100% tevredenheidsgarantie Direct beschikbaar na betaling Zowel online als in PDF Je zit nergens aan vast
logo-home
NURS 1106 Asepsis and Infection Control Notes €10,26   In winkelwagen

College aantekeningen

NURS 1106 Asepsis and Infection Control Notes

 4 keer bekeken  0 keer verkocht
  • Vak
  • Instelling

This is a comprehensive and detailed note chapter 24;Asepsis and Infection Control for Nurs 1106. *An Essential Study Material!! *For you!!

Voorbeeld 4 van de 102  pagina's

  • 2 oktober 2024
  • 102
  • 2020/2021
  • College aantekeningen
  • Prof. blair
  • Alle colleges
avatar-seller
Fundamentals of Nursing Study Guide

• Levels of health care
- Preventative health care focuses on educating and equipping clients to reduce
and control risk factors of disease. Examples include programs that promote
immunization, stress management, and seat belt use.
- Primary health emphasizes health promotion, and includes prenatal and well-
baby care, nutrition counseling, and disease control. This level of care is based on
a sustained partnership between the client and the provider. Examples include
office or clinic visits and scheduled school or work-centered screenings (Vision,
hearing, obesity).
- Secondary health care includes the diagnosis and treatment of emergency, acute
illness, or injury. Examples include care that is given in hospital settings
(inpatient and emergency departments), diagnostic centers, or emergent care
centers.
- Tertiary health care involves the provision or specialized highly technical care.
Examples include oncology centers and burn centers.
- Restorative health care involves intermediate follow up care for restoring health.
Examples include home health care, rehabilitation centers, and in-home respite
care.

 Nursing ethical principles
o Autonomy
- Ability of the client to make personal decisions, even when those decisions may
not be in the clients own best interest.
o Beneficence
- Agreement that the care given is in the best interest of the client; taking positive
actions to help others.
o Fidelity
- Agreement to keep ones promise to the client about care that was offered.
o Justice
- Fair treatment in matters related to physical and psychosocial care and use of
resources.
o Nonmaleficience
- Avoidance of harm or pain as much as possible when giving treatments.
o Veracity
- It is the basis of the trust relationship established between a patient and a health
care provider.
• Ethical decision making in nursing
o Ethical dilemmas are problems about which more than one choice can be made and the
choice made is influenced by the values and beliefs of the decision makers. These are
common in health care, and nurses must be prepared to apply ethical theory and decision
making to ethical problems.
o A problem is an ethical dilemma if:
- It cannot be solved by a review of scientific data.
- It involves a conflict between two moral imperatives.
- The answer will have a profound effect on the situation/client.



1

,  The nurses basic code of ethics and principles remains constant. These basic principles include:
o Advocacy
- Support of the cause of the client regarding health, safety, and personal rights
o Responsibility
- Willingness to respect obligations and follow through on promises
o Accountability
- Ability to answer for one’s own actions
o Confidentiality
- Protection of privacy without diminishing access to quality care.
 Intentional torts
o Assault
- The conduct of one person makes another person fearful and apprehensive
(Threatening to place a nasogastric tube in a client who is refusing to eat).
o Battery
- Intentional and wrongful physical contact with a person that involves an injury
or offensive contact (restraining a client and administering an injection against
his/her wishes).
o False imprisonment
- A person is confined or restrained against his will (Using restraints on a
competent client to prevent his leaving the care facility).
 Unintentional torts (didn’t intend to harm patient but you did)
o Negligence
- A nurse fails to implement safety measures for a client who has been identified
as at risk for falls.
o Malpractice (Professional negligence)
- A nurse administers a large dose of medication due to a calculation error. The
client has a cardiac arrest and dies.
 Informed Consent
o Responsibility of the provider
 Communicate purpose of procedure, and complete description of procedure in
the patients primary language (use medical interpreter if needed, NOT family
member).
 Explain Risks vs. benefits
 Describe other options to treat the condition.
o Responsibility of the RN:
 Make sure provider gave the patient the above information.
 Ensure patient is competent to give informed consent (i.e. patient is an adult or
emancipated minor, not impaired)
 Have patient sign consent document
 If pt has further questions call provider and have them come back and
explain things further BEFORE they sign the form
• Patient Education
o Assessment: identify patient needs, learning style (auditory, visual, kinesthetic), abilities,
available recources.
o Planning: develop mutually agreeable goals/outcomes.
o Implemmentation: DO NOT use medical jargon. Make sure materials are at a sixth grade
level (or below).
o Evaluation: ask patient to explain the teaching in their own words, or have the patient do
a return demonstration for psychomotor learning.


2

, o DO NOT perform patient teaching when client is: in pain or has anxiety, or is in any way
mentally impaired.
 Advance Directives
o Living will: communicates patients wishes regarding medical treatment if patient
becomes incapacitated.
o Durable power of attorney (health care proxy): patient designates health care proxy to
make medical decisions for them if they become incapacitated.
o Provider’s orders: prescription for DNR (do not resuscitate) or AND (allow natural
death)
o Mandatory Reporting for RNs:
 Suspicion of abuse (child, elderly, domestic violence)
 Communicable diseases to local/state health department (mandated by state).
 Nursing Documentation
o Objective data: what you see, hear, smell. Do not include opinions or interpretations of
data.
o Recording subjective data: document as direct quotes, or clearly identify information as a
statement by patient.
o Legal guidelines for documentation:
 Don’t leave blank spaces in documentation.
 Never use correction tape or fluid or scratch out or black out words
 Include name and title on documentation
 Incident reports
o When accident occurs (falls or med error)
 Used for quality improvement for facility (for hospital)
o Not part of the patients records and should not be referenced in the patients record
 Need to document the incident and patient’s reaction and incidence report is for
the hospital not for the patient’s medical record
 Telephone Orders and Information Security
o Telephone orders: have second RN listen in on call, repeat prescription back, make sure
provider signs prescription within 24 hour.
o After provider says the order you FIRST want to read back the order to the provider, To
ensure it is accurate.
 Information security
o HIPAA: ensures the confidentiality of health information only those responsible for
patient’s care may access the patient’s medical record.
 Don’t use patient names on public display boards
 Communication about a patient should happen in a private place or at nursing
station.
 Password protect and do not share passwords
 Log off or lock computer when you walk away
 Do not share information with unauthorized people
o Code system can be used
 If pt doesn’t want to tell anyone they are at the hospital
 Delegation (VERY IMPORTANT)
 DO NOT DELGATE WHAT YOU CAN EAT; (Evaluate, Asses, Teach)
o What RN has to do
 Patient education
 Nursing judgement
 Assessment
 Blood transfusions

3

,  Unstable patients
o What a PN can do (LPN)
 Med admin
 Enteral feedings
 Urinary catheter insertion
 Suctioning
 Trach care
 Wound care
 Reinforce patient teaching you (RN) have already done
 Can care for STABLE patients
o What a NAP/UAP/CAN
 Bathing
 Dressing
 Ambulating
 Toileting
 Feeding without swallowing precautions
 Positioning
 Vitals
 Specimens
 I+Os
 Basic CPR
o 5 Rights to Delegation
 Right task
 Repetitive noninvasive and not a lot of supervision
 Right circumstances
 Do not assign a patient who is unstable
 Right patient
 Competent and within their scope of practice
 Right direction and communication
 Specific details and timeline for completion and expectation for reporting
findings back to you
 Right supervision and evaluation
 May need to intervene
 Provide feedback
 Nursing process:
o Assessment and data collection:
 What do you see, hear, feel?
 Collect objective and subjective data
 Verify that the data you collected is clear and accurate
 Do assessment BEFORE action.
o Analysis and data collection:
 What are priority problems?
 Interpret the information collected
 Identify an appropriate Nursing Diagnosis
 Document your diagnosis and communicate it to the healthcare team
 Determine the health team’s ability to help
 Cluster collected data
 Any patterns and trends
 Compare data you gathered from baseline


4

Voordelen van het kopen van samenvattingen bij Stuvia op een rij:

Verzekerd van kwaliteit door reviews

Verzekerd van kwaliteit door reviews

Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!

Snel en makkelijk kopen

Snel en makkelijk kopen

Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.

Focus op de essentie

Focus op de essentie

Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!

Veelgestelde vragen

Wat krijg ik als ik dit document koop?

Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.

Tevredenheidsgarantie: hoe werkt dat?

Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.

Van wie koop ik deze samenvatting?

Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper anyiamgeorge19. Stuvia faciliteert de betaling aan de verkoper.

Zit ik meteen vast aan een abonnement?

Nee, je koopt alleen deze samenvatting voor €10,26. Je zit daarna nergens aan vast.

Is Stuvia te vertrouwen?

4,6 sterren op Google & Trustpilot (+1000 reviews)

Afgelopen 30 dagen zijn er 83637 samenvattingen verkocht

Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen

Start met verkopen
€10,26
  • (0)
  Kopen