Foundations of Med- Surg Nursing
medical surgical nursing - ANS-management of acutely ill adult patients, largest group of
practicing nursing professionals
Nursing Executive Center of the Advisory Board - ANS-collects data about best practices,
strategic initiatives, and operational issues; reported an academic- practice gap for recent
graduates
evidence based nursing practice - ANS-the foundation of professional practice based on
problem solving approach to health- care
Clinical decisions are based on: - ANS-best available evidence
clinical expertise
patient preferences
Level 1 of evaluating evidence (the best) - ANS-evidence from systematic reviews of
randomized controlled studies
Level 2 of evaluating evidence - ANS-evidence from at least one randomized controlled study
Level 3 of evaluating evidence - ANS-evidence from quasi- experimental studies
Level 4 of evaluating evidence - ANS-evidence from case-control and cohort studies
Level 5 of evaluating evidence - ANS-evidence from systematic reviews of descriptive or
qualitative studies
Level 6 of evaluating evidence - ANS-evidence from a single descriptive or qualitative studies
Level 7 of evaluating evidence - ANS-evidence from expert individual authorities or committees
patient- centered care - ANS-benchmark that acute care facilities are evaluated aganist
nursing competencies of patient- centered care - ANS-effective communication
empathy
caring
compassion
patient safety outcomes - ANS-providing safe, quality care = priority
, National patient safety goals - ANS-published by the joint commision- identifying pt with 2
identifiers, infection prevention, identify safety risks, use of medications safely
SBAR - ANS-S: Situation- brief statement of the problem
B: Background- data related to current situation
A: Assessment- summary of causes, significance, severity of situation
R: Recommendation- specific actions needed to address the situation
Quality and safety education for nurses (QSEN) - ANS-initiative designed to prepare nurses
with the required knowledge, skills, and attitudes to foster continuous improvement of quality
and safety in health care setting
QSEN competencies - ANS-Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
ineffective interprofessional collaboration - ANS-the root cause of all errors
transitional care - ANS-coordinated services and supports during the interval between
preparing a patient to leave one setting and enter another
Patient Protection and Affordable Care Act - ANS-health care reform law passed in 2010 that
increased access, improved quality and safety and lowering costs
transitional care programs - ANS-patient centered and manage the transitions of patients from
acute care to post- acute care settings
Transitional care model (TCM) - ANS-focuses on chronically ill, high risk adults ex. HF, diabetes
mellitus
Traditional care nurses (TCN) - ANS-manage patients as they transition across the care
continuum from inpatient settings to other settings
typical TCN caseload - ANS-15- 20 patients, can be either advanced practice nurse or
bachelor's level nurse
Care transitions program - ANS-employs nurses as "transitions coaches" to manage chronically
ill or seriously ill patients as they transition between health care settings
medical surgical nursing - ANS-management of acutely ill adult patients, largest group of
practicing nursing professionals
Nursing Executive Center of the Advisory Board - ANS-collects data about best practices,
strategic initiatives, and operational issues; reported an academic- practice gap for recent
graduates
evidence based nursing practice - ANS-the foundation of professional practice based on
problem solving approach to health- care
Clinical decisions are based on: - ANS-best available evidence
clinical expertise
patient preferences
Level 1 of evaluating evidence (the best) - ANS-evidence from systematic reviews of
randomized controlled studies
Level 2 of evaluating evidence - ANS-evidence from at least one randomized controlled study
Level 3 of evaluating evidence - ANS-evidence from quasi- experimental studies
Level 4 of evaluating evidence - ANS-evidence from case-control and cohort studies
Level 5 of evaluating evidence - ANS-evidence from systematic reviews of descriptive or
qualitative studies
Level 6 of evaluating evidence - ANS-evidence from a single descriptive or qualitative studies
Level 7 of evaluating evidence - ANS-evidence from expert individual authorities or committees
patient- centered care - ANS-benchmark that acute care facilities are evaluated aganist
nursing competencies of patient- centered care - ANS-effective communication
empathy
caring
compassion
patient safety outcomes - ANS-providing safe, quality care = priority
, National patient safety goals - ANS-published by the joint commision- identifying pt with 2
identifiers, infection prevention, identify safety risks, use of medications safely
SBAR - ANS-S: Situation- brief statement of the problem
B: Background- data related to current situation
A: Assessment- summary of causes, significance, severity of situation
R: Recommendation- specific actions needed to address the situation
Quality and safety education for nurses (QSEN) - ANS-initiative designed to prepare nurses
with the required knowledge, skills, and attitudes to foster continuous improvement of quality
and safety in health care setting
QSEN competencies - ANS-Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
ineffective interprofessional collaboration - ANS-the root cause of all errors
transitional care - ANS-coordinated services and supports during the interval between
preparing a patient to leave one setting and enter another
Patient Protection and Affordable Care Act - ANS-health care reform law passed in 2010 that
increased access, improved quality and safety and lowering costs
transitional care programs - ANS-patient centered and manage the transitions of patients from
acute care to post- acute care settings
Transitional care model (TCM) - ANS-focuses on chronically ill, high risk adults ex. HF, diabetes
mellitus
Traditional care nurses (TCN) - ANS-manage patients as they transition across the care
continuum from inpatient settings to other settings
typical TCN caseload - ANS-15- 20 patients, can be either advanced practice nurse or
bachelor's level nurse
Care transitions program - ANS-employs nurses as "transitions coaches" to manage chronically
ill or seriously ill patients as they transition between health care settings
