432- Advanced clinical Reasoning- day 1
Advanced clinical reasoning
-What is the patient's actual problem and what are some potential problems (complications) that may arise
-subjective and objective assessment
- what are you gonna do about it
subjective assessment
What questions will you ask
Objective assessment
What you will assess to determine actual and potential problems
Real world questions
-Have I justified my decisions clearly in my documentation
- would my decisions survive scrutiny from the patient, family, physician, colleague, instructor, manager, lawyer judge?
Standard
An expected and achievable level of performance against which actual performance can be compared. It is the minimum
level of acceptable performance
Limits
, What registered nurses are not permitted to do
Conditions
The circumstances under which registered nurses may carry on an activity
Restricted activities
Higher risk clinical activities that must not be performed by any person in the course of providing health services except
memebers of a regulated profession that has been granted specific legistlative authority to do so, based on their
education and competencies
Delegation
Sharing authority with other health care providers to provide a particular aspect of care.
- this activity among regulated care providers occurs when a restricted activity is within the scope of the delegating
professions and outside the scope of the other profession.
Schedule 1 medications
Medications that normally require a a prescription or an order
- RNs can administer it in casese of specific purposes such as medical emergencies.
BCCNM limits and conditions in providing schedule 1 medications
Can be given if pts are expreriencing the following emergencies- anaphylaxis, cardiac dysrhythmia, opiate overdose,
respiratory distress in known asthmatics, post-partum hemorrhage, hypoglycemia
Advanced clinical reasoning
-What is the patient's actual problem and what are some potential problems (complications) that may arise
-subjective and objective assessment
- what are you gonna do about it
subjective assessment
What questions will you ask
Objective assessment
What you will assess to determine actual and potential problems
Real world questions
-Have I justified my decisions clearly in my documentation
- would my decisions survive scrutiny from the patient, family, physician, colleague, instructor, manager, lawyer judge?
Standard
An expected and achievable level of performance against which actual performance can be compared. It is the minimum
level of acceptable performance
Limits
, What registered nurses are not permitted to do
Conditions
The circumstances under which registered nurses may carry on an activity
Restricted activities
Higher risk clinical activities that must not be performed by any person in the course of providing health services except
memebers of a regulated profession that has been granted specific legistlative authority to do so, based on their
education and competencies
Delegation
Sharing authority with other health care providers to provide a particular aspect of care.
- this activity among regulated care providers occurs when a restricted activity is within the scope of the delegating
professions and outside the scope of the other profession.
Schedule 1 medications
Medications that normally require a a prescription or an order
- RNs can administer it in casese of specific purposes such as medical emergencies.
BCCNM limits and conditions in providing schedule 1 medications
Can be given if pts are expreriencing the following emergencies- anaphylaxis, cardiac dysrhythmia, opiate overdose,
respiratory distress in known asthmatics, post-partum hemorrhage, hypoglycemia
