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NURS 120
Interprofessional Team Member Roles
Roles of Members of the Health Care Team
Physician
Advanced Practice Registered Nurse
Nurse
Unlicensed Assistive Personnel
Physical Therapist
Occupational Therapist
Respiratory Therapist
Social Worker
Pharmacist
Dietitian
4 mins
Registered Nurse Roles
Nursing Roles in All Settings
Caregiver
Counselor
Educator/Teacher
Communicator
Advocate
Leader
Researcher
Collaborator
2 mins
Nursing Delivery Systems
TYPES OF DELIVERY SYSTEMS
Functional Nursing
Team Nursing
Primary Nursing
Total Patient Care
2 mins
5 Rights of Delegation
Right Task
Right Circumstance
Right Person
Right Direction/Communication
Right Supervision/Evaluation
1 min
Principles of Delegation
Delegation
Assigning Responsibility
Unlicensed Assistive Personnel (UAP)
Noninvasive Procedures
Licensed Practical Nurse (LPN)
Stable Patients with Predictable Outcome
Dressing Changes
Catheterization
Select Med Administration
Registered Nursing (RN)
Unstable Patients
Parenteral Therapy
Discharge Planning & Health Education
3 mins
Maslow's Hierarchy of Needs
Physiological Needs
Oxygen, Water, Nutrition
Body temperature, Elimination, Shelter, Sexual Expression
Safety and Security
Physical Safety
Physiological Safety
Love and Belonging
Affection and Companionship
Esteem
Self Respect and Respect for Others
Self Actualization
Fulfillment
2 mins
Airway, Breathing, Circulation (ABC's)
Airway Assessment
Changed Sound of Voice
"See-saw" Respirations
Stridor
Breathing Assessment
Normal Respiratory Rate: 12–20 Breaths/Min
Use of Accessory Muscles in Respiration
Cyanosis
Circulation Assessment
Color of Hands and Digits
Normal Capillary Refill Time (CRT): 2 Seconds
Decreased LOC
Considerations
Initial ‘Look, Listen and Feel” Assessment
Emergency Treatment
Prioritization in Exam Questions
5 mins
Guidelines for Prioritizing
First-level priority problems
Airway, Breathing, Circulation (ABCs)
Second-level Priority Problems
MAA-U-AR
Mental Status Change
Acute Pain
Acute Urinary Elimination Problems
Untreated Medical Problems
Abnormal Laboratory Values
Risk of Infection, Safety or Security
Third-Level Priority Problems
Long-Term Treatments
2 mins
The Nursing Process
ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
2 mins
Cardiopulmonary Resuscitation (CPR) for Adults
Steps Before CPR
Scan Scene
Activate Emergency Response System
Check For Breathing (Max 10 Seconds)
Open Airway
Compressions, Airway, Breathing (CAB)
Compressions: 2 Inches Deep (100-120 Compressions/Min)
Airway: Ensure Airway is Still Open
Breathing: Administer 2 Rescue Breaths
Considerations
Repeat C-A-B Sequence (30:2) Until Help Arrives
3 mins
Fire - Environmental Emergencies
R.A.C.E
Rescue
Alarm
Confine
Extinguish
P.A.S.S.
Nursing Considerations
Fire Exits
Do Not Use Elevators
Manual Ventilation
2 mins
Good Samaritan Law
Good Samaritan Laws
Legal Immunity
No Legal Obligation to Provide Aid
If Providing Aid, Cannot Abandon
CONSIDERATIONS
Vary State to State
2 mins
Advanced Directives
Advance Care Planning
Process of Planning for Future Care
Living Will
Instructions about Healthcare
Life-Sustaining Treatments
Level of Comfort Care
Artificial Nutrition and Hydration
Durable Power of Attorney for Healthcare
Appointed Person to Make Decisions
Do Not Resuscitate (DNR)
No CPR
Allow Natural Death (AND)
Physician Order for Life-Sustaining Treatment (POLST)
Medical Order
3 mins
Documentation Guidelines
Factual
Objective Information
Subjective Information from Patient
Objective Supports Subjective
Accurate
Avoid Unnecessary Words and Details
Exact Measurements
Current
Assessments
Document ASAP
Treatment and Response
Change in Status
Admission, Transfer, Discharge or Death
Organized
Document in a Logical Order
Ensure Information Recorded is Complete
4 mins
Health Insurance Portability and Accountability Act (HIPAA)
Protected Health Information
Confidentiality
HIPAA Patient Rights
See and Copy Health Records
Update and Correct Health Record
Use and Disclosure of Protected Health Information
How to Receive Health Information
Permitted Disclosure of Personal Health Information (PHI) Without Patient Authorization
Public Health Activities
Law Enforcement
Deceased People
3 mins
Informed Consent
Key Elements
Names and Qualifications of People Involved
Explanation of the Procedure
Information on Harm that Can Result
Alternative Therapies
Right to Refuse
Nurses and Consent
Nurses May Witness Consent
Student Nurses Do Not Witness Consent
Emergency
Consent from Legally Authorized Person
Life Saving Procedure Without Consent
Special Considerations
Deaf, Illiterate, Speaks a Foreign Language
4 mins
Negligence and Malpractice
Failure to Provide Acceptable Care
Anyone Can be Liable
Did Not Carry Out Duty and Patient Was Injured
Must Be a Professional
Not Following Standard of Care
Failure to Communicate
Failure to Document
Failure to Assess and Monitor Patient
Improper Delegation
3 mins
Patient’s Rights
Patient’s Rights When Hospitalized
Respectful Care
Information
Consent or Refuse Treatment
Continuity of Care
Privacy and Confidentiality
Medical Record Review
Consent or Refuse Part in Research
Health Alternatives
Explanation of Charges and Bills
3 mins
Tort Law
Tort Law
Tort
Intentional Tort
Assault
False Imprisonment
Battery
Unintentional Tort
Negligence
Malpractice
Legal Issues
Documentation
3 mins
How to Use Prioritization in Exam Questions
Prioritize First
Airway
Breathing
Circulation
Prioritize Second
Change in LOC (Altered Mental Status)
Sepsis
Acute Pain
Untreated Medical Problems
Prioritize Third
Education
Feelings
Patient Waiting to be Discharged
Test-taking Strategies
Maslow’s Hierarchy of Needs
3 mins
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