Exam 1: Fundamentals of Nursing
Chapters 1-4
1897 - -Nurses Associated Alumnae if the US formed to protect against
incompetent nurses.
-1892 - -First training program established for practical nurses in NYC
-Early 1900's - -Licensure required in some states
-1955 - -ALL states required practical nurses to be licensed
-Clara Barton - -Known as the Angel of the Battlefield during the Civil War;
first president of the red cross
-Dorothea Dix - -Appointed a social worker by the government and
promoted mental health
-Florence Nightingale - -Created a path for modern nursing; gave care
during the Crimea War.
-Lilian Wald - -First visiting nurse; Established the Henry Street Settlement
Clinic.
-Mary Mahoney - -First African American nurse of the United States.
-Scope of Practice - -Limits and allows what a nurse can and can not do;
nurses are responsible for knowing their own scope of practice
-Nurse Practice Act - -It's the law that governs a nurses actions;written to
address each level of nursing; enforced by the board of nursing; establishes
the scope of practice for each level of nurse based o their education
-Martha Rogers - -Believed in unitary theory, avoided negative space
-Dorothea Orem - -Believed in the theory of self care.
-Jean Watson - -Believed in the theory of Caring and interpersonal
relationships.
-Medicare - -Government program for people over 65 or with certain
disabilities
-Types of private Insurances - -Purchased by insured or employer
, HMO
PPO
POS
-HMO - -A system that is capitated, requiring the insured person to remain
within the network.
-POS - -This system is similar to an HMO, but is not capitated, and the
insured can seek services in and out of the network.
-PCP - -Primary Care Physician
-Medicare Part A - -Covers Hospital
-Medicare Part B - -Covers Doctors
-Medicare Part C - -Covers a Managed Care
-Medicare Part D - -Covers prescription plan
-Health care team - -Team of people in charge of your care; these people
include the medical, nursing, therapy, laboratory, radiology, and ancillary are
staff.
-Types of Inpatient Care Facilities - -Acute medical or mental health care
hospitals; skilled nursing facilities in a nursing home or hospital; long term
acute care hospital; or rehab facilities.
-Criteria for payment of services in a skilled nursing facility - -
(1)Hospitalization 3 days prior to admission; (2) entrance to nursing home
must be within days of hospitalization; (3) 100-day max per year related to
any one hospitalization or diagnosis.
-Types of outpatient facilities - -Outpatient mental health, cardiac
rehab,pulmonary rehab, health depts,physicians offices,home health care a d
hospice.
-Nursing care delivery systems - -Team nursing, client-centered nursing.
Primary care nursing, case management, and team nursing.
-Tricare - -Insurance for retired and active military service members and
their families
-ChampVA - -Insurance for veterans of military service
-Worker Compensation - -Insurance for people who get hurt on the job.
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