1. The opening, when rapport is established with the patient
2. The body of the interview, when the necessary questions are
3 basic Stages of patient interview presented
3. The closing segment of the interview
4 Elements that must be present in Duty, breach of duty, causation, and injury. If one is not present, the
Malpractice nurse is not guilty
Taking responsibility for ones actions. Means asking for assistance
when unsure, performing nursing tasks in the sage and prescribed
manner, reporting and documenting assessments and interventions, and
evaluating the care given and the patients response to that care. means
all of the above plus a commitment to continuing education to stay
Accountability
current and knowledgeable.
Administrative Law Comes from agencies created by the legislature
Sometimes called a living will. It's a consent that has been constructed
before the need arises. It spells out a patients wishes regarding surgery
Advance Directive as well as diagnostic and therapeutic treatments.
,Adventitious Sounds Abnormal lung sounds
used to sort and group assessment data so that nursing diagnoses can be
Analysis chosen and priorities can be set
Apprenticeship Learning by doing
Aseptically Without introducing infectious material
The threat to harm another or even to threaten to touch another person
without the person's permission. Example: Threating to hold down a
Assault patient to give them an injection they have refused.
Collecting, organizing, documenting, and validating data about a
patient's health status. Assessment data are obtained from the patient,
Assessment the family, the physician, diagnostic tests, and information about the
patient from other health professionals
Consists of gathering information about patients and their needs using a
variety of methods. These are an ongoing process. You will continue to
Assessment gather data about the patient each time there is an encounter
Rest and Activity
Nutrition, fluid and electrolytes
Safety and security
Hygiene and grooming
Oxygenation and circulation needs
Assessment of Basic Needs Psychosocial and learning
Elimination
, The assignment of duties which can be done by an unlicensed person,
Assignment such as a nursing assistant
Assisted Suicide Aiding a person (providing the means) to end his life.
Listening to the sounds produced in the body with the aid of a
stethoscope. Used to take blood pressure readings, listen to the lungs,
Auscultation and assess heart sounds and bowel sounds
a.Consider what will happen if the task is not done on time
b.Priorities constantly change because patient needs and conditions
change frequently.
c.Must be flexible and frequently reorder tasks.
d.Reconsider work organization plan at least ever two hours during a
shift, reprioritizing as needed
e.Physiologic needs for basic survival take precedence. The airway
ALWAYS comes first
f.After physiologic needs, safety problems take priority
g.After these two, psychosocial needs of love and belonging, self
Basic Principles for Priority Setting esteem, and self actualization are given attention
h.Every nurse must attempt to look at each patient holistically, keeping
psychosocial needs in mind while working on physical problems
A nurse would be charged with this if they attempt to resuscitate a
Battery patient who has a physician's DNR order
The actual physical contat that has been refused or that is carried out
against the person's will. Example: Holding down a patient and giving
Battery them an injection they have refused