5.6 Differentiate between independent, interdependent, and dependent nursing interventions

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Type 1: Independent- Doctor
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No need for a doctor’s order for CPR, assessment skills, patient teaching and health promotion
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Type 1: Independent- Doctor
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Need an order if patient is DNR
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Type 1: Independent- Advanced directive
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State if they want code or not
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Type 1: Independent- Doctor has
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Last Say
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Type 1: Independent- CPR
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keep doing it until doctor calls it off, and initiate if doctor has no code order.
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Independent-Initiated
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by t he nurse not requiring direction or an order from another health care professional. Actions regulated by state boards of nursing & nurse practice acts–Alow nurses to independently intervene depending on client needs. –Support ADLs, health education, health promotion & counseling–> Environment may be managed by nurses to est. & maintain a safe, therapeutic environment, promote rest, reduce noise, maintain cleanliness, and manage environmental temp.
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Type 2: Interdependent
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Those developed collaborated with health care, most often with therapists, dietician, respiratory therapist– medication & treatment, and occupational therapist
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Interdependent- Actions
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Develop in consultation or collaboration with other health care professional to gain another’s viewpoint in determining an intervention–most beneficial for clientsq
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Interdependent:Examples
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Discussion of client in an interdisciplinary conference for discharge planning attended by primary nurse or supervisor, home health care nurse, social worker, physical therapist, & dietician. May consult with specialists when problem cannot be resolved using their personal knowledge or skills. Specialist may be consulted to determine best method–consulting dietician for special diet
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Type 3 – Dependent nursing interventions
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Need a doctor’s order,physician order or nurse practitioner, dications,, Patient’s diet, activity level & oxygen, dressing change, Accu Check, any venopucture blood tests. Need doctor’s order, nasogastric blood tests. –need doctors order, Nasogastric tube, tube feedings, urinary catherization
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Dependent- legally
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can question any order, responsible for what you can do, if doctor gives order that wasnt suppose to give, nurse is liable for mistake too, Look at dosage range of drug–if nurse, doctor, or nurse can’t catch, then they are responsible
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Dependent-Handwritten
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Handwritten Order you can’t read–clarify with doctor, question order: doctor’s order regular diet–you see patient trouble swallowing
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Dependent nursing interventions
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actions requiring an order from physician or another health care professiional, such as request for physician–prescribed medication orders. Nurse may previously written order based on knowledge of current client status or change in client’s condition requesting clarification of new orders

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