Chapters 1-4 Chapters 1-4, Exams of Nursing

Download Chapters 1-4 Chapters 1-4 and more Exams Nursing in PDF only on Docsity! Chapters 1-4 2 main professional organization that support critical care practice - ✔AACN SCCM Which best supports critical care NURSES? - ✔AACN mission of AACN - ✔to drive excellence in patient care through knowledge and influence vision of AACN - ✔creating a healthcare system driven by needs of patients and families which nurses make their optimal contributions values of AACN - ✔accountability collaboration leadership innovation Synergy Model - ✔shifted assessment from body systems focus to a nursing competencies framework (there's 8 of them). It is used broadly in nursing practice, not just critical care. The central idea is that a patient's needs drive the nurse competencies required for patient care. When these align, the characteristics of the nurse and patient match, creating synergy and enabling optimal outcomes how does the synergy model influence AACN certifications - ✔1. It develops the competencies they must meet 2. Develops certification test plans 3. Supports certification renewal certifications available for ICU nurses - ✔CCRN PCCN Advanced practice certification ACCN ACNPC-AG CCRN - ✔only for nurses who provide care of critically ill adult, pediatric, or neonatal populations. CCRN-e is available for nurses who work in eICUs PCCN - ✔for nurses who provide acute care in progressive care, telemetry, and similar units ACCN - ✔available for those working with adult, pediatric, and neonatal populations ACNPC-AG - ✔for nurse practitioners what are the 3 projects/organizations in place to assist nurses in providing safe care? - ✔Joint Commission Quality and Safety Education for Nurses Project (QSEN) Institute for Healthcare Improvement (IHI) Quality and Safety Education for Nurses Project - ✔i. sponsored by AACN: provides road map for integrating quality and safety principles into prelicensure nursing education. Defines 6 core competencies the provide a foundation for quality care: Patient Centered Care, Teamwork and Collaboration, Evidence-based practice, Quality Improvement, Informatics, and Safety Joint Commission - ✔identified National Patient Safety Goals to be addressed in hospitals, long term care facilities, and other agencies Institute for Healthcare Improvement (IHI) - ✔introduced bundles of care to reduce healthcare associated infections bundle of care - ✔3-5 evidence-based best practices that are done as a whole to improve outcomes, and research is done to evaluate effectiveness Barriers to effective handoff communication - ✔-Physical setting (noise, lack of privacy, interruptions) -Social setting (organizational hierarchy, status) -Language -Communication medium (limits of telephone, email, paper, computerized records vs. face to face) when is communication at highest risk to be broken down? - ✔shift handoff standardized measures implemented to help prevent communication breakdown at shift change - ✔-SBAR -QSEN Exemplar box -Checklists -Training all personnel in effective communication methods What type of things contribute to sensory overload/deprivation? - ✔-Light and noise -Phlebotomy procedures -Loss of privacy -Lack of nonclinical physical contact -Pain which age-related demographic is at highest risk for negative ICU outcomes? - ✔older adults how can nurses best support family members of patients and assist them in coping? - ✔-COMMUNICATION -involve them -confirm that everything is being done for the pt main cause of emotional outbreak or inappropriate responses from family members - ✔lack of communication what does research say about family visitation in the ICU? - ✔it is actually well documented that visitation has no effect on patients condition and at times it is positive benefits to allowing family to be present during codes - ✔-removes doubt about pt condition -witness that everything possible was done -decrease anxiety and fear about what is happening