NUR 1600 Exam 1
- What are critical indicators?
Answer safety measures that every healthcare provider should perform every time with every patient.
- What are the critical indicators?
Answer • Checking provider orders before entering the patient room
• Introducing yourself when entering the patient room
• Washing/sanitizing your hand when entering a patient room (and after leaving a patient room)
• Identifying the patient, using 2 patient identifiers (name, dob and/or MR #)
• Asking the patient what he/she would like to be called (or Pronouns)
• Asking the patient if he/she has any allergies
• Explaining to the patient the procedure about to be performed on him/her • Performing appropriate assessments according to established guidelines
- What is HIICARE?
Answer Is a mnemonic device that helps the nurse remember that safety checks during every patient encounter.
4. HIICARE
Answer H Hand hygiene & don gloves as needed I Introduce self & role, describe purpose of encounter
I Identify patient (check ID band & ask name, DOB, allergies) C Confidentiality & privacy 1 / 3
A Assess patient & the environment R Raise/return the bed; ergonomics E Explain, educate, evaluate, exit
- Health history
Answer A health history is an interview of the patient with the goal of obtaining a database of the patient's past and present health status, followed by a physical examination. The purpose of the health history is to obtain subjective data from the patient so the nurse and patient can create a plan to promote health, prevent disease, resolve acute health problems, and minimize limitations related to chronic health problems.
- General survey
Answer It is the study of the whole person, covering the general health state and any obvious physical
characteristics. Begin the general inspection the moment you meet the patient. This involves observing physical appearance and hygiene, body structure, body movement, emotional status, disposition, and behavior. The general inspection requires paying attention to detail and provides clues about any possible problems the patient may be experiencing. Initial impressions gained from these preliminary observations direct the nurse to further examination in those areas that do not initially appear normal. "Overall first impression"
- OLDCARTS & ICE
Answer O- Onset (when did the pain start) L-Location (where is the pain)
D-Duration (how long have you had this pain) C-Characteristic (how would you describe the pain) A-Aggravating Factors (what causes you to have pain) R-Relieving or Relating Factors (what reduces your pain or do you have other symptoms with this pain) T-Therapeutics (what treatments, medications, etc help relieve your pain) S=Severity (numeric scale, FACES) I-Impact on activities of daily living C-Coping E-E-Emotional response 2 / 3
- What is OLDCARTS?
Answer During a pain assessment, a nurse should include assessing the intensity of pain, its location, its quality, duration, as well as the alleviating and aggravating factors, and determining the effects of pain on the patient's life (e.g., daily functioning) and the patient's goal for pain relief.OLD CARTS ICE is the acronym used to further assess pain. This acronym can also be used for nausea and other symptoms your patient complains of.
9. PQRST
Answer provocative/palliative, quality, region/radiation, severity, timing
- ISBAR communication
Answer a process for effective handoff communication among health care professionals about a patient's condition, standing for Identity/Introduction, Situation, Background, Assessment, Recommendation, and Read back
11. ISBAR
Answer i-introduce yourself S-situation of patient B-background of patient A-assessment findings R-nurse recommendations for care of the patient
- Define EHR
Answer An EHR (electronic health record) is a digital collection of personal health information that
can be shared by all health care providers involved in an individual's care and includes data from the history, physical examination, laboratory and diagnostic tests, and surgical procedures and progress notes entered by all health professionals.
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