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Quality and Safety Education for Nurses (QSEN)
develop curricula that prepare future nurses with the knowledge, skills, and attitudes
(KSA) required to continuously improve the quality and safety of the HC system;
competency in patient-centered care, teamwork and collaboration, EBP, quality
improvement, safety, and informatics
interprofessional collaborative practice
employing multiple health professionals to work together with patients, families, and
communities to deliver best practices, thus ensuring best patient outcomes
interprofessional collaboration competency domains
community and population oriented/patient and family centered care:
1. interprofessional teamwork and team-based practice
2. interprofessional communication practices
3. values/ethics for interprofessional practice
4. roles and responsibilities for collaborative practice
Maslow's Hierarchy of Needs
(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships,
Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization
metacognition
,thinking about one's own thinking or the awareness and understanding of one's
cognitive processes
critical thinking skills
Interpretation
Analysis
Inference
Evaluation
Explanation
Self-Regulation
ambulatory surgery
includes outpatient, same-day, or short-stay surgery that does not require an overnight
hospital stay
informed consent
the patient's autonomous decision about whether to undergo a surgical procedure,
based on the nature of the condition, the treatment options, and the risks and benefits
involved
intraoperative phase
period of time that begins with transfer of the patient to the operating room area and
continues until the patient is admitted to the postanesthesia care unit
perioperative phase
period of time that constitutes the surgical experience; includes the preoperative,
intraoperative, and postoperative phases of nursing care
postoperative phase
,period of time that begins with the admission of the patient to the postanesthesia care
unit and ends after follow-up evaluation in the clinical setting or home
preoperative phase
period of time from when the decision for surgical intervention is made to when the
patient is transferred to the operating room table
diagnostic surgery
biopsy, exploratory laparotomy, laparoscopy
surgical classifications
-Facilitating a diagnosis, a cure, or repair
-Reconstructive, cosmetic, or palliative
-Rehabilitative
-Based upon the degree of urgency involved: emergent, urgent, required, elective, and
optional
medications that potentially affect surgical experience
corticosteroids, anticoagulants, anticonvulsants, thyroid hormone, opioids, OTC/herbals,
diuretics, phenothiazines, tranquilizers, insulin, a/bs
geriatric considerations for surgery
more susceptible to temp changes and skin breakdown
emergent surgery
Patient requires immediate attention; disorder may be life threatening
e.g., severe bleeding, bladder or intestinal obstruction, fractured skull, GSW or stab
wounds, extensive burns
, urgent surgery
patient requires prompt attention; within 24-30 hours
e.g., closed fracture, infected wound
required surgery
patient needs to have surgery; plan within a few weeks or months
e.g., prostatic hyperplasia, thyroid disorder, cataracts
elective surgery
patient should have surgery, failure to have surgery not catastrophic
e.g., repair of scars, simple hernia, vaginal repair
optional surgery
decision rests with patient; personal preference
e.g., cosmetic
latex allergy can manifest as
rash, asthma, or anaphylactic shock
corticosteroid and anesthesia
CV collapse can occur if discontinued suddenly; may need bolus of steroid IV before
and after surgery
diuretics and anesthesia
may cause excessive respiratory depression from electrolyte imbalance
circulating nurse