Skills Practicum Nursing
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| What is evidence-based practice? | EBP is an approach that uses firm scientific data rather than anecdote, tradition, intuition, or folklore in making decisions about medical and nursing practices.
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| Why is evidence-based practice important? | The goal of EBP is to identify the most effective and cost-efficient treatment for a particular disease, condition, or problem.
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| What do research studies have to do with evidence-based practice? |
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| What is critical thinking? | A combination of reasoned thinking, openness to alternatives, an ability to reflect, and desire yo seek truth
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| What characterizes a competent professional nurse? |
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| What is the purpose of good communication? | Basic human function, sending messages back and forth between 2 or more people, consist of verbal and non verbal messages, helps build working relationships, helps meet physical, psychosocial, emotional, and spiritual needs
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| What are characteristics of verbal? | involves speaking or writing words to send a message; including vocabulary; denotative vs. connotative meaning; pacing of conversation; intonation; tone, pitch, cadence, volume; clarity and brevity; timing; relevance of information; humor; creditable send
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| what is the difference between therapeutic and social communication? | Therapeutic communication is client-centered, goal- directed, and strengthens therapeutic relationship
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| What are blocks to communication? | too many questions; closed-ended questions; asking "why?"; changing the subject abruptly; failing to listen; failing to explore issues in detail; expressing approval or disapproval; offering advice; stereotyping; giving false hope; patronizing language
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| What is medical asepsis? | a state of cleanliness that decreases the potential for the spread of infections
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| What are the steps to bathing a patient? | pages 386-389 in volume 2
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| When should gloves be used? | When you may be exposed to any body secretions directly or indeirectly
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| What are the best practices to prevent the spread of infections? | Maintaining a clean environment; maintaining clean hans; following CDC guidleines
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| What is included in the different types of isolation? Protective Isolation | be sure that equipment has been disinfected before it is take into the room. take linen and dishes directly to the protective isolation room; hand them to someone wearing the required protective garb
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| What are the characteristics of nonverbal communication? | the unconscious use of body language when sending a message: facial expressions; posture and gait; personal appearance; distance; gestures; touch
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| What is included in the different types of isolation? Transmission Isolation (page 427-428) | Disinfect the equipment on removal from the room; when removing linen or non-disposable items form a room w/ contact, droplet, or airborne isolation, place them in special isolation bags; this process requires 2 healthcare workers:
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| Contact Precaution | Pathogens is spread by direct contact-source of infection:draining wounds, secretions, supplies; Precautions include; possible private room, clean gown and glove use, disposal of contaminated items in room; double-bag linen and mark
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| Standard Precations | Protect healthcare workers from exposure; decrease transmission of pathogens; protect clients from pathogens carried by healthcare workers
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| Airborne Precautioins | Pathogens is spread via air currents: transmission via ventilation systems, shaking sheets, sweeping;
Precautions include: same as for contact, with addition of special room, special mask, and mask for patient when transported
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| Droplet Precautions | pathogens is spread via moist droplets: coughing, sneezing, touching contaminated ojbects
Precautions include same as those for contact, addition of mask and eye protection within 3ft of client(patient)
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| What is the purpose of antiembolic stockings (TEDS)? | Elastic stockings that compress superficial leg veins and promote venous return
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| What is the procedure for applying them? | Page 960-961 Volume 2
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| What is the purpose of a pneumatic external compression device (SCD)? | Cuffs that surround the legs and alternately inflate and deflate to promote venous return to the heart
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| What are the steps to putting on SCD? |
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| What alternative measures are to be taken before applying restraints? | Careful and ongoing assessment and surveillance, finding ways to communicate with the patient, and tailoring exercise programs, medication reviews and environmental modifications to the needs of the individual patient
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| What is protective restraint? |
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| How often does the restraint have to be removed? | Check restraints every 30 minutes; a provider must reassess and reorder the restraints every 24 hours; release restraints and assess every 2 hours (more often for behavioral restraints)
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| What is the proper technique for washing the patient's face and eyes during a bed bath? |
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| Can lotion be applied without an order? | Yes, check to see it there is an order not to apply lotion
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| What does oral hygiene include? |
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| What is the best position for giving oral hygiene? |
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| Medication Order: Stat | that a single dose of medication is to be given immediately and only once; the word now is also used
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| Medication Order: PRN | the provider may prescribe a medication to be given whenever the patient requires; PRN requires the nurse to determine with the patient, when the medication should be given
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| Medication Order: Standing | an instruction or prescribed procedure in force permanently or until changed or canceled; especially : any of the rules for the guidance and government of parliamentary procedure which endure through successive sessions until vacated or repealed
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| What is the definition of a nursing diagnosis? |
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| What is the purpose of charting? |
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| What are the steps to assist a patient to a sitting position on the side of the bed and to get the patient out of bed? |
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| What is the patient has been immobile for several days? |
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| what are the steps to re-position an immobile patient in bed? |
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| Are pillows used? Where are they placed? |
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| What are the rules for good body mechanics to prevent the nurse from getting an injury? |
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| What does the nurse do if the patient starts to fall while ambulating? |
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