Average adult size catheter - 16F - 18F (14F common)
Average pediatric size catheter - 8F - 10F
Urinary output goal - > 30cc/hr
Reformed hospitals & health care
Recognized 2 components of health care: health & illness
First nursing research - Florence nightingale
Nursing purpose/aims - Promote health
Prevent illness
Restore health
Facilitate coping
Nurse Practice Act - Defines scope of practice, differs by state
Quality and Safety Education for Nurses (QSEN) COMPETENCIES - Patient-centered
care
Teamwork and collaboration
Quality improvement
Safety
Evidence-based practice
Informatics
Current health care trend - Focus on wellness - health promotion, illness prevention, not
just treatment of illness
3 levels of health prevention - primary, secondary, tertiary
Health prevention levels: prevents or slows onset of disease
(diet, exercise, immunization, seat belts) - Primary prevention
Health prevention levels: Early screening and prompt treatment
(TB skin test, colonoscopy, bone density, labs) - Secondary prevention
Health prevention levels: Treatment of disease and restoration of optimal health -
Tertiary
altruism - unselfishness
Non-Malificence - do no harm
Beneficence - doing good
Fidelity - Keeping promise
Veracity - being truthful
Role development: Expanded role of nurse - provide comfort & care while caring out
specific functions. AND emphasis on health promotion and illness prevention, as well as
concern for client as a whole (holism)
, Sentinal Event - unexpected occurrence involving death or serious physical or
psychological injury, or the risk thereof.
Elements of informed consent - Disclosure - (risks, benefits, alternatives, outcomes)
Comprehension - client repeats in own words
Competence - cognitive ability to make decision
Voluntariness - no manipulation or coercion
- nurses role is only to witness consent, not get
First priority when caring for patient - (CAB's) Circulation, airway, breathing, (in that
order)
Prioritization Based on Maslow's Hierarchy of Needs - 1. an immediate threat to a
client's survival or safety
2. actual problems for which the client or family has requested immediate help
3. relatively urgent actual or potential problems that the client or family does not
recognize
4. actual or potential problems with which the client or family may need help in the
future
Delegation the 5 rights - right task
right circumstance
right person
right direction/communication
right evaluation
7 rights of medication administration - Right Patient
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