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Summary Complete Fundamentals Nursing Notes Study Bundle A+

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Complete Fundamentals Nursing Notes Study Bundle A+ TABLE OF CONTENTS Legal Laws Ethical Principles, Informed Consent, HIPPA, & Client Rights ABC’s and Maslow’s Hierarchy of Needs Scope of Practice Nursing Process Client Safety IV Therapy Complications Fluid Compartments, Osmosis, & Solution Types FVE, FVD Sodium, Potassium Calcium, Magnesium Electrolyte Relationships Lab Values & Memory Tricks Vital Signs Common Med. Abbreviations Types of Positions 9 Sites of Pulse Auscultating Lung-sounds & Landmarks Infection Control Isolation Precautions Fire Safety Blood Types & Transfusion Reactions Med. Administration Pharmacokinetics Non-Parental Administration Parental Injections Enteral Feeding Bowel Elimination Urine Elimination & Urinary Complications Pressure Ulcers CPR (Infant, Child, Adult)

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lOMoARcPSD|32226831




FUNDAMENTAL BUNDLE
38 pgs.

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TABLE OF CONTENTS
> Legal Laws 1
> Ethical Principles, Informed Consent, HIPPA, & Client Rights 1, 2
> ABCÕs and MaslowÕs Hierarchy of Needs 2
> Scope of Practice 3
> Nursing Process 4
> Client Safety 5, 6
> IV Therapy Complications 6
> Fluid Compartments, Osmosis, & Solution Types 7
> FVE, FVD 8
> Sodium, Potassium 9, 10
> Calcium, Magnesium 11, 12
> Electrolyte Relationships 13
> Lab Values & Memory Tricks 14, 15
> Vital Signs 16
> Common Med. Abbreviations 17-19
> Types of Positions 20
> 9 Sites of Pulse 21
> Auscultating Lung-sounds & Landmarks 22
> Infection Control 23
> Isolation Precautions 24
> Fire Safety 24
> Blood Types & Transfusion Reactions 25, 26
> Med. Administration 27
> Pharmacokinetics 28
> Non-Parental Administration 28, 29
> Parental Injections 30, 31
> Enteral Feeding 32
> Bowel Elimination 33
> Urine Elimination & Urinary Complications 34, 35
> Pressure Ulcers 35
> CPR (Infant, Child, Adult) 36-38

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LEGAL LAWS
CRIME: intentional wrong doing against another TORT: person injured due to another personÕs unintentional or intentional
person, people, or environment. Considered both failure to act. Injury can be physical, emotional, or financial.
felony & misdemeanor.
Unintentional tort: negligence
> Felony: serious crime ―> insurance fraud, > Negligence: person harmed due to neglected duties, procedures, or
practicing w/o license, theft of narcotics, etc. precautions.
> Misdemeanor: not serious as felony, but still a - FAILURE TO: follow standard protocols; report equipment malfunctions;
crime ―> possession of controlled substances, etc. give standards of safe care; prevent injuries; question physicianÕs
incorrect orders; AND performing procedures you were NOT taught.
LIABILIT Y: deliberate ÒcommissionÓ of a forbidden > Malpractice (Professional Negligence): improper or injurious treatment
act or ÒomissionÓ of an act required by law. from a licensed personÕs actions or lack of actions.
Òact of commissionÓ ―> participating in illegal
abortion, giving person wrong med & is harmed, Intentional tort: assault, battery, false imprisonment, etc.
etc. > Assault: threat or attempt to do bodily harm ―> telling elder his/she
Òact of omissionÓ ―> person not given will take a shower even if he/she refused.
scheduled med & is harmed, failure to report elder > Battery: physically touching someone or his/her possessions w/o
or child abuse, etc. consent ―> beating person, caring out procedures the person refused,
forcing person out of bed, etc.

Quasi-Intentional:
> Libel: written statement or photo that is false of damaging.
> Slander: malicious verbal statements that are false or injurious ―>
gossip & exaggeration.
> Defamation: act that harms a personÕs reputation.


ETHNICAL PRINCIPALS & CLIENT RIGHTS

ET HNICAL PRINCIPLES CLIENT RIGHTS
> Advocacy: supports a personÕs health, wellness, safety, > 1972 A PatientÕs Bill of Rights adopted by AHA.
privacy, and personal rights. > ClientÕs rights must be respected and NURSES are
> Responsibility: respect obligations and follow through on responsible for protecting the rights of the client.
promises. > Client has the right to details of procedures,
> Accountability: willingly taking responsibility for oneÕs own informed consent, advance directives, & confidentiality
actions. of information
> Confidentiality: protection of a personÕs privacy. > Client has the right to REFUSE/DISCONT INUE
> Autonomy: a personÕs right to make own decision. treatment/medication/etc. (whether admission is
> Beneficence: act of kindness and doing good for others. voluntary or involuntary)
> Fidelity: keeps promises and fulfills them. > Client has the right to be active in decision-making
> Justice: fair treatment of giving safe and quality care to of care plan, accept/refuse/modify care plan, receive
each individual. competent care & respect.
> Non-maleficence: commitment to do no harm.
> Veracity: commitment to telling the truth. 1

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HIPAA & INFORMED CONSENT
HIPAA INFORMED CONSENT
> 1996 Health Insurance Portability and Accountability Act. > Legal documentation of pt.Õs approval to perform tests,
> Protects pt. info to remain private. Pt. has the RIGHT to treatments, surgeries, or give certain meds or blood products.
privacy. > Pt. must be 18 or older, competent, & verbal.
> DO NOT give pt. info to family or friends w/o the pt.Õs > Parent, guardian or advance directive signs consent if pt. is a
consent. minor, unconscious, unable to communicate, or mentally disabled.
> Keep info within staff members who are directly involved > Emancipation minors are LEGALLY capable of signing an
in pt.Õs care (HCP, nurse, can, therapist, dietician, social informed consent.
worker, etc.) In a life or death situation, two physicians can sign emergency
> DO NOT leave papers out in the open. Have them consent if pt.Õs family is NOT immediately located (some facilities
face-down. allow this).
> Secure pt. info on computer screen from others. > Non-consensual physical contact can be required if pt. is
ALWAYS log off before leaving computer. mentally ill, intoxicated, or endangering self or othersÕ safety.
> Wait for pt.Õs visitors to leave before discussing pt.Õs info > Only the Physician MUST detail and explain the purpose of
(unless pt. gives consent to discuss with visitor(s) in the procedure, explain benefits & risks, & give options for alternative
room). treatments
> ALWAYS close the door when discussing private matters. > Nurse MUST witness pt. sign consent and makes sure the
> DO NOT discuss pt. info w/ other health professionals patient understands what was said.
during break, lunch, or outside of workplace. > If does NOT understand, inform the physician & the physician is
responsible to re-explain & answer questions about the procedure.
> ALL T EACHING MUST BE DOCUMENT ED.
Students DO NOT obtain or witness consent forms.


ABCÕs (AIRWAY, BREATHING, CIRCULATION)
Oxygen is one of the most essential of all basic survival
MASLOWÕS
needs. Without oxygen circulating in the bloodstream, a person
SELF-
HIERARCHY
will die in a matter of minutes. Oxygen is provided to the cells OF NEEDS
ACT UALIZAT ION
by maintaining an open airway and adequate circulation.
Òreach for his/her
highest potentialÓ
ABC is essential for survival
Airway: determine whether airway is patent (open) or not. SELF EST EEM
Remove anything that obstructs the airway whether it's food, Self image, Self respect,
Perception of self-adequacy
blood, vomit, or the tongue falling back (common in unconscious
person). LOVE, AFFECT ION, & BELONGING
Breathing: listen to breath sounds, watching for chest Social needs & Spiritual needs
movements, & lay your cheek against personÕs chest.
Circulation: The heart must pump effectively for oxygen to be SECURIT Y & SAFET Y
Freedom from harm (abuse), Healthcare, Shelter
carried to the cells. Also, there must be sufficient blood volume
to carry needed oxygen. BASIC PHYSIOLOGICAL
Find a pulse, observe the pulse, reassess breathing, & assess Oxygen, Water, Food, Elimination, Sleep, Exercise, Sexual Gratification
for signs of internal or external bleeding, control (for the survival of species), and Temperature Regulation
hemorrhage if bleeding does occur. 2

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