Introduction to Medical Surgical Nursing Lecture Notes
“Where nurses promote, restore, or maintain optimal health for patients from 18 years to older than 100”
Skilled Nursing Facilities
Home Care Agencies
Ambulatory Care Clinics
Patient and Family Advocate
Massive Increases in Available Knowledge
Dramatic Changes in Healthcare Delivery
According to the Joint Commission (2012) ineffective communication is the cause of 80% of medical errors in healthcare settings.
Collaborate with the interdisciplinary team
Implement evidence-based practice
Use quality improvement in patient care
– S: speak up if you have questions or concerns, and if you don’t understand, ask again. It’s your body and you have a right to know.
– P: pay attention to the care you are receiving. Make sure you’re getting the right treatments and medications by the right health care professional. Don’t assume anything.
– E: educate yourself about your diagnosis, the medical tests you are undergoing, and your treatment plan.
– A: ask a trusted family member or friend to be your advocate
– K: know what medications you take and why you take them. Medication errors are the most common health care errors.
– U: use a hospital, clinic, surgery center, or other type of health care organization that has undergone a rigorous on-site evaluation against established state-of-the-art quality and safety standards, such as that provided by TJC.
– P: participate in all decisions about your treatment. You are the center of the health care team.
Right Circumstance – the patient care setting and resources are appropriate for the delegation
Right Person – the UAP is competent to perform the delegated task or activity
Right Communication – the nurse provides a clear and concise explanation of the task or activity, including limits and expectations
Right Supervision – the nurse appropriately monitors, evaluates, intervenes, and provides feedback on the delegation process as needed
A. Call the Rapid Response Team.
B. Document and continue to monitor.
C. Notify the primary care provider.
D. Repeat blood pressure measurement in 15 minutes.
A. Provide Code Blue teams in case of simultaneous emergencies.
B. Enable the nurse to recognize changes in patient status before an acute emergency.
C. Replace immediate consultation with the physician or medical resident.
D. Provide teams of staff already familiar with the patient’s medical diagnosis.
A. Attending to holistic patient needs
B. Ensuring patient safety
C. Not making medication errors
D. Providing patient-focused care
A. Have the patient write a summary of the points covered.
B. Ask the patient to repeat the information back.
C. Quiz the patient on relevant points in the instruction.
D. Repeat the important points to the patient.
D. Protocol development
A. Documenting interdisciplinary care
B. Enhancing collaboration and coordination of care
C. Offering clients access to e-mail and the Internet
D. Retrieving data for evidence-based practice