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Nur 323 Introduction to Med Surg Notes
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Unit 1: Care of the Patient in the Acute Care SettingJanuary 25, 2019
Multiple Roles of the Professional Nurse:
What is Nursing?:
Definitions of Nursing:
o ANA (American Nursing Association)
Nursing is the protection, promotion, and optimization of health
and abilities, prevention of illness and injury, alleviation of
suffering through diagnosis and treatment of human response, and
advocacy in the care of individuals, families, communities, and
populations
o Florence Nightingale
o Henderson
Nursing Practice:
Domains of nursing practice
Nursing’s view of humanity
o Physiologic (biophysical)
o Psychologic (emotional)
o Sociocultural (interpersonal)
o Spiritual
o Environmental
Roles of the professional nurse:
Autonomy & Accountability
Caregiver
Advocate
Educator
Communicator
Manager
Basically need a doctor’s order for everything (Tylenol, oxygen, etc.)
o Sometimes obtain doctors order after ex. Patient in respiratory distress
give them oxygen then obtain order
Influences on professional nursing practice:
Quality and Safety Education for Nurses (QSEN)
o *Six Core Competencies*
1.) Patient-Centered Care
2.) Teamwork and Collaboration
, 3.) Safety
4.) Quality Improvement
5.) Informatics and Technology
6.) Evidence-Based Practice
*Competency 1: Patient-Centered Care:
Recognizes the patient and caregivers as full partners in providing compassionate
and coordinated care based on respect for patients’ preferences, values and needs
Knowledge, Skills & Attitudes
o Provide care with sensitivity and respect
o Assess level of comfort and treat appropriately
o Engage the patient in an active partnership
o Facilitate patient’s informed consent for care
*Competency 2: Teamwork and Collaboration:
Function effectively within nursing and interprofessional teams
o Interprofessional Team
Providers from various disciplines (physicians, nurses, pharmacists,
occupational and physical therapists, social workers)
Knowledge, Skills & Attitudes:
o Value the skill and enterprise of each interprofessional member
o Initiate referrals when appropriate
o Follow communication practices that minimize risks with handoffs and
transitions in care
Effective communication is a key component
Structured model for communication
SBAR (Situation-Background-Assessment-
Recommendation)
o Participate in interprofessional rounds
Communication:
S-Situation
B-Background
A-Assessment
R-Recommendation/ Request
Hand-off Communication
o Standardized and verbal
o Allow for questions and exchange of information
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