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15 Cards in this Set
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Wednesday Morning 9am 10-4 Maureen Lecture DecisionMaking and Orgainizing Care.
What else could this lecture be called? |
Critical care in the nursing practice.
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what is critical thinking in nursing?
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critical thinking is a active organized cognitive process. We must incorportate critical thinking into our DECISION MAKING
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what seperates the nurse from technical personnel?
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critical thinking seperates the nurse from other workers like technical personnel! You can teach a monkey to give out meds! We will use critical thinking before we despense meds! An example of critical thinking
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List the 5 steps of the nursing process?
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Assessment
Diagnosis Plan Implement Evaluate |
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How do we prioritize our care as nurses?
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Its in Potter Perry Chpt 20 PP376...how to descide what to do first.
1)1st order...immediate threat to survival 2) 2nd order...act. problems client or family ask immmediately 3) urgent care requested ex. post op complications or teaching needs 4) future needs of patient or family |
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what is the first order priority needs in nursing?
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an immediate threat or need
Ex an obstructive airwave an anxiety attack |
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Whats 2nd order priority needs?
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are actual problems the patient or family have requested
Ex using the bathroom, pain, hungrey |
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What 3rd order priority need?
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relative urgent need that the patient or family doesn't recognize?
Ex. turning a patient to prevent a bedsore Ex. back from surgery, getting their vitals or watching for side effects from medications |
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4th order priority needs?
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potential problems for the patient in the future.
Ex teaching for self care in the home |
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Would a test on these priority needs be name these in a list or more likely make us apply this information in a scenario application?
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The test question would be to think out the 4 orders and think out the priorities. Ex for the test would be you have 4 patients and tell us their situations, and which one would I see first and so on!
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which has first priority?
requested pain medication dressing someone for occ. therapy who will be there in 5 minutes? |
pain meds is top piority
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which is higher priority?
patient 1 is high fall risk and alarm just went off patient 2 needs a pre op shot |
fal patient is priority 1
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which patient has the higher priority?
patient 1 complaining of nausia patient 2 wants to go potty |
Maureen said going to the bathroom is higher piority
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You have 7 or 8 tasks to perform on same patient. from 7:30 -11:00. Put them in priority.
a physical assessement a bed bath a vital signs oral medications change linens b/fast at 8:30 (meds have a 1 hr window) |
Maureen put them in this order
1) physical assessment 2) oral meds 3) b/fast at 8 4) bed bath 5) chart physical assessment 6) vital signs 7) oral meds |
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one more time, the nursing process has 5 parts...
a d p i e |
assessment
diagnosis plan implement evaluate |