Establish a data base about patient and gather information through observation, physical examination and interview questions.
Formulate a clear nursing diagnosis that determine the client's response or problem related to an illness.
Establish priorities as to time limitations. They must be SMART.
To put into action and carry out plan.
Assess if nursing interventions have been effective. Revising and redirecting may be necessary.
A patient weighs 158 lbs, this is an example of what kind of data?
Patient says that they feel depressed. This is a type of __________ data.
Low blood glucose r/t diabetes AEB patient feeling lethargic and weak is what kind of care plan?
Risk for insulin dependence Risk factors: unmanaged diabetes is an example of what kind of care plan?
Readiness for enhanced blood glucose management AEB willingness to adhere to new diet is an example of what kind of care plan?
SMART goals need to be specific, ___________, attainable, realistic, and time limited?
First described the nursing practice as a nursing process in 1958.
r/t imbalance between oxygen supply and demand: is an example of a________?
As Evidenced By
An established schedule of fees set for services performed by providers and paid by the patient
protection in return for periodic premium payments that provides reimbursement of expenses resulting from illness or injury
the sum of money paid at the time of medical service; it is a form of coinsurance
provision frequently is found in medical insurance policies whereby the policyholder and the insurance company share the cost of covered losses in a specified ratio
Civilian Health and Medical Program of the Veterans Administration known as
states that when an individual is covered under two insurance policies, the insurance plan of the policyholder whose birthday comes ﬁrst in the calendar year (month and day, not year) becomes the primary insurance.
A term used in managed care for an approved referral
a payment method used by many managed care organizations in which a ﬁxed amount of money is reimbursed to the provider for patients enrolled during a speciﬁc period of time, no matter what services were received or how many visits were made.
a letter or statement from Medicare that describes what was paid, denied, or reduced in payment.
Pays expenses involved in the care of the teeth and gums
Protects a person in the event of a certain type of accident, such as an airplane crash
Often includes benefits for medical expenses payable to individuals who are injured in the insured person’s home or during an automobile accident
Covers a continuum of maintenance and health services for chronically ill, disabled, or mentally retarded individuals
Provides payment of a specified amount on the insured’s death
Pays the cost of all or part of the insured person’s hospital room and board and specific hospital services
a review of individual cases by a committee to make sure services are medically necessary and to study how providers use medical care resources
40. An insurance term used when a primary care provider wants to send a patient to a specialist
periodic (monthly, quarterly, or annual) payment of a specific sum of money to an insurance company for which the insurer, in return, agrees to provide certain benefits
person who pays a premium to an insurance company and in whose name the policy is written in exchange for the insurance protection provided by a policy of insurance
a general practice or nonspecialist provider or physician responsible for the care of a patient for some health maintenance organizations
Feeling differences in vibrations
Information given by the patient
Looking and listening carefully
Conclusion about the patient's problem
Following the care plan and giving the medicine accurately
Looking at what happens when the care plan is put into action
Nurse, patient, family, health care provider, and pharmacist working together as as team
Responsibility for doing a task is passed from one person to another
One time order to be given immediately
What the body does to the drug
What the drug does to the body
The name drug manufacturers use in all countries
Takes place through diffusion, filtration, and osmosis
Mild, but annoying response to medication
Insulin syringes are maked with __________.
Term for preventing infection
Before a medication is given through the NG tube, you check _____.
When the IV site is red, swollen and painful.
The name of the database that nursing uses to benchmark falls nationally
One of the 4 P's
The color used to identify falls risk
Purposeful hourly ___________ is very effective in reducing falls
The focus on fall reduction is for safety and improving ________outcomes
A component of the visual cue bundle
Name of the fall risk assessment tool that CHS uses
Upon admission the patient should complete the Fall Prevention Pathway on the ______ network
Stay with the patient in the _______
Apply a yellow _______ when a patient is a fall risk
complete a ______ ______ (2 words) if a fall occurs
Apply nonskid _______ to patients at risk of falling
Keep all items within ______
_____ alarms should be used in the bed or chair
What is received to practice nursing after successfully meeting requirements.
Has an amplifying mechanism connected to earpieces by tubing.
nil per os
A statement based on observed facts, but cannot be proved directly as a fact.
To systematically and continuously collect, validate, and communicate patient data.
A state of optimal functioning or well being.
Acceptable, expected level of performance established by authority, custom, or consent.
Knowledgeable, voluntary permission obtained from a patient to perform a specific test or procedure.
An active process in which an individual progresses toward the maximum possible potential, regardless of current state of health.
assess, diagnose, plan, implement, evaluate
basic human needs
A shared system of beliefs, values, and behavioral expectations that provides social structure fo daily living
avoid causing harm
revised its Standards of Clinical Nursing Practice in 1991; abbr
National Council of State Boards of Nursing; abbr
intentional or unintentional acts of wrongdoing
A threat or an attempt to make bodily contact with another person without that person's consent.
negligence by professional personnel
An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.
health maintenance organization; abbr
preferred provider organization; abbr
established in 1965, under Title XIX of the Social Security Act
revised acronym for SBAR
1ST STEP PF THE NURSING PROCESS
A TYPE OF DIAGNOSIS A RN CN WRITE
GOALS HAVE TO BE
TYPE OF DATA THE NURSE OBSERVES
HISTORY WHICH INCLUDES PAST SURGERIES, HABITS. MEDICATION HISTORY
PLANNING CONSISTS OF LONG AND SHORT TERM _________
THE NURSING PROCESS IS PART OF THE NURSING _____ _______ (2 WORDS)
TREATMENT/ACTIVITY BASED ON CLINICAL JUDGEMENT IS REFERRED TO AS AN:
THE LIST OF NURSING DIAGNOSIS' IS CLASSIFIED AS: (ABBREV)
BY TIME OF DISCHARGE INTERVENTIONS GOALS SHOULD HAVE BEEN MET. THIS LEADS TO WHAT STEP OF THE NURSING PROCESS
SUBJECTIVE DATE IS USUALLY GIEV BY THE _____
THINKING OUT SIDE THE BOX AND USING NURSING JUDGEMENT MAY BE REFERRED TO AS CRITICAL _____
Achieving your goal, gives you a sense of....
What does A stand for in SMART?
Ever goal should have a specific...
Setting SMART goals, keeps us...
What does S stand for in SMART?
What does M stand for in SMART?
What does T stand for in SMART?
What is the acronym that helps us remember how to set targets?
If you have not achieved your goal, what do you do?
If you easily achieve your goal, you should have it...
What does R stand for in SMART?
What is the time frame for a short term goal?
It should take around 6 weeks to achieve this type of goal.
I should be looking to achieve my long term goal in how many months?
The T in goal making
The S in goal making
Acronym to help remember the nursing process
Created based on assessment and prioritized
The number of steps or phases
Collecting data, the first step
The A in goal making
Hierarchy that helps to prioritize the patients needs and nursing diagnoses
Assess the success of the interventions
Carrying out the plan and interventions
The M in goal making
The type of goal created during one of the steps
Set short and long term goals
"An assertive, problem solving approach to the identification and treatment of patient problems."
North American Nursing Diagnosis Association
The R in goal making
Examines eyes for vision problems and defects
Provides total patient care by assessing a patients condition, administering medications, dressing changes, starting IVs, giving blood and other treatments
Doctors who specialize in the care of the teeth and mouth
A person who is responsible for the planning of individual therapeutic meals to help promote healing
Relating to or using the methods or principles of science
A physician specialty who specializes in the diagnosis of diseases and infections by examining cells, tissues, and body fluids of patients
Provde a therapeutic environment for the delivery of health care
An individual awaiting or under medical care and treatment
Create a picture of patient health status at a single point in time
The common name for a physician: a person skilled in the healing arts
A scientist that studies human genes
Manintain or change the health status of the patient over time
Use scientific and technical advancements to enhance diagnostic and therapeutic abilities in health care
Provide functions that support and document patient care
Also called heart beat
A person who dispenses and suggests medications to be used in the treatment of diseases and disorders
Tools you use for a specific task
What step in the Nursing Process; Analyzes progression towards goals, Makes revisions when needed, and collects data related to outcomes?
Which aspect of the nursing process is BEST associated with EVALUATION?(spell word out) A. implementing B. goal C. problem D. etiology
Deciding to ____, modify, or continue Mr. Johnsons treatment is a part of the EVALUATION step in the nursing process.
This states how the nurse will go about trying to achieve the result(s) of the patients.
This is the statement that reflects the results or what to achieve.
Patients needs must be _____ according to Maslow's Hierarchy of Needs.
During the Nursing Process, the nurse identifies the client health care needs by assessing_____ data, which includes edema, sweating, and temperature.
What is the initial action a nurse would complete after admission?
During the nursing process, the nurse identifies the client health care needs by assessing _______data, which includes patient statements.
The nurse would take _______, during the implementation phase
What kind of nursing intervention is medical administration?
What kind of nursing intervention is positioning, sensory changes, and bathing?