NUR 335 Exam 1 GuideDomains of Nursing Practice for Medical-Surgical Nursing
Certification
1. Helping Role
2. Teaching-Coaching Function
3. Diagnostic and Patient Monitoring
4. Effective Management of Rapidly Changing Situations
5. Administering and Monitoring Therapeutic Interventions and Re...
chapter 15 use 18g for iv blood products always ma
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NUR 335 Exam 1 Guide
Math
1.Basic dosage
Desired/Available * Quantity
2.Formula: IV DROP Rate
Volume (mL)
x Drop Factor (gtts/mL) = Y (Flow Rate in gtts/min)
Time (min)
Example: Calculate the IV flow rate for 1200 mL of NS to be infused in 6 hours. The infusion set
is calibrated for a drop factor of 15 gtts/mL.
Volume (mL)
x Drop Factor (gtts/mL) = Y (Flow Rate in gtts/min)
Time (min)
Convert 6 hours to minutes.
min ← hr ( x by 60 )
6 hr x 60 = 360 min
1200 mL
x 15 gtts/mL = 50 gtts/min
360 min
3. Formula: IV ml rate
Ordered Per Hour
x Volume (mL) = Y (Flow Rate in mL/hr)
Have
Example: Give patient 500 mg of dopamine in 250 mL of D5W to infuse at 20 mg/hr. Calculate
the flow rate in mL/hr.
Ordered Per Hour
x Volume (mL) = Y (Flow Rate in mL/hr)
Have
20 mg/hr
x 250 mL = 10 mL/hr
500 mg
Chapter 1
****The nursing process includes assessment, diagnosis, planning, implementation, and
evaluation
A nurses number one job is to make sure the patient and their family understands treatment plans
and discharge teaching
,Domains of Nursing Practice for Medical-Surgical Nursing
Certification
1. Helping Role
2. Teaching-Coaching Function
3. Diagnostic and Patient Monitoring
4. Effective Management of Rapidly Changing Situations
5. Administering and Monitoring Therapeutic Interventions and Regimens
6. Monitoring and Ensuring the Quality of Healthcare Practices
7. Organizational and Work Role Competencies
Steps of Evidence-Based Practice
1. Develop the question.
2. Search and collate the best evidence.
3. Evaluate the quality of the evidence.
4. Integrate evidence into practice.
5. Evaluate outcomes of practice change.
6. Disseminate the evidence.
Evaluating Levels of Evidence
1. Level I Evidence from systematic reviews of randomized controlled studies (RCTs)
2. Level II Evidence from at least one RCT
3. Level III Evidence from quasi-experimental studies
4. Level IV Evidence from case-control and cohort studies
5. Level V Evidence from systematic reviews of descriptive or qualitative studies
6. Level VI Evidence from a single descriptive or qualitative study
7. Level VII Evidence from expert individual authorities or committees
National Patient Safety Goals
1. Identify patients correctly
2. Improve staff communication
3. Use medicines safely
4. Use alarms safely
5. Prevent infection
6. Identify patient safety risks
7. Prevent mistakes in surgery
The SBAR Approach for Effective Communication
SBAR is an acronym that correlates to:
Situation: Brief statement of the problem or issue being addressed
EX: Hello, Dr. Jones. This is Steve, the registered nurse caring for Ms. Sandra Williams in
Room 732 on South Wing. I am contacting you because she arrived from the post-anesthesia
care unit (PACU) and has not voided in more than 6 hours. Vitals will be here also
Background: Data related to the current situation
EX: She was admitted to the hospital this morning, and you performed a lumbar laminectomy
this morning for a herniated disc at L4–L5.
, Assessment: Summary of causes, significance, severity of situation
EX:Ms. Williams is complaining of inability to void. According to her operative reports, she
received 1,500 mL of IV fluid during the surgical procedure and in the PACU, and the
indwelling catheter was removed prior to transfer from the PACU 6 hours ago; at the time, she
had 800 mL of urine output. She has received an additional 250 mL of IV fluid since arriving on
the unit.
Recommendation: Specific actions needed to address the situation
EX: I recommend that an intermittent catheterization be performed at this time.
Interprofessional practice
1. Provides patient centered care
2. Work in interdisciplinary teams
3. Employ evidence-based practice
4. Apply quality improvement
5. Utilize informatics
Interprofessional collaboration
Partnership between a healthcare team and the client to make decisions around health and social
Issues
Patient centered care
Effective communication skills
Empathy
Caring
Compassion
Hospital Consumer Assessment of Healthcare Providers and Systems (H C A H P S)
The Joint Commission (T J C)
The Beryl Institute
****Treating patients and families with dignity and respect
Involving patients and families in decision making
Quality and Safety Education for Nurses (Q S E N)
Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice (E B P)
Quality Improvement (Q I)
Safety
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