Crne Flash Cards

Front 1

CNA's Code of Ethics:
7 primary values

Back 1

1. providing safe, compassionate, competent, ethical care
2. promoting health and well-being
3. promoting and respecting informed decision-making
4. preserving dignity
5. Maintaining privacy and confidentiality
6. Promoting justice
7. Being accountable

Front 2

CNO's Ethics: Ethical values

Back 2

1. client well-being;
2. client choice;
3. privacy and confidentiality;
4. respect for life;
5. maintaining commitment
6. truthfulness
7. fairness

Front 3

lockbox provision.

Back 3

Clients also have the right to instruct that a part
of their personal health information not be shared
with other providers.

Front 4

Components of the nurse-client
relationship

Back 4

1. trust,
2. respect,
3. professional intimacy,
4. empathy
5. power.

Front 5

Controlled acts authorized to nursing

Back 5

■ performing a prescribed procedure below the dermis
or mucous membrane;
■ administering a substance by injection or inhalation;
and
■ putting an instrument, hand or finger:
i. beyond the external ear canal,
ii. beyond the point in the nasal passages
where they normally narrow,
iii. beyond the larynx,
iv. beyond the opening of the urethra,
v. beyond the labia majora,
vi. beyond the anal verge, or
vii. into an artificial opening in the body

Front 6

scope of practice statement for nursing

Back 6

The practice of nursing is the promotion of health
and the assessment of, the provision of, care for, and
the treatment of, health conditions by supportive,
preventive, therapeutic, palliative and rehabilitative
means in order to attain or maintain optimal
function.

Front 7

An order (definition)

Back 7

An order is a prescription for a procedure, treatment, drug or intervention.8 An order is required when:
■ a procedure falls within one of the three controlled acts authorized to nursing, when a
nurse has not initiated the act
■ a procedure does not fall within any controlled act, but is part of a medical plan of care;
■ a procedure falls within one of the 10 controlled acts not authorized to nursing; or
■ a procedure /treatment /intervention is not included in the RHPA, but is included in another piece of legislation

Front 8

Direct order (definition)

Back 8

A direct order is client-specific. A health care professional—such as a physician, midwife, dentist, chiropodist or NP, or an RN who is initiating a controlled act—can give a direct order for a specific
intervention to be administered at a specific time or times.
A direct order may be written or verbal (oral).
Verbal orders must only be used in emergency situations or when the prescriber is unable to document the order, such as in the operating room.

Front 9

Verbal orders

Back 9

Verbal orders must only be used in emergency situations or when the prescriber is unable to
document the order, such as in the operating room.
There is an inherent risk in accepting a verbal order,
and nurses should advocate for systems that allow their use only in emergency situations or when the order is unable to be documented

Front 10

Directive

Back 10

A directive is an order for a procedure or series of
procedures that may be implemented for a number
of clients when specific conditions are met and specific circumstances exist. A directive is always written by a regulated health professional who has the legislative authority to order the procedure for which she/he has ultimate responsibility

Front 11

When initiating a
controlled act, an RN or RPN must:

Back 11

■ assess the client and identify the problem;
■ consider all of the available options to address the problem;
■ weigh the risks and benefits of each option considering the client’s condition;
■ decide on a course of action;
■ anticipate the management of potential outcomes;
■ accept accountability for deciding that the particular procedure is required and for ensuring that any potential outcomes are managed appropriately

Front 12

Conflict management

Back 12

a) address conflict directly rather than avoiding or postponing its resolution;26
b) focus on the behaviours that lead to the conflict rather than on the colleague personally;
c) validate assumptions through open dialogue with colleagues rather than acting on misperceptions or assumptions; and
d) collaborate with colleagues to identify the underlying cause of the conflict. In some situations, a neutral party (for example, a professional mediator) may be necessary

Front 13

I WATCH DEATH

Back 13

Delirium Differential Diagnosis – I WATCH DEATH
- Infectious (encephalitis, meningitis, UTI, pneumonia)
- Withdrawal (alcohol, barbiturates, benzodiazepines)
- Acute metabolic disorder (electrolyte imbalance, hepatic or renal failure)
- Trauma (head injury, postoperative)
- CNS pathology (stroke, hemorrhage, tumour, seizure disorder, Parkinson’s)
- Hypoxia (anemia, cardiac failure, pulmonary embolus)
- Deficiencies (vitamin B 12 , folic acid, thiamine)
- Endocrinopathies (thyroid, glucose, parathyroid, adrenal)
- Acute vascular (shock, vasculitis, hypertensive encephalopathy)
- Toxins, substance use, medication (alcohol, anesthetics, anticholinergics, narcotics)
- Heavy metals (arsenic, lead, mercury)