Comprehensive Flashcards
(120 cards)
What does MDS stand for and when is it utilized?
Minimum Data Set used in medicare
1.What are the five steps in hand rubbing *hand hygiene with alcohol based hand sanitizer 2.Duration? Flat Bed Pickups interweave through firetrucks
Flat Palms Back of hands interlaced Palms interlaced Interlocked hands *finger pads* Thumbs Fingertips 20 seconds until dry
What is the purpose of a basic complete physical? 2
- To obtain objective data and interpret it 2. To determine patients status
What is a baseline assessment. When is one taken.
A baseline assessment is taken upon the initial meeting with a patient. Whether a new patient at a doctors office or a patient in an emergency situation. The purpose of the baseline assessment is to obtain an initial record of patients status to be compared with later assessments to determine any change in status/condition.
Health assessment data is either ____ or ____
Healthy and within defined limits or not (equates to a health problem)
What do continuous, ongoing, and follow-up assessments determine? How?
Determine the effects of time and/or nursing care by comparing the most recent assessments with previous ones
What are the possible outcomes of continuous, ongoing, and follow-up assessments
- patient Condition is stable or stabilizing 2. patient condition is changing or changed
What are the two outcomes if the continuous assessment shows a patients condition is changing or has changed?
- patient is improving and progressing towards optimum health 2. Patient is worsening
What is the nurses responsibility upon discovering any abnormal finding or change in patient status?
To immediately report change to MD or NP
The RN should do what action every-time they interact with the patient
- Complete a quick assessment at minimum 2. Follow AIDET
Aprox. how many people die in hospitals each year due to medical errors that could have been prevented?
44,000 - 98,000
What example did the joint commission used when discussing the importance of constant ongoing assessment?
Patients deteriorate 8-12 hours before a cardiac event in clinical settings. Interventions are possible if deterioration is recognized and reported
What are the two main focuses of a physical assessment?
1.Subjective data 2. Objective data
Of the two main focuses of physical assessments, which one will be the focus of nurse 144?
Objective Data
What is the main difference between a nursing assessment and a Medical Assessment?
Nursing assessments have a holistic approach
What are the 5 aspects of holistic patient centered care? PPDSS *for each aspect tell if it is subjective or objective*
- Psychological-Sub 2. Physiological-Ob 3. Developmental-Ob 4. Sociocultural-Sub 5. Spiritual-Sub
What are the 5 components of a basic complete physical exam. Ruby Has Visits Post Sex
- Reason for Visit 2. Health history (subjective) 3. Vitals 4. Physical assessment 5. Systematic assessment
What four things must a systematic assessment be? SAS-E
Safe, accurate, systematic and efficient
What is the number one consideration above all else in any assessment or procedure?
Safety
What 3 things does the RN need to ensure they are respectful of during assessments? Carefully Recognize Emergency’s
- Culture 2. Ethnicity 3. Religion
The RN should always use what type of communication?
Therapeutic Communication
How can the RN become more culturally aware?
Through Self-reflection and Elimination of personal biases
What must the RN do when faced with a patient that is expressing values from a different culture that affect the process of assessment?
Modify the plan of care and environment to accommodate the patients values and wishes.
Treat others religions with_____ and ____
dignity and respect
