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Health Policy 1
ANCC Board review
Term | Definition |
---|---|
Mentoring and Coaching | instructing patients how to successfully manage their own conditions |
Role Modeling | Instructing through examples of health care processes |
Counseling | Instructing patients how to responsibly manage medications, conditions and courses of treatment |
Health literacy | single best predictor of one's health status |
What grade level should medical/health information be written at? | no more than 6th to 8th grade |
Accrediation guidelines are often laid out by who? | The joint commission |
Who lays out National Patient Safety Goals and areas of concern | Joint Commission |
Define Economics | How consumers use health care resources and services How patients interact with heath care providers |
Top Economic concern | Length of stay |
What is an MRT | Multidiciplinary response team |
What is the role of the MRT | assembled to deal with emergency situations |
What is an RRT | Rapid response team |
Role of the RRT | deals with rapid deterioration of the patient for arrest or respiratory distress stroke etc |
Define Meaningful Use (MU) | using the EMR to Improve quality, efficiency, and safety Reduce health care disparities Engage patients and family members in course of care Improve coordination of care Maintain privacy and safety of patient heath information |
What is Quality Improvement | Management process of monitoring, evaluating, continuously reviewing, and improving both the quality of health care delivery and the health status of target population |
Quality and Safety Education for Nurses (QSEN) aims to? | promote eduction across six key competencies Patient centered care teamwork and collaboration EBP QI Safety Informatics |
Patient Stress Questionnaire | assess symptoms of depression, anxiety, trauma, and ETOH use |
What is the PHQ9 | Most common screening tool for depression Self ranking system with 9 signs and symptoms one last two weeks 0-3 score 1-4 minimal depression 20-27 severe depression |
What is the GAD-7 | General Anxiety Disorder 7 self administered screening tool that identifies the need for a complete assessment or anxiety |
What score on the GAD-7 would indicate the need for a psych referral | > than or equal to 10 |
What is the CAGE-AID | Self-report screening that determines the need for ETOH or drugs assessment Cut down Annoyed Guilty Eye opener |
Ramsey Sedation Scale | If awake: R1- anxious, agitated, restless R2- cooperative, oriented R3- responsive to commands only If Asleep R4- responsive to light glabellar tap or loud auditory R5- Sluggish response to light glabellar rap or loud R6 No response |
What does the Richmond Agitation, Sedation Scale assess? | 10 point scale assess levels of anxiety, agitation, and sedation +4 = combative 0= alert and calm -5 unarrousable |
Sedation Agitation Scale | 7- Dangerous agitation: pulling lines or attempt to remove ETT, climbing over bed, combative 4- Calm and cooperative 1- unarrousable |
What does the Mini-Mental State Examination test (MMSE) | assess cognitive impairment Draw clock with numbers in a circle and then hands should read 10 after 11 scored 1-6 score > or equal to three represents cognitive deficit |
Geriatric depression Scale | self-report questionnaire to screen for depression in older adults score > 5 suggests depression |
What is the Get up and Go test | measures a patients risk of falling core is rated 1-5 with >3 indicating risk of fall |
Pain Assessment in advanced dementia | Five behaviors observed: Breathing, negative vocalization, facial expression, body language and consolability 1 to 3 mild pain 7 to 10 severe pain |
Define Durable medical equipment (DME) | equipment or supplies ordered by provider for everyday/extended use |
What makes medical equipment durable | Durable-long lasting Used for medical reason Usually not useful in someone who is sick or injured Used at home Expected life time is 3 years |
What are some examples of Durable medical equipment (DME) | Beds, CPAP, Crutches, Canes, Walkers, Beds, Nebulizers, O2 equipment, Suction pumps, BG monitors and test strips, Infusion pumps |
Define Assitive device and provide examples | primary purpose is to maintain or improve an individuals functioning and independence -Wheelchair -Prothesis -Hearing aids |
Define Life support devices | used by qualified health professions to support life in critically ill people -ballon pump -ventricular assist -Dialysis -Vent -Transvenous pacing |
Define CAM | Complementary and alternative medicine which refers to treatments that are used along with, or in place of, conventional medicine Focus on whole person |
What is integrative medicine | Brings conventional and complementary approaches together |
Goals of technology in Nursing are? | Enhance scope of practice and evidence-based practice Make practice knowledge driven Capture the tasks performed |
What is Nursing Informatics | integration of science, computer science, and information science to mange and communicate data, information knowledge and wisdom into nursing |
What is Benchmarking | comparison and measurement of a healthcare organizations services against other national healthcare organizations |
What are the benefits of Benchmarking | understand how your organization compares to others sharing of best practices and EBP clinical research outcomes |
Define Peer Review | process by which practicing registered nurses systematically access, monitor and make judgements about the quality of nursing care provided by peers as measured against professional standards |