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✔✔Phiadelphia Dispensary was fomed for free pt care, homes and barns were
makeshift hosp, women left during war were there to care for sick and injured Controlled
disease and smallpox vaccination was given - ✔✔Amercan Revolution
✔✔Public saw the need for trained nurses, Clara Barton, Harriet Tubman, Sojourner
Truth tended to the soldiers - ✔✔American Civil War
✔✔Nursing schools were already established and Isabel Robb developed a plan for
managing nurses - ✔✔Spanish-American War and the Boer War
✔✔Increased demand for nurses, Army School of Nursing - nurses needed to be
unmarried and of good moral character - ✔✔World War 1
✔✔Bolton Act created the US Caet Nurse Corps. Nurses got full military commission,
post war- Hill Burton Act - ✔✔World War 2
✔✔Care focused on soldiers and victims of war - ✔✔Gulf War- Afganistan- Iraq
✔✔*Nursing Organizations Concerns itself with social and economic welfare of nurses,
the role of the nurse, the nursing organizations and their their gverning bodies - ✔✔ICN-
International Council of Nurses
✔✔For RN'S- Is involved in all issues that nursing has confronted with Legislation,
Collective bargaining, advancement of profession - ✔✔ANA- American Nurse's
Association
✔✔Was formed to assist collegiate schoold of nursing to improve higher education for
nursing. - ✔✔AACN- American Association of Colleges of Nursing
✔✔Was formed to provide accrediation - ✔✔CCNE- Commission on Collegiate Nursing
Education
✔✔Provides a legal regulatory bodies of all states to act together re: boards, exams,
licensing - ✔✔NCSBN- National Council of State Boards of Nursing
✔✔Baccalaureate program honorary organization for exceptional standards - ✔✔Sigma
Theta Tau (STTI)
✔✔For those who have made significant contributions to nursing- honorary part of ANA
- ✔✔AAN- American Academy of Nursing
,✔✔Student nursing organization - ✔✔NSNA- National Student Nurses' Association
✔✔4 Purposes to 1. speak for associate degree nursing education and practice 2.
Reinforce the value of that degree 3. maintain endorsement for grads with associte
degree, 4. retain the RN exam for assocaite degree grads - ✔✔NOADN- National
Organization For The Associate Degree Nursing
✔✔Organization for nurses who design, facilitate, and manage care - ✔✔AONE-
American Organization of Nurse Executives
✔✔Purpose is to work toward uiform terminology and definitions in nursing diagnosis,
and t share these ideas. - ✔✔NANDA- North American Nursing Diagnosis Association
✔✔Free or low cost screens & health info - ✔✔Preventative services
✔✔Different financial situations change ins. coverage, ability to get care and what type
of care - ✔✔Rationing of health care
✔✔Healtth Maintainance Program which are prepaid, group managed care, usually
have to stay "in network of md's" - ✔✔HMO- Health Maintenance Organizations
✔✔Healthcare provided in defined demo area. Is centered to individuals and family -
✔✔Community based care
✔✔system in which the use of healthcare services are controlled and monitored there
are usually protocols for tx and is usually preapproved - ✔✔Managed Care
✔✔used by HMO's & PPO's to keep costs low - usually seen as a way to deny tx -
✔✔Capitation
✔✔wearable/ implantable monitors for medical conditions - ✔✔physiological monitoring
✔✔wearable/ implantable insulin or glucose pumps, medicated stents - ✔✔Drug Admin
✔✔3 types of health organizations - ✔✔Primary, Secondary and Tertiary
✔✔contact with pt. is minutes to hours - ✔✔In and Out Care (ex- ER, office visits)
✔✔Provides care to pts where stay is less than 24 hours - ✔✔Short- Stay
✔✔care is more than 24 hours but less than 30 days - ✔✔Acute care
, ✔✔longer than 30 days for chronic illness may be for a lifetime or recovery period -
✔✔Long term Care
✔✔services owned by state, federal or local gov't may use tax dollars - ✔✔Government
Owned facilities (ex-VA)
✔✔investor owned and operated by corp or stockholders - ✔✔Proprietary agencies
✔✔Operated by universities, religious organizations, fraternal groups. All profit above
that needed for maint. and operations must go to improvement and growth - ✔✔Non-
Profit Agencies
✔✔Used to describe a client's condition - ✔✔Acuity
✔✔type of service that is often a special unit in a hospital usually less than 30 days -
✔✔Sub Acute Care
✔✔service that does observation, assessment, teaching and training, direct skilled
nursing such as tube feedings, vents, RN must be in charge of care - ✔✔Skilled Nursing
Care
✔✔refers to care focused on meeting deficits of ADL's - ✔✔Custodial Care
✔✔provides medical, nursing, social work, spiritual support, for pts and families during a
terminal illness - ✔✔Hospice Care
✔✔designed to restore health and function - ✔✔Rehab care
✔✔Care is provided and then the patient is discharged soon after - ✔✔Ambulatory Care
also called outpatient care
✔✔care that is provided outside of a health care clinic, hosp. usually provided in the
home - ✔✔Home Health Care
✔✔Med/ Surg, OB, ER and diagnostic center plus lab services - ✔✔General or
Community Hospital
✔✔Level 1 Trauma Center, Burn Center, Oncology, and other levels of care -
✔✔Tertiary care hospital
✔✔Offers only a particular tyoe of care such as Psych, or Peds - ✔✔Specialty Hosp