MEDICAL SURGICAL NURSING PRACTICE EXAMS REVIEWS

MEDICAL SURGICAL NURSING PRACTICE EXAMS REVIEWS Med Surg nurses - CORRECT ANSWER-To ensure patient safety as the priority in practice Scope of Med Surg - CORRECT ANSWER-Requires specialized knowledge and clinical skills to manage actual or potential health problems Institute of Medicine - CORRECT ANSWER-Publicized preventable deaths and ways to prevent errors NPSG's - CORRECT ANSWER-Goals require health care organization focus on specific priority safety practices, involves establishing nursing and health systems -Address high risk issues such as safe drug administration effectiveness or falls The Joint Commission - CORRECT ANSWER-Offer peer evaluation for accreditation every 3 years Published 1st annual National Patient Safety Goals -Speak up campaign IHI - CORRECT ANSWER-Protect patients from incidents of medical harm -Created the Rapid response team: decrease risk of harm by providing care before respiratory or cardiac arrest -ICU nurse, respiratory therapist, intensivist, or hospitalist IOM - CORRECT ANSWER-Published a report called Heath professions Education: A bridge to quality- identified 5 core competencies for health care professionals to ensure pt safety QSEN Core Compentencies - CORRECT ANSWER--Patient centered care (Speak up) -Teamwork and Collaboration (SBAR) -Evidence based practice -Quality improvement -Safety -Informatics KSA's - CORRECT ANSWER--QSEN created specific knowledge, skills and attitudes -Focus on communication, compassion, culture, patient education, and empowerment and respect for patients and families QSEN - CORRECT ANSWER-Validated the IOM competencies and added safety SBAR - CORRECT ANSWER-Formal method of communication between 2 or more members of health care team- 4 steps Situation- what is happening Background- explain relevant background info Assessments- provide an analysis of the problem Recommendation- state what is needed or desired Delegation - CORRECT ANSWER-Nurse is always accountable for the task delegated Supervision - CORRECT ANSWER-Guidance or direction, evaluation, and follow up 5 rights of delegation and supervision - CORRECT ANSWER-Right task Right circumstances Right communication Right person Right supervision Maxson - CORRECT ANSWER-Process for shift reporting from one nurse to another dosing bedside rounds Evidence-based practice - CORRECT ANSWER-Integration of the best current evidence to make decisions about patient care Quality improvement - CORRECT ANSWER-Med surge nurses identify indicators to monitor quality and effectiveness of nursing care -Collect date to monitor the quality and effectiveness of nursing care -Implement activities to improve the quality of nursing care Informatics - CORRECT ANSWER-Involves using info and technology to communicate, manage knowledge, mitigate error, and support decision making -Emphasis of the KSA's is documentation, electronic date, and data utilization National Council of Stage Boards of Nursing - CORRECT ANSWER-Published finds of an extensive study of nursing practice -Medication administration, communicating patient data and clinical assessments, attentiveness, clinical reasoning, prevention of errors, intervention, interpretation of orders, professional responsibility and patient advocacy, and mandatory reporting Autonomy - CORRECT ANSWER-Self determination or self management Beneficence - CORRECT ANSWER-Promotes positive actions; to do good Nonmaleficence - CORRECT ANSWER-Prevent harm Fidelity - CORRECT ANSWER-Keep obligations or promises Veracity - CORRECT ANSWER-Obligated to tell the truth Social Justice - CORRECT ANSWER-Equality and fairness Case management - CORRECT ANSWER-Provide quality and cost effective services and resources to achieve positive outcomes -Coordinates inpatient and community based care before discharge National Patient Safety Goal - CORRECT ANSWER-Mandated that nurses continue patient education to post discharge caregivers, pain management or respiratory support CMS - CORRECT ANSWER-Quality measures are reported data that is used for tracking pt outcomes and ensuring patient centered care and accountability Joint Commission - CORRECT ANSWER-Developed a plan for the reduction and eventual elimination of preventable surgical complications known as surgical care improvement project (SCIP) -NPSG's require to provide info about informed consent, dietary restrictions and preparation for surgery; verify correct site SCIP - CORRECT ANSWER-Focuses on infection prevention, prevention of serious cardiac events, and prevention of venous thromboembolism -Require prophylaxis Pre op - CORRECT ANSWER-Begins when patient is scheduled for surgery and ends at the time of transfer to surgical suite -Emphasis on safety, advocacy, and patient education -Focuses on preparing patient for surgery and ensure patient safety -Inpatient communication and collaboration are essential (NPSG's) Outpatient - CORRECT ANSWER-Patient who goes to surgical area the day of surgery and returns home same day Beta blocking drugs - CORRECT ANSWER-Peri operative therapy for cardiac disease Carboxyhemoglobin - CORRECT ANSWER-Smoking increases blood level -Decreases O2 to organs