SOLUTIONS RATED A+
✔✔Types of restraints - ✔✔physical, chemical, seclusion
✔✔physical restraint - ✔✔any method, device, material, or equipment that restricts a
person's freedom of movement
✔✔chemical restraint - ✔✔any drug used for discipline or convenience and not required
to treat medical symptoms
✔✔seclusion restraint - ✔✔safety checks and documentation every 30min to 1 hr
can be requested
should last for the shortest duration possible
✔✔factors affecting mobility - ✔✔- alterations in muscles
- injury to the musculoskeletal system
- poor posture
- impaired central nervous system
- health status and age
✔✔venous return - ✔✔the flow of blood back to the heart
pro to mobility and ambulation
use gait belt, mobility aids, assists
✔✔SBAR - ✔✔Situation
Background
Assessment
Recommendation
✔✔communicating with patient and family - ✔✔do not provide false reassurance
empathetic, answer questions
narrative
✔✔KNOD - ✔✔knock
name
occupation
description
✔✔bedside report - ✔✔sometimes known as "walking rounds", allows you to observe
patient. Outgoing nurse can introduce you to client and it gives patient opportunity to
participate in the report.
✔✔Principles of Documentation - ✔✔confidential
accurate
, concise
complete
objective
organized/timely
include pt narrative
✔✔accessing patient records - ✔✔only access patient you are caring for
✔✔nursing process - ✔✔ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
✔✔independent interventions - ✔✔Activities that nurses are licensed to initiate on the
basis of their knowledge and skills
✔✔collaborative interventions - ✔✔Therapies that require the knowledge, skill, and
expertise of multiple health care professionals.
✔✔critical thinking - ✔✔the objective analysis and evaluation of an issue in order to
form a judgment.
✔✔problem solving - ✔✔the process of finding solutions to difficult or complex issues
✔✔critical thinking and patient safety - ✔✔always consider plan of action before dealing
with patient
adjust plans based on patient response
✔✔oxygenation - ✔✔The process of delivering oxygen to the blood by diffusion from the
alveoli following inhalation into the lungs.
✔✔Oxygenation: Children - ✔✔Eustachian tubes, bronchi, and bronchioles are
elongated and less angular
✔✔Oxygenation: Older Adults - ✔✔increased risk for pneumonia, diaphragm moves
less efficiently
✔✔Perfusion - ✔✔The supply of oxygen to and removal of wastes from the cells and
tissues of the body as a result of the flow of blood through the capillaries.
✔✔Airway management - ✔✔Essential nursing skills that maintain natural or artificial
airways for compromised clients