Chapter 1: Introduction to Medical-Surgical Nursing Practice ONE – Flashcards
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The practice of medical-surgical nursing requires what?
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"specialized knowledge and clinical skills to manage actual or potential health problems that affect individuals, their significant others, and the community"
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The Joint Commission (TJC)
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is one of several national organizations that offer peer evaluation for accreditation every 3 years for all types of U.S. health care agencies that meet their standards
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National Patient Safety Goals (NPSGs)
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published by the TJC, these goals require health care organizations to focus on specific priority safety practices, many of which involve establishing nursing and health system approaches to care
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medical harm
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refers not only to physician incidents but also to errors caused by all members of the health care team or system that lead to patient injury or death
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Rapid Response Team (RRT)/ Medical Emergency Team (MET)
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save lives and decrease the risk for harm by providing care to patients before a respiratory or cardiac arrest occurs
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intensivist
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physician who specializes in critical care
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hospitalist
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family practice physician or internist employed by the hospital
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autonomy
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also referred to as self-determination or self-management. When the patient is not capable of self-determination, you are ethically obligated to protect him or her as an advocate within the professional scope of practice, according to the American Nurses Association (ANA) Code of Ethics for Nurses
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beneficence
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promotes positive action s to help others. It encourages the nurse to do good for the patient
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nonmaleficence
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emphasizes the importance of preventing harm and ensuring the patient's well-being. Harm can be avoided only if its causes or possible causes are identified
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fidelity
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refers to the agreement that nurses will keep their obligations or promises to patients to follow through with care
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veracity
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a principle in which the nurse is obligated to the tell the truth to the best of their knowledge. I you're not honest with a patient, their respect for you will diminish and your credibility as a HCP will be damaged
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social justice
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refers to equality and fairness; that is, all patients should be treated equally and fairly, regardless of age, gender identity, sexual orientation, religion, race, ethnicity, or education
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To provide patient- and family-centered care, the nurse must
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"function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care" (QSEN)
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collaboration
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entails planning, implementing, and evaluating patient care together using an interdisciplinary (ID) plan of care
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case manager (CM)
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a discharge planner who is typically a nurse or social worker in health care agencies. This process is to provide quality and cost-effective services and resources to achieve positive patient outcomes. The CM coordinates inpatient and community-based care before discharge from a hospital or other facility
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SBAR
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is a formal method of communication between two or more members of the health care team
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delegation
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is the process of transferring to a competent person the authority to perform a selected nursing task or activity in a selected patient care situation. The nurse is always accountable for the task or activity that is delegated
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supervision
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is guidance or direction, evaluation, and follow-up by the nurse to ensure that the task or activity is performed appropriately.
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evidence-based practice (EBP)
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is the integration of the best current evidence to make decisions about patient care. It considers the patient's preferences and values as well as one's own clinical expertise for the delivery of optimal health care
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quality improvement
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nurses are expected to "use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems" (QSEN)
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informatics
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involves using information and technology to communicate, manage, knowledge, mitigate error, and support decision making
