Exam (elaborations)
critical care exam -1 (1).
critical care exam -1 (1).
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critical care exam #1Critical Care Definition - CORRECT ANSWER-concerned with human responses to life
threatening problems such as trauma, major surgery, or complications of illness
Acute vs critical - CORRECT ANSWER-acute = short term
critical = life or limb
what is the focus of critical care - CORRECT ANSWER-the focus of critical care nurse includes
both the patient's and family's responses to illness and involves prevention as well as cure
role and responsibility of a nurse in critical care - CORRECT ANSWER-advocate, educator,
provider
American Association of Critical care nurses (AACN) - CORRECT ANSWER-§ Evaluates nursing
practice
§ Evaluates own practice (nursing with a conscious)
§ Acquires/maintains current knowledge
§ Contributes to peer development (mentors/coaches)
§ Acts appropriately/ethically
§ Skilled communication
§ Evidence Based Practice (EBP)
§ Leadership Environment
SBAR - CORRECT ANSWER-Situation
Background
Assessment
Recommendation
situation (SBAR) - CORRECT ANSWER-state what is happening at the present time that has
warranted the SBAR communication
background (SBAR) - CORRECT ANSWER-explain circumstances leading up to the situation. Put
the situation in context for the reader or listener
Assessment (SBAR) - CORRECT ANSWER-state what you think is the problem
Recommendations (SBAR) - CORRECT ANSWER-state your recommendation to correct the
problem
what kinds of things do we report for national patient. safety - CORRECT ANSWER-never events,
things that should never happen to your pt
IHI created - CORRECT ANSWER-rapid response, medical reconciliation, care bundles
who creates ventilatory associated pneumonia bundles - CORRECT ANSWER-IHI
what is a VAP bundle - CORRECT ANSWER-best practice to prevent VAP, hard and fast, they
should look the same across all units
, what is the role of a nurse on a hospital ethics committee - CORRECT ANSWER-information,
guidance, relationship with family, what the family wants, what the pt wants, "guys we can't do
that"
advocacy - CORRECT ANSWER-an action that nurses take to ethically stand up for patients and
safeguard them against harm.
autonomy - CORRECT ANSWER-respect for the individual and the ability of individuals to make
decisions about their own health and future
Beneficence - CORRECT ANSWER-actions intended to benefit the patients or others
Non-maleficence - CORRECT ANSWER-actions intended not to harm or bring harm to others
veracity - CORRECT ANSWER-the obligation to tell the truth
fidelity - CORRECT ANSWER-the moral duty to be faithful to the commitments that one makes to
others
negligence - CORRECT ANSWER-failure to take proper care in doing something
Malpractice - CORRECT ANSWER-Negligence by a professional person
which comes first negligence or malpractice - CORRECT ANSWER-negligence then malpractice
standard of care - CORRECT ANSWER-The level at which the average, prudent provider at a
given community would practice
what is the role of the nurse with informed consent? - CORRECT ANSWER-- witness to make
sure they are informed and signing
- It is not the nurse's role to make sure the pt understands, get the doctor back in the room
- Hold pt if they have not talked to the doctor
brain death - CORRECT ANSWER-complete and irreversible cessation of brain function; life
support can be terminated based on state laws
what three confirmation tests must be completed before declaring a pt brain dead? - CORRECT
ANSWER-1. bed side assessment (Babinski, cold chloric, or dolls eyes)
2. 24 hour EEG (looking for slowing or stopping of brain activity waves)
3. blood flow study (looking for slowing of blood)
Persistant Vegetative State (PVS) - CORRECT ANSWER-condition in which person does not
meet any of the criteria for brain death but displays profound neurological impairment with little to
no chance of recovery
what are some characteristics of PVS - CORRECT ANSWER-· Unable to interact with
environment
· + reflexes
· Spontaneous breathing
· No evidence of meaningful response
· Periods of spontaneous eye opening
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