Ch. 1 Overview of Critical Care Nursing with all correct answers

Ch. 1 Overview of Critical Care Nursing with correct answers AACN (American Association of Critical Care Nurses) CORRECT ANSWERS - founded in 1969 - largest specialty organization in world - mission = assist nurses to attain knowledge & influence - represents acute & critical care nurses - key values = establish helathy work environment that promotes professional practice AACN scale for rating evidence CORRECT ANSWERS a simple to use method for evaluating research studies AACN Standards for Acute & Critical Care Nursing Practice CORRECT ANSWERS - delinate the nursing process - collect data,dx, identify outocmes, develop plan of care, implement intervention ask-tell-ask CORRECT ANSWERS a strategy for encouraging nurses to assess concerns before providing more information, especially when discussing stressful issues with patients and families barriers to effective handoff communication CORRECT ANSWERS - Physical setting: background noise, lack of privacy, interruptions - Social setting: organizational hierarchy & status issues - Language - Communication medium: limitations of communications via telephone, email, paper, or computerized records versus face to face bundles CORRECT ANSWERS defined as evidence best practices that are done as a whole to improve outcomes ex) ventilator bundle CCRN CORRECT ANSWERS certification available for nurses who provide care of critically ill adults, peds, or neonatal populations CCRN-E CORRECT ANSWERS credential available for nurses working in eICUs certification CORRECT ANSWERS - validates knowledge of critical care nursing - promotes professional excellence - helps nurses to maintain up-to-date knowledge - overseen by the AACN Certification Corporation - The certifications for nurses in acute and critical care bedside practice are known as CCRN and PCCN - Bedside: CCRN, PCCN - Advanced practice: CCNS (critical care nurse specialist, ACNPC (acute care nurse practitioner) - Subspecialty certification: cardiac medicine & cardiac surgery collaboration CORRECT ANSWERS - ultimate goal = create a culture of safety - all members have opportunity & duty to provide safe and effective care - founded on mutual respect & recognition that each discipline in pt care brings distinct skills & perspectives to the table - demonstrated during rounds & other briefings communication CORRECT ANSWERS - important for safe care - standardized approaches can improve it (SBAR, Ask-Tell-Ask, Tell Me More) Competencies of Nurses Caring for the Critically Ill CORRECT ANSWERS - clinical judgement & reasoning skills - advocacy & moral agency in identifying & resolving ethical issues - caring practices that are tailored to the uniqueness of the pt & family - collaboration w/ pts, fam, & health care team members - systems thinking that promotes holistic nursing care - response to diversity - facilitator of learning for pts & fam members, team members, & the community - clinical inquiry & innovation to promote the best pt outcomes complex CORRECT ANSWERS critical care pts are more _____ - multisystem organ dysfunction - complicated by aging population cost CORRECT ANSWERS increasing _____ for care: - challenged to reduce costs & length of stay - transfer of higher acuity pt from the CCU to other units or home critical care nurse characteristics CORRECT ANSWERS - technical competence - relationship building - w/ pt & families (important) - ability to multitask & set priorities (& re-evaluate priorities as things change) Critical Care Nursing CORRECT ANSWERS - Is concerned/deals w/ human responses to life threatening problems (critical illness or injury, trauma, major surgery, complications of illness) culture of safety CORRECT ANSWERS the ultimate goal of true collaboration is to create a.... defined as a a nonhierarchical culture where all members have the opportunity, as well as the duty, to ensure safe and effective care eICU CORRECT ANSWERS - pts are monitored remotely by critical care nurses & physicians - has reduced hospital & ICU length of stay & mortality evidence based CORRECT ANSWERS Nurses are encouraged to implement care that is ____ _____ and to challenge practices that have "always been done" but are not supported by clinical evidence handoff CORRECT ANSWERS communication breakdowns often occur during ____ situations, when pt info is being transferred or exchanged ex) shift reports & pt transfers IHI (institute for healthcare improvement) CORRECT ANSWERS a national group that promotes safe environment and the concept of bundles of care to reduce harms, such as infections intensivist CORRECT ANSWERS physician who has education and training in the management of the critically ill patient and is board certified Metaanalysis CORRECT ANSWERS _____ of many related research studies is considered to be the highest level of evidence patient & family CORRECT ANSWERS the focus of critical care nurse includes both the ____ and _____ responses to illness and involves prevention as well as cure PCCN CORRECT ANSWERS certification for nurses who provide acute care in progressive care, telemetry, & similar units physiological, psychological, or both CORRECT ANSWERS human responses to life-threatening problems can be.. polio CORRECT ANSWERS The specialty of critical care has its roots in the 1950s, when patients with_____ were cared for in specialized units the use of specialized units has improved patient outcomes quality & safety CORRECT ANSWERS ____ & _____ are essential components of pt care Quality and Safety Education for Nurses (QSEN) project CORRECT ANSWERS sponsored by AACN; provides roadmap for integrating quality & safety principles into pre-licensure nursing education - defines 6 core competencies that provide a foundation by which nurses may continuously deliver quality, safe nursing care in a variety of settings: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, informatics, and safety randomized controlled trial CORRECT ANSWERS the next highest level of evidence to metaanalysis is... rapid response CORRECT ANSWERS implementation of ___ ___ teams or medical emergency teams to address changes in pt's conditions - bring critical care expertise to the bedside - goal = to identify and manage both unstable patients and those at high risk for cardiopulmonary arrest to prevent unnecessary deaths - often lead by critical care nurses - type of strategy to improve pt safety recovery rooms CORRECT ANSWERS in the 1960s _____ _____ were established for the care of pts who had undergone surgery;coronary care units also were established relationships CORRECT ANSWERS _____ are an important part of critical care nursing practice SBAR CORRECT ANSWERS - situation - background - assessment - recommendation (plan) is a standardized communication approach - delivers info in a way that is brief & action oriented SCCM (Society of Critical Care Medicine) CORRECT ANSWERS - founded in 1970 - Multiprofessional membership - physicians, nursing section, other critical care team members - vision = healthcare system in which all critically ill & injured persons rcv care from a multiprofessional team - directed by physician specializing in critical care- intensivist specilized CORRECT ANSWERS - Critical care nursing evolved as a specialty in the 1970s w/ the development of general ICUs - Ex's of _______ critical care units = cardiovascular, surgical, neurologic, trauma, transplantation, burn, pediatric, and neonatal units. Standards CORRECT ANSWERS - guide clinical practice - establish goals for pt care - provide mechanisms for nurses to assess pt outcomes - delineate the nursing process: collect data, determine diagnoses, identify expected outcomes, develop a care plan, implement interventions, and evaluate progress toward goals - describe expectations of the acute & critical care nurse Standards of Practice CORRECT ANSWERS Allow us to: - Evaluate quality of nursing practice - Evaluate own practice - Acquire knowledge and maintain competency - Contribute to professional development of peers - Act ethically - Use skilled communication - Use clinical inquiry - Consider factors related to safety, effectiveness, and cost - Provide leadership in clinical setting stress, burnout, & moral distress CORRECT ANSWERS ____, ____, & _____ _____ are issues that critical care nurses face because of the fast-paced environment, critical nature of illness, and issues surrounding life and death of patients. Support groups and debriefing conducted by professionals CORRECT ANSWERS are strategies to help reduce stress, anxiety, and moral distress. synergy model of practice CORRECT ANSWERS - AACN's vision = Create a healthcare system driven by patient's and family's needs in which critical care nurses make their optimum contributions tell me more CORRECT ANSWERS a tool that encourages information sharing in challenging situations Trends & Issues CORRECT ANSWERS - critical care pts are more complex - increasing costs for care - challenged to reduce costs & length of stay