...School of Nursing NURS 220 Spring 2016 Vocabulary Homework Assignment – Chapters 10-16 in Taylor et al textbook – Worth 100 points Chapters 10 – 13 due Thursday February 25 Chapters 14 – 16 due Thursday March 3 Please define the following words using your Fundamentals of Nursing textbook and/or a medical dictionary. Please indicate the text and page number you used to obtain each definition. (If you want to make them flashcards you may, just make sure that your name is on them and they are rubber banded together so I can record and return them easily.) Chapter 10 Assess Concept mapping Decision making Dynamic Evaluate Expected outcomes Implement Interpersonal Nursing diagnoses Nursing process Outcome identification Outcome oriented Plan Reflective practice Systematic Cerebral Vascular Accident (CVA) Chapter 11 Cue Data Data base Documentation Emergency assessment Focused assessment Inference Initial assessment Interview Minimum data set Nursing history Objective data Observation Physical assessment Review of systems (ROS) Subjective data Time-lapsed assessment Validation Multiple Sclerosis (MS) Prioritize Factual Accurate Relevant Interpersonal competence Virus Consultation Laboratory study Diagnostic study Chapter 12 Constipation Cancer Actual nursing diagnosis Collaborative problems Data cluster Diagnosing Diagnostic error Health problem Medical diagnoses Possible nursing diagnoses Risk nursing diagnoses ...
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...cause in almost every sentinel event reported to the Joint Commission’s Sentinel Event Database, and is the leading root cause in a majority of cases studied since 1996 (Nadzam 2009). Communication between nurses is critical to patient safety, yet numerous challenges contribute to poor communication and an unhealthy reliance on individual action. Examples include lack of structure to nurses, such as no rules for telephone, or face to face report. No model for verbal communication. Differing opinions, as to what information should be communicated during a verbal report, frequency of communication and timing of communications (Nadzam, 2009). In 2006, The Joint Commission added the handoff communication expectation as a requirement under the NPSG for improving communication. The requirement specifically expects healthcare organizations to “implement a standardized approach to handoff communications, including an opportunity to ask and respond to questions.” Hand offs, also referred to as “handover”, “report”, and “patient care transfer” are interactive communications allowing the opportunity for questioning between the giver and receiver of information. The primary objective of a “handoff” is to provide accurate information about a patient’s care, treatment and services, current condition and any recent or anticipated changes, for the purpose of ensuring the continuity and safety of the patient’s care. Key hand off communications should be...
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...improvement that has a basis in factual and representable information. Upon identification of an adverse trend, there must be relevant data collection to determine an etiology prior to taking action. Technology can assist with this search to expedite the improvement process. The purpose of this paper is to discuss applying technology to create an objective response to the adverse trend of abandoned calls in the Telecare clinical setting. Telecare Overview Telecare triage nurses manage symptom-based calls from patients at the Department of Veterans Affairs (VA) Outpatient Clinic incoming call center. Currently, there are seven nurses that staff telephone triage with a volume of approximately 250 to 300 calls per day. The office hours in Telecare are Monday through Friday from 8:00 a.m. to 4:00 p.m. with observance of all federal holidays. The Telecare nurse is responsible for answering calls efficiently at approximately 32 calls per day. The Telecare nurse triages symptoms from the patient and obtains urgent access to the clinic via an evidenced based triage program called Veteran’s Health Gateway (VHG). This program helps the nurse make clinical decisions per protocols and provides evidenced based education recommendations based on the triage disposition (Document Storage Systems, Incorporated, 2014). All calls in Telecare are monitored by software connected to the phone lines to ensure management can report the trends related to clinical calls. Abandonment Rate Adverse Trend ...
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...recovery for at least an hour. The patient’s mother advised that she needed to leave the facility to deal with an older child and gave Greta, the pre-op nurse, her cell phone number and asked that she be contacted if the patient was done with her procedure sooner than the expected time. The patient was then handed off to Rosemary, the OR nurse, who provided care during the procedure. Following the procedure, the patient was handed off to Jon, the recovery nurse, who provided post-anesthesia care until the patient was ready to be transitioned to the discharge area. Jon received report from Rosemary and provided care until the patient awakened. While the patient was coming out of anesthesia, Jon called out to the waiting room and paged for the patient’s mother without a response. The patient was recovered and then taken to the post-operative area and released to Kim, the discharge nurse, and gave report and advised that the mother wasn’t in the waiting area. Kim received a call from Tim, the security officer, who advised the patient’s father was at the main reception area. The father was brought back to the discharge area and the patient recognized the gentleman as her father and after another 30 minute wait, the father was given discharge instructions and the child was released to his custody. Approximately 30 minutes after the patient was discharged, the patient’s mother arrived and was distraught that the patient was released to her father. The mother advised that she...
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...Substance Abuse and Addiction in Nursing Drexel University Substance Abuse and Addiction in Nursing There was a time when substance abuse (SA) in nursing was unheard of; however, it was always there. The reality was that it was merely disregarded. How could any type of addiction or SA in nursing be disregarded? It is difficult to speculate why our culture overlooked this, but one explanation is associated with the Gallop Poll which reports nursing as the most trusted and ethical profession in the United States (US) (Cherry & Jacob, 2014). Therefore; how can the most trusted and ethical profession coexist with SA, addiction, or an impaired nurse? Townsend defines an individual with a substance abuse disorder as a person who fails at several attempts to control or stop a substance that interferes with that individual’s ability to perform daily functions such as obligations at home, school, or work (Townsend, 2014). It is this impaired ability that endangers patients, coworkers, the organization’s reputation, the nursing profession as a whole, and ultimately themselves. Drug and alcohol abuse is a serious issue that has reached epidemic proportions in the general population (Taylor, Lillis, LeMone, & Lynn, Walters Kluwer Health/Lippincott Williams & Wilkins). It is now believed that the incidence of drug and alcohol abuse in the nursing profession parallels the proportions of the general public (Valdes, 2014). Therefore; ignoring this issue is no longer...
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...The Future of Nursing: Transforming Education, Practice, and Role Nurses form the front line of the nation’s healthcare workforce. Nurses make up the largest percentage of the patient concern group in the nation. A report filed by the Institute of Medicine, entitled “The Future of Nursing” recommends several suggestions to figure out the future of nursing. “The healthcare system is rapidly changing in all aspects; however nursing is hindered in its evolution by several obstacles that restrict nurses’ ability to adapt to these changes” (National Research Council, 2011). The report emphasis changing the scope of nursing practice to encourage successfully utilize the full curriculum, practice, and instruction of the nurse, in addition to enhance the schooling of nurses, and molding nurses to get supervisory positions . Transforming Practice According to the report many aspects of the healthcare system, primarily the based nursing itself. If nurses aren’t able to carry out with the full exploitation of understanding their usefulness and resources in the healthcare system are deeply rooted. According to the IOM 1978 new definition it includes 3 major areas of primary care that are family and the patient, community and incorporated delivery system. IOM 1978 report explain the first viewpoint, and the description in the 1984 addressed the second perception. Llatest definition thus focus the importance of the patient-clinician relationship (a) as understood in the context of the patient's...
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...includes six steps that all must be achieved prior to taking the exam. An applicant must first submit an application for licensure to the state board of nursing. The second part is that an applicant must meet all of the requirements set forth by that state board. Third, an applicant will register for the NCLEX with Pearson VUE. Applicants can register several different ways including online, by mail, and telephone. Once registered, the fourth step is receiving an Acknowledgement of Receipt from Pearson VUE. After the Acknowledgement of Receipt is received the state board of nursing makes the applicant eligible to take the NCLEX. The final step is the applicant will receive an Authorization to Test (ATT) from Pearson VUE. An applicant must present a valid ATT and one form of acceptable identification in order to take the test. Acceptable forms of identification are U.S. driver’s license, state identification, Passport, and U.S. Military identification. The members of the Arizona State Board of Nursing (AZBN) are comprised of nurses, lawyers, community members and other health care professionals appointed by the governor. Each member serves a five year term. The Board meets two days about every eight weeks. This group is who makes decisions regarding all nursing and nursing assistant training programs and nursing personnel in the state of Arizona. Other functions of the AZBN is issuing and receiving licenses and certificates for nurses,...
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...SCHOOL OF NURSING Models of Capstone Projects: A Conversation Terri E. Weaver, PhD, RN, FAAN Professor and Dean University of Illinois at Chicago College of Nursing © Weaver, 2012 Jane M. Kirkpatrick, PhD, MSN, RNC-OB Head, School of Nursing Associate Dean, College of Health and Human Sciences Purdue University Objectives for this session Discuss the intent and scope of the DNP capstone scholarly project: – Differentiating from the PhD thesis – How the project demonstrates competencies Determine similarities and differences among multiple forms of DNP projects/capstones in terms of scope and expected deliverables Examine the issues that surround the DNP project/capstone If it Walks Like a Duck and Talks Like a Duck – Is it a capstone project? An endeavor by any other name: capstone, practice inquiry, scholarly project focused on practice May benefit group, population, or community (NONPF, 2007) Scholarly work that translates (is implemented) evidence into practice – Sustainability (Ahmed, et al., 2013) AACN description of DNP project “Rather than a knowledge-generating research effort, the student in a practice focused program generally carries out a practice applicationoriented “final DNP project,” which is an integral part of the integrative practice experience (AACN, 2006, p.3) Project possibilities (NONPF, 2006) Translate research into practice Quality improvement (care processes, patient outcomes) ...
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...desired level ((Wynne, n.d.). The following information will be discussed in this paper: type of institution, type of nursing care or services provided, volume of activity of the G.V. Sonny Montgomery Veterans Affairs Medical Center, levels of nursing care involved, a summary of the results of the educational needs, assessment, and analysis, identification of the highest priority educational need, identification of institutional forces and those against responding to educational needs, and identification of the next step to respond to the educational need. Type of institution The G. V. Sonny Montgomery Medical Center (VA) is a federal hospital that provides convenient access to high quality medical and surgical service to more than 125,000 veterans ("VA Medical Center," 2014). VA is also a teaching hospital that is accredited by the Commission in Accreditation of Rehabilitation Facilities (“VA Medical Center, 2014). The hospital provides primary, secondary, and tertiary medical, neurological, and mental health inpatient care. The hospital also provides services in outpatient and ambulatory clinics five days weekly and has an emergency department that provides acute and emergency services seven days a week (“VA Medical Center,” 2014). VA provides quality and compassionate medical care to America’s veterans. Type of nursing care/services provided The nursing staff at the VA bases its practice on the...
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...City Master of Arts in Nursing N105 CURRENT TRENDS IN NURSING (NURSING LAWS) My report is about the Current Trends in Nursing Laws and I have made a Comparative Analysis of all the Bills being passed by the House of Representatives and Senate that is actively being lobbied by; (a) Partylist Representative from ANG NARS, Hon. Leah Paquiz in which she filed HB 151 last July 1, 2013; (b) Senator Nancy Binay who filed SB 1264 last August 12, 2013; and (c) Sen. Teofisto Guingona III who filed SB 2583 last January 22, 2015. I will present my Summarized Report in Tabular Form so I can clearly present their differences for a clear comparison against our current law being implemented which is R.A. 9173 or The Philippine Nursing Act of 2002. R.A. 9173 House Bill 151 Cong. Leah Paquiz Senate Bill 1264 Sen. Nancy Binay Senate Bill 2583 Sen. Teofisto Guingona An Act Providing for a More Responsive Nursing Profession, Repealing for the Purpose Republic Act No. 7164, otherwise known as “The Philippine Nursing Act of 1991” and for other purposes An Act Providing for A SAME AS HB 151 Same as HB 151 Comprehensive Nursing Law Except the phrase, Towards Quality Health Care System, “ and Appropriating Funds Therefor” Repealing for this purpose R.A. 9173 otherwise known as “The Philippine Nursing Act of 2002” and Appropriating Funds Therefor MAJOR DIFFERENCES R.A. 9173 Proposed House and Senate Bills 1. Board of Nursing Composition: -6 members...
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...stretcher to an ER gurney a certified nursing assistant will re-take her vitals and will begin the patient registration process. While Mrs. Brown has never been to this hospital, she does carry a flash drive that contains her electronic health record on her key ring, this flash drive was given to her by her doctor. Since the flash drive was given to her by her doctor it will be safe for the hospital to look at the files. The nursing assistant gets the flash drive from Mrs. Brown and puts it into her portable computer. She is then able to access all of Mrs. Brown’s health records, these records are in a pdf...
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...|[pic] |Syllabus | | |College of Nursing | | |NUR/598 Version 4 | | |Research Utilization Project | Copyright © 2011, 2009, 2005, 2004, 2001, 2000, 1999 by University of Phoenix. All rights reserved. Course Description This is a graduate research course that focuses on the use of a body of nursing knowledge and scientific knowledge in the nursing practice setting. Students develop a proposal to address a problem or concern in the nursing practice, propose an evidence-based solution, develop an implementation and evaluation plan, and describe implementation strategies for the proposed solution. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be...
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...Nursing Interventions for Patient Safety Nursing Interventions for Patient Safety The evolution of nursing is one that is rich in history and clinical practices and has existed for hundreds of years for health care issues. This author has work experiences from 1978 to 1996 as a nurse and nursing consultant in long term care and has a personal interest in how the use of restraints has evolved to a patient focused and caring approach that has reduced the rates of restraint use and patient injuries. Nursing evidence based practices for patient safety evolves from current technological advances, research and nursing theory. The purpose of this paper is to address how nursing clinical practices evolved for the use of patient restraints in health care facilities. Identification and Discussion of Health Care Issue The Centers for Medicare & Medicaid Services (CMS) defines a physical restraint as “any manual method or physical or mechanical device, material, or equipment attached or adjacent to the resident’s body that the individual cannot remove easily which restricts freedom of movement or normal access to one’s body” (U.S. Department of Health and Human Services, 2001). Physical force can be human, mechanical devices, or a combination. Some Items that can be used to physically restrain people include bed side rails, waist belts, vests or jackets, hand mitts, arm and leg restraints. This author has witnessed wheel chairs being tied to hallways handrails; patients...
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...Systematic Review Analysis: “A systematic review of nurses’ inter-shift handoff reports in acute care hospitals” 2013 Outline: A) Introduction. B) Article Analysis. C) Conclusion. Thesis: The present paper provides the analysis of the systematic review “A systematic review of nurses’ inter-shift handoff reports in acute care hospitals” by Poletick & Holly (2010). The influence of this review on clinical practice is discussed. The article “A systematic review of nurses’ inter-shift handoff reports in acute care hospitals” by Poletick & Holly (2010) provides the systematic review of the handoff reports between and among the nurses which ensure the quality exchange of information for the improved health care service. The continuity of care is the major concern for nurses, and the procedure of patient care transfer should take that into account. The objective of the review was stated clearly and mentioned the appraisal and synthesis of the qualitative evidence related to the nursing handoff report. Moreover, the authors aimed at recommending the improvements which would facilitate and enhance the information transfer. by reviewing the qualitative studies which dealt with the real experience of nurses with their inter-shift handoff reports. As the authors admit, this is likely to contribute to the improvement of the patient care. The conclusion on the potential...
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...Communication is a major component of the nursing profession. A problem that is common in the facility where I work is ineffective communication in the workplace. Ineffective communication in the nursing profession could potentially have a negative effect on nurses as well as the patients that are cared for on a daily basis. One example of ineffective communication that often comes to mind is in giving report from one unit to another. It is imperative to give a clear, concise report on your patient to others that may be involved in their care. So many times, when a patient is being transferred, report is called and given to one nurse. Many times the nurse who receives the report may not even be the nurse who will be caring for the patient. When this occurs, it is extremely easy for orders to be misunderstood, important parts of the patient’s history to be missed and allergies that are miscommunicated. Each of these points could end in a potentially life threatening situation for the patient. Ineffective communication can easily be contributed to by the workload of the nurses and physicians, the lack of time a nurse has to do his or her job and interruptions during the course of the shift. When these specific factors arise, the communication between physician and nurse as well as between nurse and patient begins to be burdened. When communication is burdened, patients ultimately lose. Certain orders do not get ordered, certain medications are not given, and patient...
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