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Key concepts in nursing practice, including communication, assessment, documentation, critical thinking, and the core competencies of nursing. It delves into the importance of patient-centered care, quality improvement, evidence-based practice, teamwork, and safety. The document also addresses specific safety concerns, such as falls, healthcare-associated infections, medication errors, and home safety. It provides insights into the role of nurses in promoting patient safety and delivering high-quality care. The comprehensive coverage of these core nursing concepts makes this document a valuable resource for nursing students and professionals seeking to enhance their knowledge and skills in providing safe and effective patient care.
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Communication - ✔-Refers to the exchange of information, feelings, thoughts and ideas -With other healthcare professionals, family, patients, doctor Assessment - ✔-We do continual assessment every time we enter the room -Assessment is assessment regardless of the age group, however it is different when you go about doing that assessment -Assessment of infants and children requires a different assessment approach that requires extra steps to gain trust and understanding -Assessment of older adults requires a comprehensive understanding of the factors aging plays in physical, social, mental, and emotional health Holistic assessment includes - ✔-AIDET -Gain trust/ report -Complete Health history -Cultural assessment -Comprehensive Physical assessment -Comprehensive psychosocial assessment Four important things that need to be assessed for each time - ✔Nutrition, developmental milestones, caregiver issues, well visits (that include health screens) Documentation - ✔Is done all on electronic health records Critical Thinking - ✔Always be thinking and examining and questioning AIDET - ✔-Acknowledge -Introduce -Duration -Explanation -Thank you Patient and Safety Education for Nurses - ✔-Knowledge, Skills, Attitudes (KSAs) -Better quality of patient care -Improved safety in healthcare settings Patient Centered-Care - ✔-First competency of nursing -Clients are partners in their care, and thus their perspectives, beliefs, and culture need to be taken into account during their care Quality Improvement - ✔-Second competency of nursing -Adverse events must be monitored and reported so they can be tools for learning in similar situations in the future and catalysts for improvements in quality and safety Evidence-Based Practice - ✔-Third competency of nursing -Medicine is evolving and changing everyday, and thus current medical findings must be monitored for possibility of improved care
Teamwork and Collaboration - ✔-Fourth competency of nursing -Sometimes treatment involves multiple departments and 24-hour care, teamwork across departments and shifts is necessary for optimal care Safety - ✔-Fifth competency of nursing -Activities such as knowledge sharing and error reporting must be taken seriously to help improve safety Informatics - ✔-Sixth competency of nursing -As information technology becomes further integrated into medicine, nurse's input is an essential part of the design process The Joint Commission program - ✔-Panel of healthcare professionals with expertise in patient safety -Safety concerns evaluated -Look for maximum impact and usefulness with minimal cost -See NPSG (National Patient Safety Goals) Prevention of injury - ✔-Major nursing responsibility!! What factors can alter ability of patient to protect him/herself? - ✔-Age -Mobility -Disease processes -Language barriers -Cognitive abilities -Emotional state: (Depression: suicide; anger: harming others or oneself) -Lifestyle and safety awareness: (drug use; unprotected sex) Common Adverse Events - ✔-Falls -Improper use of restraints -Health-care associated infections (HAIs): Acquired in the hospital -Wrong-site surgery: Surgery performed on the wrong client, correct client but wrong body part, or correct client but wrong surgery -Medication errors: Wrong med or dosage -Seizures -Fire Home Safety - ✔-Collaborate with patient, family, Interprofessional team members -Complete nursing history: What is the cognitive level, previous falls, do they need assisted devices -Physical examination -Home hazard appraisal: Asking questions (interview), on oxygen or smoker, pets (tripping over them) -Community in which patient lives: Family members doing drugs -Emergency preparedness (CPR, Basic First Aid Fire Home Safety Plan - ✔-Exit plans -Practice the exit plan -Making sure smoke alarms work -Fire extinguishers