ATI Review PT2 LATEST UPDATE.

ATI Review PT2 Unit 1 Safe, Effective Care Environment Chapter 2 The Interprofessional Team pg 7 • Addressing Client Needs The interprofessional heath care team works collaboratively to provide holistic care for the client Chapter 3 Ethical Responsibilities pg 11 • Understanding Ethical Principle • Autonomy-the right to make owns personal decision, even when those decision might not be right in person best interest • Beneficence- action that promotes good for others, without any self-interest • Fidelity- Fulfillment of promise • Justice- fairness in care of delivery and use of resource • Nonmaleficence- a commitment to do no harm • Veracity- a commitment to tell the truth Chapter 4 Legal Responsibilities pg 15 • Informed Consent for a Client who has a Guardian pg17** • Identifying Clients who can give Informed Consent pg17 Parent of a minor Legal guardian Court-specified representative An individual who has durable power of attorney authority for health care Emancipated minors • Evaluating Client Understanding of Informed Consent** • Reinforcing Teaching Regarding Advance Directives pg18 Nursing Role in Advance Directives Provide written information about advance directives Document the client’s advance directives status Ensure that the advance directives reflect the client’s current decisions Inform all members of the health care team of the client’s advance directives Chapter 5 Information Technology pg21 • Maintaining Client Confidentiality pg22** Nurses must not disclose clients information to unauthorized individuals or family members who request it in person or by telephone or email • Completing an Incident Report pg22** Do not refer to an incident report in a client’s medical record. • Documenting in the Client’s Health Record pg21 Purposes for medical records include communication, legal documentation, financial billing, education, research, and auditing Do not use correction fluid, erase, scratch out, or blacken out errors in the medical record. Make corrections promptly, following the facility’s procedure for error correction. Chapter 9 Admissions, Transfers, and Discharge pg37 • Handoff Communication Tools pg37 ** Nurse use standard handoff communication tools, such as Introduction, Situation, Background, Assessment, Recommendation (ISBAR) to facilitate transfer and discharge. Chapter 10 Medical and Surgical Asepsis pg45 • Correct Hand Hygiene pg45 Wash hands when they are visibly solid, after contact with body fluid. Perform HH using recommended antiseptic solutions when caring for clients who are immunocompromised or have infections with multidrug-resistant or extremely virulent micro-organisms. • Removing Personal Protective Equipment pg46 Gloves Goggles Gown Mask • Preparing Sterile Field pg46 • Select a clean area above waist level in the client’s environment (bedside stand) to set up the sterile field. • Check that all sterile packages (additional dressing, sterile bowl, sterile gloves and solution) are dry and intact and have a future expiration date. Any chemical tape must show the appropriate color change. • Make sure an appropriate waste receptacle is nearby. • Setting up a Sterile Field for a Sterile Dressing Change pg46-47** • Open the cover of the package • Grasp the tip of the flap of package and with arm positioned away from sterile field, unfold the top away top flap away from the body • Next open the side flaps using the right hand for the right flap and the left hand for the left flap • Grasp the last flap and turn it down toward the body • Open next sterile field by folding the bottom edge with one hand and pulling back on top Chapter 11 Infection Control pg49 • Appropriate Room Assignment for a Client who has Herpes Zoster pg49** Is a common viral infection that that erupts years after years exposed to chickenpox and invades a specific never tract. ***Room with person with varicella • Precautions for a Client who is Immunocompromised pg52** Use an N95 or hig efficiency respirator if client is know or suspected to TB Put in private room Positive air pressure airflow exchange in room • Implementing Isolation Precautions for a Client who has TB pg52** Airborne precautions require: A private room Masks and respiratory protection devices for caregivers and visitors Use and N95 or high-efficiency particulate air (HEPA) respirator if the client is known or suspected to have tuberculosis Negative pressure airflow exchange in the room of at least six to 12 exchanges per hours, depending on the age of the structure. If splashing or spraying is a possibility, wear full face (eyes, nose, mouth) protection • Precaution for a Bacterial Infection • Understanding Basic Principles pg52 Change personal protective equipment after contact with each client and between procedures with the same client if in contact with large amounts of blood and body fluids • Disinfection after Bacterial Contamination pg53 *Always wear gloves and protective eyewear. *Rinse first in running cold water. Hot water coagulates proteins, making them adhere. *Wash the article in warm water with soap *Use a brush or abrasive to clean corners or hard-to-reach areas *Rinse well in warm water *Dry the article. It is considered clean at this point *Clean the equipment used in cleaning and the sink (still dirty unless a disinfectant is used) *If indicated, follow facility policy for recommended disinfection or sterilization *Remove gloves and perform hand hygiene • Solution for Cleaning a Blood Spill pg53 • Rise 1st with in running cold water. Hot water coagulates proteins, making them adhere. • Wash the article in warm water with soap. • Use a brush or abrasive to clean corners or hand to reach areas • Rise well on warm water