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NURS 4520: Final Material > Class 9 > Flashcards

Class 9 Flashcards

Per study guide, know key elements of the CNA/CRNM documents, nurses roles and involvement in IP practice, and key principle of IPC --> aka pretty much this entire deck

1
Q

according to the CNA, what is the definition of IPC

A
  • a process that occurs when professionals form different areas of expertise, along w pts, families, and communities, combine elements of respect, mutual understanding, and shared decision making to develop working relationships to maximize healthcare delivery and outcomes
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2
Q

what is CNA position’s on IPC (4)

A
  • pt and family should be the focus/partners in ICP
  • ICP should be integrated into nursing education
  • IPC should be evaluated at all lvls of care
  • IP hierarchies are not conductive to IPC
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3
Q

according to the CNA, IPC is consistent with values in…. particularly…

A
  • consistent w values in the Code of Ethics
  • particularly… “the nurse’s responsibility to acknowledge, respect, and integrate other HCP’s knowledge for the betterment of the pt”
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4
Q

according to the CNA, the necessary components of IPC are… (5)

A
  • role awareness
  • conflict resolution
  • collaborative leadership
  • trust
  • belief in the effectiveness of IPC
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5
Q

according to the CNA, what are the principles facilitating IPC (8)

A
  • client centered care
  • evidence informed decision making for quality care
  • access
  • epidemiology
  • social justice & equity
  • ethics
  • communication
  • cultural safety
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6
Q

according to the CNA, what is involved in client centered care

A
  • clients are actively engaged in prevention, promotion, and mngmt of their health
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7
Q

according to the CNA, what is involved in evidence informed decision making for quality care

A
  • disciplines working together to assess research evidence and evaluate health outcomes
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8
Q

according to the CNA, what is involved in the principle of “access”

A
  • working together to ensure pts can access the appropriate care provider, supporting continuity of care
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9
Q

according to the CNA, what is involved in the principle of “epidemiology”

A
  • assessing trends in healthcare demographics to ensure health services are relevant and appropriate
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10
Q

according to the CNA, what is involved in the principle of “social justice and equity”

A
  • advocating for health promotion by ensuring the health system functions optimally
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11
Q

according to the CNA, what is involved in the principle of “ethics”

A
  • learning from the ethics of other HCP
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12
Q

according to the CNA, what is involved in the principle of “communication”

A
  • active listening
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13
Q

according to the CNA, what is involved in the principle of “cultural safety” (2)

A
  • for pts and family members
  • addressing power imbalances in the healthcare system
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14
Q

according to the CNA, what are silos?

A
  • learning in just your professional discipline without overlap with other HCPs
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15
Q

according to the CNA, IPC is negatively influenced by… (3)

A
  • conflicting organizational expectations
  • resource requirements
  • time constraints
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16
Q

according to the CNA, what is included in institutional support for IPC

A
  • giving HCPs time to understanding each other’s roles
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17
Q

according to the CRNM, IPC occurs when…

A
  • multiple HCPs from different professional backgrounds work w clients, families, caregivers, and communities to delivery the highest quality of care with the client at the center
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18
Q

according to the CRNM, nurses can contribute to a healthy work enviro by… (2)

A
  • maintaining the lens of safety, support, and respect
  • becoming a skilled communicator to develop meaningful relationships
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19
Q

according to the CRNM, what is a moral community (3)

A
  • workplace where values are made clear and shared and where these values direct ethical action
  • all HCP are moral agents in providing care
  • required HCP to reflect on own practice
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20
Q

according to the CRNM, what CNA code of ethics principles are relevant to IPC (5)

A
  • providing safe, competent, and ethical care
  • promoting health and well-being
  • honoring dignity
  • promoting justice
  • being accountable
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21
Q

according to the CRNM, what aspects of “providing safe, competent, and ethical care” are relevant to IPC (2)

A
  • nurses foster a safe, quality practice enviro
  • when differences among members of the healthcare team affect care, nurses seek constructive and collaborative approaches to resolving them and commit to conflict resolution and a person-centered approach to care
22
Q

according to the CRNM, what aspects of “promoting health and well-being” are relevant to IPC (1)

A
  • nurses collaborate w other HCP and others to maximize health benefits to persons receiving care and with healthcare needs and concerns, recognizing and respecting the knowledge, skills, and perspectives of all
23
Q

according to the CRNM, what aspects of “honoring dignity” are relevant to IPC (1)

A
  • nurses foster a moral community in which ethical values and challenges can be openly discussed and supported
24
Q

according to the CRNM, what aspects of “promoting justice” are relevant to IPC (4)

A
  • nurses work collaboratively to develop a moral community
  • all nurses acknowledge their responsibility to contribute to positive and health practice enviro
  • nurses support a climate of trust that sponsors openness, encourages the act of questioning status quo and supports those who speak out in good faith to address concerns (ex. whistleblowing)
  • nurses protect whistle blowers who have provided reasonable grounds for their concerns
25
Q

according to the CRNM, what aspects of “being accountable” are relevant to IPC (1)

A
  • nurses are accountable for their practice and work together as part of a team
  • when the acuity, complexity, or variability of a person’s health condition increases, nurses assist each other
26
Q

what does the CNA code of ethics say about maintaining privacy and confidentiality (3)

A
  • nurses do not abuse their access to info by accessing healthcare records, including those of a family member or other person, for purposes inconsistent w their professional obligations
  • when using photo, video, or other technology, nurses obtain consent and do not intrude on pt privacy
  • handle photos or videos w care to maintain confidentiality of the persons involved
27
Q

what does PHIA say about accessing personal health info (3)

A
  • right to access own personal health info
  • right to protection of that info
  • you should not access your own health records –> should be accessed via trustee in a formal way
28
Q

according to the CRNM, what are the expectations for IPC (6)

A
  • client centered care
  • role clarification
  • team functioning
  • collaborative leadership
  • IP communication
  • IP conflict resolution
29
Q

according to the CRNM, what is involved in client centered care

A
  • seeking out, integrating, and valuing the contribution of pts
30
Q

according to the CRNM, what is involved in role clarification (3)

A
  • understand own role and others
  • recognize limitations
  • use full scope of knowledge
31
Q

according to the CRNM, what is involved in team functioning (3)

A
  • acknowledge team dynamics and group processes to enable effective IPC
  • encourage respectful interactions and health relationships
  • share accountability
32
Q

according to the CRNM, what is involved in collab leadership (3)

A
  • recognizing formal and informal leadership
  • knowing that leadership shifts depending on the situation
  • understanding when to lead or step back
33
Q

according to the CRNM, what is involved in IP communication (2)

A
  • establish common understanding
  • choose effective communication tools and techniques
34
Q

according to the CRNM, what is involved in IP conflict resolution

A
  • actively engaging self and others in dealing w IPC conflict
35
Q

according to the CRNM, in rural settings, patients can sometimes end up in the situation where they need a med refill and there is no prescriber/pharmacist present.

In these situations nurses can….

A
  • dispense a starter pack of the meds as long as the pt meets certain parameters
36
Q

according to the CRNM, what is a starter pack?

A
  • limited supply of pharmacy-prepared, pre-packaged, labelled medications so that a client can start safe, efficient medication therapy while awaiting their dispensed prescription
37
Q

according to the CRNM, rural, remote, and underserved populations are at risk for…

A
  • delays in care
38
Q

according to the CRNM, how can pharmacy support rural community’s access to prescribed meds (3)

A
  • review med orders
  • dispense meds
  • provider info about meds
39
Q

according to the CRNM, how can nurses support rural community’s access to prescribed meds

A
  • provide med therapy
40
Q

according to the CRNM, how can prescribers support rural community’s access to prescribed meds

A
  • use competencies to meet standards for safe & effective prescribing
41
Q

according to the CRNM, when meds are needed and pharmacy are not readily available (but can review the DPIN within 48 hr after meds have been given), what applies???

A
  • a set of practice expectations
42
Q

according to the CRNM, what is the summary of the practice expectations for pharmacists in situations where meds are needed but pharmacy is not readily available (3)

A
  • pharmacy must create starter packs in advance which meet appropriate standards
  • must also review prescriptions when received and enter into DPIN
  • then send med to pt and notify nurse of this asap
43
Q

according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what info must the pharmacist include on the med label before supplying meds (8)

A
  • generic drug name, manufacturer id, dosage, route, and strength
  • quantity
  • direction for use
  • date drug was prepared, lot number, expirary date
  • pharmacist initials
  • pharmacy name where med was packaged
  • location name, address, and phone number where med was stocked for supplying
  • any other info approp/specific to the med (ex. take w food)
44
Q

according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what must the pharmacist do upon receipt of the prescription (3)

A
  • review the med order or prescrption for client specific care and safety
  • enter the med into DPIN 48 hrs
  • notify the nurse when the remained of the prescribed meds is sent to the client
45
Q

according to the CRNM, what is the summary of the practice expectations for all HCPs in situations where meds are needed but pharmacy is not readily available

A
  • all HCPs must collaborate to meet client needs and create clinical decision tools for med admin
46
Q

according to the CRNM, what is the summary of the practice expectations for nurses in situations where meds are needed but pharmacy is not readily available (3)

A
  • can supply a starter pack of a med for client if pharmacy is not available to dispense it as long as decision tool is used and client history is reviewed
  • must include an assessment on if the med is needed urgently
  • document & notify prescriber/pharmacist
47
Q

according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what competencies must be applied by nurses to manage the current client situation? (10)

A
  • use of the clinical decision tool
  • review client’s medical history
  • assessment of presenting complaint
  • check of the client’s current med list, using DPIN where available
  • review of allergies, potential adverse drug reactions and contraindications
  • determination of med’s expirary date
  • entry of the client name, prescriber name, date, and nurse initials on med label
  • client teaching
  • supply starter pack directly to the client or their rep
  • plan for follow-up care as discussed w the client
48
Q

according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what is considered in the assessment with the client re: supplying medication? (3)

A
  • risk to client’s health if the med is not supplied at that point-of-care
  • wait time for prescription pick up or delivery including impact of distance, extreme weather and/or other unusual factors
  • potential adverse effects of the medication
49
Q

according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what is included in documentation? (9)

A
  • document as per applicable standards
  • date
  • drug name
  • strength
  • dose
  • lot number and quantity supplied
  • length of med therapy
  • client instructions
  • nurse signature and title
50
Q

according to the CRNM & the practice expectations for situations where meds are needed but pharmacy is not readily available, what must the prescriber do? (2)

A
  • meet necessary standards in prescribing
  • sign & send prescription to the pharmacy within 24 hrs

NURS 4520: Final Material (5 decks)

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