating the pts and family
understanding of TX plan and discharge teaching
Domains of Nursing Practice for Med-Surg Certification - ANSWER: 1. Helping role
2. Teaching-Coaching Function
3. Diagnostic and Patient Monitoring
,4. Effective Management of Rapidly Changing Situations
5. Administering and Monitoring Therapeutic Interventions and Regimens
6. Monitoring and Ensuring the Quality of Health-Care Practices
7. Organizational and Work Role Competencies
Evidence-based nursing practice - ANSWER: problem-solving approach to health-care
delivery, nursing care practices, and protocols--based upon the best evidence from
research studies and the expertise of clinicians
1. Develop the question
2. Search and collate the best evidence
3. Evaluate the quality of the evidence
4. Integrate evidence into practice
5. Evaluate outcomes of practice change
6. Disseminate the evidence
Evaluating Levels of Evidence - ANSWER: Lv 1 is the highest level of evidence
Lv 1 Evidence from systematic reviews of randomized controlled studies (RCT)
Lv 2 Evidence from at least 1 RCT
Lv 3 Evidence from quasi-experimental studies
Lv 4 Evidence from case-control and cohort studies
Lv 5 Evidence from systematic reviews of descriptive or qualitative studies
Lv 6 Evidence from a single descriptive or qualitative study
Lv 7 Evidence from expert individual authorities or comments
Cohort studies - ANSWER: Lv 4- use a group of people (cohort) who are initially free of
disease and are then followed over a period of time to examine whether the
development of new cases differs between those with and without exposure to some
type of disease, environmental hazard, etc
Case control study - ANSWER: Lv 4-includes two groups, those with a specific disorder
and those w/o---then compares the two groups
Quasi-Experimental Studies - ANSWER: Lv 3- use control and experimental groups but
lacks the random assignment of participants
Randomized Controlled Studies - ANSWER: Lv 1 and Lv 2 -Gold standard of research-
include data from selected studies that randomly assigned participants to control and
and experimental groups
Systematic review - ANSWER: a type of literature review that uses systematic methods
to collect secondary data, critically appraise research studies, and synthesize findings
qualitatively or quantitatively. ... They are designed to provide a complete, exhaustive
summary of current evidence relevant to a research question
, Institute of Medicine (IOM) - ANSWER: A nonprofit organization established in 1970 as
a component of the US National Academy of Sciences that works outside the
framework of government to provide evidence-based research and recommendations
for public health and science policy.
To ERR is Human- Report
-between 44000-98000 deaths occurred in the US due to preventable medical errors
-40000 incidences per day in US resulted in pt harm
--**-- ineffective communication among interprofessional health care team identified in a
root cause analysis
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) -
ANSWER: provides a standardized approach to collect data from pts about their
experiences in hospitals
-Communication w/ providers
-communication w/ nurses
-responsiveness of hospital staff
-pain management
-communication about medications
-discharge information
-cleanliness of the hospital environment
-quietness of the hospital environment
-transition of care
Beryl Institute - ANSWER: organization that fosters pt centered care through the "pt
experience" that is influenced by all the interactions and experiences encountered,
based upon the organizations's culture and practices
Medical-Surgical Nursing Certification Board (MSNCB) - ANSWER: Organization which
certifies eligible med-surg RN who meet specific requirements
National Patient Safety Goals - ANSWER: Published by TJC annually-aimed at
improving pt safety through goals that focus on potential problems in the HC setting
Identify patients correctly
Improve staff communication
Use medicines safely
Use alarms safely
Prevent infection
Identify patient safety risks
Prevent mistakes in surgery
Nursing Executive Center of the Advisory Board - ANSWER: -serves as nursing
administrators through data collection around best practices, strategic initiatives, and
operational issues
MAKING CONNECTIONS
Academy of Medical-Surgical Nursing (AMSN) - ANSWER: professional organization for
med-surg RN; mission is too "promote excellence in med-surg nursing"
Values of AMSN - ANSWER: -Engage in ongoing professional development
-Use EBP
-Speak w/a unified voice
-Serve as leaders on health-care teams
-Have the necessary resources to deliver excellent care
-Practice in a healthy work environment
Strategic Message of AMSN - ANSWER: -Improving patient care
-Developing personally and professionally
-Advocating for the specialty of med-surg nursing
-Connection w/other nurses who share their compassion and commitment
American Nurse Credentialing Center (ANCC) - ANSWER: can certify nurses in med-
surg
ANCC's Magnet Recognition Program - ANSWER: awarded to health-care facilities that
demonstrate excellence in the recruitment, recognition, and retention of nursing staff as
well as excellence in patient care and quality
Certified Medical-Surgical Registered Nurse (CMSRN) - ANSWER: RN who is
credentialed in med-surg, entitled to the credential of Registered Nurse-Board Certified
(RN-BC)
often in the role of care coordinator
Primary direct care provider in acute care setting- often the KEY to communication
between various HC members
****Higher patient acuity and increased complexity of pts care needs accompanied by
shorter lengths of stay in acute care place RN in vital role of ensuring the pts are
prepared for transitions to different levels of care. Facilitating the pts and family
understanding of TX plan and discharge teaching
Domains of Nursing Practice for Med-Surg Certification - ANSWER: 1. Helping role
2. Teaching-Coaching Function
3. Diagnostic and Patient Monitoring
,4. Effective Management of Rapidly Changing Situations
5. Administering and Monitoring Therapeutic Interventions and Regimens
6. Monitoring and Ensuring the Quality of Health-Care Practices
7. Organizational and Work Role Competencies
Evidence-based nursing practice - ANSWER: problem-solving approach to health-care
delivery, nursing care practices, and protocols--based upon the best evidence from
research studies and the expertise of clinicians
1. Develop the question
2. Search and collate the best evidence
3. Evaluate the quality of the evidence
4. Integrate evidence into practice
5. Evaluate outcomes of practice change
6. Disseminate the evidence
Evaluating Levels of Evidence - ANSWER: Lv 1 is the highest level of evidence
Lv 1 Evidence from systematic reviews of randomized controlled studies (RCT)
Lv 2 Evidence from at least 1 RCT
Lv 3 Evidence from quasi-experimental studies
Lv 4 Evidence from case-control and cohort studies
Lv 5 Evidence from systematic reviews of descriptive or qualitative studies
Lv 6 Evidence from a single descriptive or qualitative study
Lv 7 Evidence from expert individual authorities or comments
Cohort studies - ANSWER: Lv 4- use a group of people (cohort) who are initially free of
disease and are then followed over a period of time to examine whether the
development of new cases differs between those with and without exposure to some
type of disease, environmental hazard, etc
Case control study - ANSWER: Lv 4-includes two groups, those with a specific disorder
and those w/o---then compares the two groups
Quasi-Experimental Studies - ANSWER: Lv 3- use control and experimental groups but
lacks the random assignment of participants
Randomized Controlled Studies - ANSWER: Lv 1 and Lv 2 -Gold standard of research-
include data from selected studies that randomly assigned participants to control and
and experimental groups
Systematic review - ANSWER: a type of literature review that uses systematic methods
to collect secondary data, critically appraise research studies, and synthesize findings
qualitatively or quantitatively. ... They are designed to provide a complete, exhaustive
summary of current evidence relevant to a research question
, Institute of Medicine (IOM) - ANSWER: A nonprofit organization established in 1970 as
a component of the US National Academy of Sciences that works outside the
framework of government to provide evidence-based research and recommendations
for public health and science policy.
To ERR is Human- Report
-between 44000-98000 deaths occurred in the US due to preventable medical errors
-40000 incidences per day in US resulted in pt harm
--**-- ineffective communication among interprofessional health care team identified in a
root cause analysis
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) -
ANSWER: provides a standardized approach to collect data from pts about their
experiences in hospitals
-Communication w/ providers
-communication w/ nurses
-responsiveness of hospital staff
-pain management
-communication about medications
-discharge information
-cleanliness of the hospital environment
-quietness of the hospital environment
-transition of care
Beryl Institute - ANSWER: organization that fosters pt centered care through the "pt
experience" that is influenced by all the interactions and experiences encountered,
based upon the organizations's culture and practices
Medical-Surgical Nursing Certification Board (MSNCB) - ANSWER: Organization which
certifies eligible med-surg RN who meet specific requirements
National Patient Safety Goals - ANSWER: Published by TJC annually-aimed at
improving pt safety through goals that focus on potential problems in the HC setting
Identify patients correctly
Improve staff communication
Use medicines safely
Use alarms safely
Prevent infection
Identify patient safety risks
Prevent mistakes in surgery
Nursing Executive Center of the Advisory Board - ANSWER: -serves as nursing
administrators through data collection around best practices, strategic initiatives, and
operational issues
