RMnPharmnRNn8.0nChpn2 1
ManagementnofnCare
SafenMedicationnAdministrationnandnErrornReduction:n ActionsntonTakenfornanClient’snRefusalnofnMed
ication
RMnPharmnRNn8.0nChpn2
RNnQSEN-nPatient-CenterednCare
● Providesnfornthenclient'snphysiologicalnandnpsychologicalnneeds
● Provideneducationnandnevaluatentheirnresponses
● Supportnclientnrights
● Carenfornoldernadultsnandnthenveryn young
● Assessnpreferences,nvaluesnandnneeds
○ Usenthendatancollectedntonhelpndevelopnanmorenindividualizednplannofncare.
● Usedntonultimatelyndevelopnantherapeuticnrelationshipn
RNnThinkingnSkills-nClinicalnJudgement
● Applyingnknowledgentonhelpnanalyze,nevaluatenandncreate.
● Beingnablentonapplynknowledgenmeansnbeingnablentonuseninformationninnnewnsituations
● Beingnablentonanalyzenmeansntonbenorganized,ncomparenandncontrastn andndrawnc
onclusions.
● Beingnablentonevaluatenmeansnjudgensupportnandnbenablentoncritiqueninformation
● Beingnablentoncreatenmeansnbeingnablentonplan,ndevelopnandnimplementnoriginalnwork.n
RNnNursingnProcess-nImplementation
● It'snthenfourthnstepnofnthennursingnprocess.
● Criticalnthinkingnskillsnandnclinicalnreasoningntonmakenclinicalnjudgementsnonnbeingnablent
onselectnwhatninterventionsntoncomplete.
● Thisnwillnpromote,nmaintainnandnrestorenclientnhealth.
● Supportsnself-care,nbasicnneeds,nmanagenchangesninnstatusnandnminimizenrisknofninjury.
● AlwaysnusenEBPntonmakenclinicalnjudgments.n
RNnManagementnofnCaren2019
● 17-23%nwillnbentestednonnandnbasednonnbeingnablentonmanagencare.
● Itnbasednonnbeingnablentonmakenjudgementsninnbeingnablentonprovidenandndirectnnursingnc
are
● ManagementnofnCarenTopics
○ Advancedndirectives,nself-determination,nlifenplanning
○ Advocacy
○ Assignment,ndelegation,nsupervision
○ Casenmanagement
○ Clientnrights
○ Collaborationnwithninterdisciplinarynteam
○ ConceptsnofnManagement
■ Confidentiality,ninformationnsecurity
, RMnPharmnRNn8.0nChpn17 2
■ Continuitynofncare
■ Establishingnpriorities
■ EthicalnPractice
■ Informednconsent
■ Informationntechnology
■ Legalnrights/nresponsibilities
■ Performancenandnqualityndevelopment
■ Referrals
PharmacologicalnandnParenteralnTherapies
AirflownDisorders:IdentifyingnMedicationsnthatnHavenannAdversenEffectnofnChestnPain
RMnPharmnRNn8.0nChpn17
RNnQSENnEvidencenBasednPractice
● Thisnrelatesntonthenassimilationnofncurrentnknowledgentonmakenclinicalnjudgementntonp
rovidencare.
● Comesnfromnresearchnandncrediblensources,nclientnpreferencesnandnexperience.
● AsnannursenimplementingnEBPnwill:
○ Demonstrateneffectivenresultsnandnpositivenoutcome
○ Validateneffectivenessnofnthenselectedninterventions
○ Usenofnansystematicnapproachntonfindnrelevantnevidence
○ Considersnclientsnpreferences
○ Enablesnownnclinicalnexpertisen
RNnThinkingnSkills-nClinicalnJudgement
● Applyingnknowledgentonhelpnanalyze,nevaluatenandncreate.
● Beingnablentonapplynknowledgenmeansnbeingnablentonuseninformationninnnewnsituations
● Beingnablentonanalyzenmeansntonbenorganized,ncomparenandncontrastn andndrawnc
onclusions.
● Beingnablentonevaluatenmeansnjudgensupportnandnbenablentoncritiqueninformation
● Beingnablentoncreatenmeansnbeingnablentonplan,ndevelopnandnimplementnoriginalnwork.n
RNnNursingnProcess-nAnalysisnandnDiagnosis
● SecondnstepnofnthenNursingnProcess
● Itsnbeingnablentoncollectndata
● Interpretnthendata
● Makenclinicalnjudgements
RNnPharmacologicalnandnParenteralnTherapiesn2019
● 12-18%nofnitemsnonnNCLEXncomenfromnpharmacologicalnandnParenteralnTherapies
● ThisnsubncategorynfallsnundernPhysiologicalnIntegrity
● Thisncategoryndeterminesnknowledgenofnbeingnablentonadministernandnknownmedications
● TopicsnInclude:
○ Adverseneffects/contraindications/nsideneffects/ninteractions
○ Bloodnandnbloodnproducts
, RMnPharmnRNn8.0nChpn17 3
○ Centralnvenousnaccessndevices
○ Dosagencalculation
○ Expectednactions/outcomes
○ Medicationnadministration
○ Parenteraln/nintravenousntherapies
○ Pharmacologicalnpainnmanagement
○ Totalnparenteralnnutrition
AirflownDisorders:nEvaluatingnClientnUnderstandingnofnMontelukast
RMnPharmnRNn8.0nChpn17
RNnQSENnPatientnCenterednCare
● Providesnfornthenclient'snphysiologicalnandnpsychologicalnneeds
● Provideneducationnandnevaluatentheirnresponses
● Supportnclientnrights
● Carenfornoldernadultsnandnthenveryn young
● Assessnpreferences,nvaluesnandnneeds
○ Usenthendatancollectedntonhelpndevelopnanmorenindividualizednplannofncare.
● Usedntonultimatelyndevelopnantherapeuticnrelationshipn
RNnThinkingnSkills-nClinicalnJudgement
● Applyingnknowledgentonhelpnanalyze,nevaluatenandncreate.
● Beingnablentonapplynknowledgenmeansnbeingnablentonuseninformationninnnewnsituations
● Beingnablentonanalyzenmeansntonbenorganized,ncomparenandncontrastn andndrawnc
onclusions.
● Beingnablentonevaluatenmeansnjudgensupportnandnbenablentoncritiqueninformation
● Beingnablentoncreatenmeansnbeingnablentonplan,ndevelopnandnimplementnoriginalnwork.n
RNnNursingnProcess-nEvaluation
● Thenfinalnphasenofnthennursingnprocessnisnthenevaluationnphase.
● Itntakesnplacenfollowingntheninterventionsntonseenifnthengoalsnhavenbeennmet.nThenusualn
methodnemployednisntoncompletenannevaluationnformnthatnthennursenfillsninnforneachninte
rventionnorntreatment.
● Nursenmustnbenablento:
○ Identifynifngoalsnarenmet
○ Ifnteachingnisnunderstood
○ Evaluationnofnthenoutcomenifnandelegatedntasknwasngiven
○ Determinenifninterventionsnshouldnbenterminated,ncontinuednornmodifiednwhenn
providingncare.
RNnPharmacologicalnandnParenteralnTherapiesn2019
● 12-18%nofnitemsnonnNCLEXncomenfromnpharmacologicalnandnParenteralnTherapies
● ThisnsubncategorynfallsnundernPhysiologicalnIntegrity
● Thisncategoryndeterminesnknowledgenofnbeingnablentonadministernandnknownmedications
● TopicsnInclude:
ManagementnofnCare
SafenMedicationnAdministrationnandnErrornReduction:n ActionsntonTakenfornanClient’snRefusalnofnMed
ication
RMnPharmnRNn8.0nChpn2
RNnQSEN-nPatient-CenterednCare
● Providesnfornthenclient'snphysiologicalnandnpsychologicalnneeds
● Provideneducationnandnevaluatentheirnresponses
● Supportnclientnrights
● Carenfornoldernadultsnandnthenveryn young
● Assessnpreferences,nvaluesnandnneeds
○ Usenthendatancollectedntonhelpndevelopnanmorenindividualizednplannofncare.
● Usedntonultimatelyndevelopnantherapeuticnrelationshipn
RNnThinkingnSkills-nClinicalnJudgement
● Applyingnknowledgentonhelpnanalyze,nevaluatenandncreate.
● Beingnablentonapplynknowledgenmeansnbeingnablentonuseninformationninnnewnsituations
● Beingnablentonanalyzenmeansntonbenorganized,ncomparenandncontrastn andndrawnc
onclusions.
● Beingnablentonevaluatenmeansnjudgensupportnandnbenablentoncritiqueninformation
● Beingnablentoncreatenmeansnbeingnablentonplan,ndevelopnandnimplementnoriginalnwork.n
RNnNursingnProcess-nImplementation
● It'snthenfourthnstepnofnthennursingnprocess.
● Criticalnthinkingnskillsnandnclinicalnreasoningntonmakenclinicalnjudgementsnonnbeingnablent
onselectnwhatninterventionsntoncomplete.
● Thisnwillnpromote,nmaintainnandnrestorenclientnhealth.
● Supportsnself-care,nbasicnneeds,nmanagenchangesninnstatusnandnminimizenrisknofninjury.
● AlwaysnusenEBPntonmakenclinicalnjudgments.n
RNnManagementnofnCaren2019
● 17-23%nwillnbentestednonnandnbasednonnbeingnablentonmanagencare.
● Itnbasednonnbeingnablentonmakenjudgementsninnbeingnablentonprovidenandndirectnnursingnc
are
● ManagementnofnCarenTopics
○ Advancedndirectives,nself-determination,nlifenplanning
○ Advocacy
○ Assignment,ndelegation,nsupervision
○ Casenmanagement
○ Clientnrights
○ Collaborationnwithninterdisciplinarynteam
○ ConceptsnofnManagement
■ Confidentiality,ninformationnsecurity
, RMnPharmnRNn8.0nChpn17 2
■ Continuitynofncare
■ Establishingnpriorities
■ EthicalnPractice
■ Informednconsent
■ Informationntechnology
■ Legalnrights/nresponsibilities
■ Performancenandnqualityndevelopment
■ Referrals
PharmacologicalnandnParenteralnTherapies
AirflownDisorders:IdentifyingnMedicationsnthatnHavenannAdversenEffectnofnChestnPain
RMnPharmnRNn8.0nChpn17
RNnQSENnEvidencenBasednPractice
● Thisnrelatesntonthenassimilationnofncurrentnknowledgentonmakenclinicalnjudgementntonp
rovidencare.
● Comesnfromnresearchnandncrediblensources,nclientnpreferencesnandnexperience.
● AsnannursenimplementingnEBPnwill:
○ Demonstrateneffectivenresultsnandnpositivenoutcome
○ Validateneffectivenessnofnthenselectedninterventions
○ Usenofnansystematicnapproachntonfindnrelevantnevidence
○ Considersnclientsnpreferences
○ Enablesnownnclinicalnexpertisen
RNnThinkingnSkills-nClinicalnJudgement
● Applyingnknowledgentonhelpnanalyze,nevaluatenandncreate.
● Beingnablentonapplynknowledgenmeansnbeingnablentonuseninformationninnnewnsituations
● Beingnablentonanalyzenmeansntonbenorganized,ncomparenandncontrastn andndrawnc
onclusions.
● Beingnablentonevaluatenmeansnjudgensupportnandnbenablentoncritiqueninformation
● Beingnablentoncreatenmeansnbeingnablentonplan,ndevelopnandnimplementnoriginalnwork.n
RNnNursingnProcess-nAnalysisnandnDiagnosis
● SecondnstepnofnthenNursingnProcess
● Itsnbeingnablentoncollectndata
● Interpretnthendata
● Makenclinicalnjudgements
RNnPharmacologicalnandnParenteralnTherapiesn2019
● 12-18%nofnitemsnonnNCLEXncomenfromnpharmacologicalnandnParenteralnTherapies
● ThisnsubncategorynfallsnundernPhysiologicalnIntegrity
● Thisncategoryndeterminesnknowledgenofnbeingnablentonadministernandnknownmedications
● TopicsnInclude:
○ Adverseneffects/contraindications/nsideneffects/ninteractions
○ Bloodnandnbloodnproducts
, RMnPharmnRNn8.0nChpn17 3
○ Centralnvenousnaccessndevices
○ Dosagencalculation
○ Expectednactions/outcomes
○ Medicationnadministration
○ Parenteraln/nintravenousntherapies
○ Pharmacologicalnpainnmanagement
○ Totalnparenteralnnutrition
AirflownDisorders:nEvaluatingnClientnUnderstandingnofnMontelukast
RMnPharmnRNn8.0nChpn17
RNnQSENnPatientnCenterednCare
● Providesnfornthenclient'snphysiologicalnandnpsychologicalnneeds
● Provideneducationnandnevaluatentheirnresponses
● Supportnclientnrights
● Carenfornoldernadultsnandnthenveryn young
● Assessnpreferences,nvaluesnandnneeds
○ Usenthendatancollectedntonhelpndevelopnanmorenindividualizednplannofncare.
● Usedntonultimatelyndevelopnantherapeuticnrelationshipn
RNnThinkingnSkills-nClinicalnJudgement
● Applyingnknowledgentonhelpnanalyze,nevaluatenandncreate.
● Beingnablentonapplynknowledgenmeansnbeingnablentonuseninformationninnnewnsituations
● Beingnablentonanalyzenmeansntonbenorganized,ncomparenandncontrastn andndrawnc
onclusions.
● Beingnablentonevaluatenmeansnjudgensupportnandnbenablentoncritiqueninformation
● Beingnablentoncreatenmeansnbeingnablentonplan,ndevelopnandnimplementnoriginalnwork.n
RNnNursingnProcess-nEvaluation
● Thenfinalnphasenofnthennursingnprocessnisnthenevaluationnphase.
● Itntakesnplacenfollowingntheninterventionsntonseenifnthengoalsnhavenbeennmet.nThenusualn
methodnemployednisntoncompletenannevaluationnformnthatnthennursenfillsninnforneachninte
rventionnorntreatment.
● Nursenmustnbenablento:
○ Identifynifngoalsnarenmet
○ Ifnteachingnisnunderstood
○ Evaluationnofnthenoutcomenifnandelegatedntasknwasngiven
○ Determinenifninterventionsnshouldnbenterminated,ncontinuednornmodifiednwhenn
providingncare.
RNnPharmacologicalnandnParenteralnTherapiesn2019
● 12-18%nofnitemsnonnNCLEXncomenfromnpharmacologicalnandnParenteralnTherapies
● ThisnsubncategorynfallsnundernPhysiologicalnIntegrity
● Thisncategoryndeterminesnknowledgenofnbeingnablentonadministernandnknownmedications
● TopicsnInclude:
