ADULT HEALTH II – Overview questions and
answers Graded A+
Nurses act as.....
- Care coordinators
- Transition managers
- Caregivers
- Patient educators
- Leaders
- Advocates for the patient and family
Quality and Safety Education for Nurses' (QSEN) Core Competencies
- Provide patient-centered care.
- Collaborate with the interdisciplinary health care team.
- Implement evidence-based practice.
- Use quality improvement in patient care.
- Use informatics in patient care.
QSEN and Professional Nursing Concepts
- Patient-centered care
- Safety (Prevent harm while they are under our care)
- Teamwork and interprofessional collaboration
- Evidence-based practice
- Quality improvement
- Informatics and technology
- Clinical judgment
- Ethics
- Health care organizations
- Health care disparities
Patient-Centered Care Attributes
- Respect for patients' values, preferences, and expressed needs
- Coordination and integration of care
- Information, communication, and education
- Physical comfort
- Emotional support and alleviation of fear and anxiety
- Involvement of family and friends
- Transition and continuity
- Access to care
, Special Considerations and Populations
- Cultural and spiritual considerations
- Considerations for older adults (Potential for delirium, slower metabolic rate, suffer from depression)
- Gender health considerations (Ask pt how they identify, female dr for female patient)
- Veterans’ health considerations (May have specific health concerns we don’t see in typical population
(ex. From exposures during war); PTSD)
Care Coordination
- Deliberate organization of and communication about patient care activities
- Takes place between two or more health care team members (including the patients)
- Facilitates appropriate, continuous health care to meet the patient's needs
Case management
Provides quality and cost-effective services and resources to achieve positive patient outcomes
- Coordinates with insurance, length of stay, payments, etc
Transition management
Provides safe and seamless movement of patients among health care settings, health care providers,
and the community for ongoing care to meet patient needs
The Joint Commission: Effective Care Coordination and Transition Management
- Understandable discharge instructions for the patient and family
- Explanation of self-care activities
- Ongoing or emergency care information
- List of community and outpatient (ambulatory care) resources and referrals
- Knowledge of the patient's language, culture, and health literacy
- Medication reconciliation (also a Joint Commission National Patient Safety Goal)
Nursing Safety Priority boxes
- Critical Rescue (rapid response, code-blue)
• life-threatening situation requiring immediate intervention to prevent serious harm or death
- Action Alert
• safety risk that requires prompt nursing action to prevent patient injury or complications
• ex. bracelets to say fall risk, on anticoagulants, allergies
- Drug Alert
• medication-related risks
What are the key elements of The Joint Commission's culture of safety?
- Blame-free approach
- Patients and families are safety partners with health care providers and organizations.
- Serious (sentinel) events must be reported
answers Graded A+
Nurses act as.....
- Care coordinators
- Transition managers
- Caregivers
- Patient educators
- Leaders
- Advocates for the patient and family
Quality and Safety Education for Nurses' (QSEN) Core Competencies
- Provide patient-centered care.
- Collaborate with the interdisciplinary health care team.
- Implement evidence-based practice.
- Use quality improvement in patient care.
- Use informatics in patient care.
QSEN and Professional Nursing Concepts
- Patient-centered care
- Safety (Prevent harm while they are under our care)
- Teamwork and interprofessional collaboration
- Evidence-based practice
- Quality improvement
- Informatics and technology
- Clinical judgment
- Ethics
- Health care organizations
- Health care disparities
Patient-Centered Care Attributes
- Respect for patients' values, preferences, and expressed needs
- Coordination and integration of care
- Information, communication, and education
- Physical comfort
- Emotional support and alleviation of fear and anxiety
- Involvement of family and friends
- Transition and continuity
- Access to care
, Special Considerations and Populations
- Cultural and spiritual considerations
- Considerations for older adults (Potential for delirium, slower metabolic rate, suffer from depression)
- Gender health considerations (Ask pt how they identify, female dr for female patient)
- Veterans’ health considerations (May have specific health concerns we don’t see in typical population
(ex. From exposures during war); PTSD)
Care Coordination
- Deliberate organization of and communication about patient care activities
- Takes place between two or more health care team members (including the patients)
- Facilitates appropriate, continuous health care to meet the patient's needs
Case management
Provides quality and cost-effective services and resources to achieve positive patient outcomes
- Coordinates with insurance, length of stay, payments, etc
Transition management
Provides safe and seamless movement of patients among health care settings, health care providers,
and the community for ongoing care to meet patient needs
The Joint Commission: Effective Care Coordination and Transition Management
- Understandable discharge instructions for the patient and family
- Explanation of self-care activities
- Ongoing or emergency care information
- List of community and outpatient (ambulatory care) resources and referrals
- Knowledge of the patient's language, culture, and health literacy
- Medication reconciliation (also a Joint Commission National Patient Safety Goal)
Nursing Safety Priority boxes
- Critical Rescue (rapid response, code-blue)
• life-threatening situation requiring immediate intervention to prevent serious harm or death
- Action Alert
• safety risk that requires prompt nursing action to prevent patient injury or complications
• ex. bracelets to say fall risk, on anticoagulants, allergies
- Drug Alert
• medication-related risks
What are the key elements of The Joint Commission's culture of safety?
- Blame-free approach
- Patients and families are safety partners with health care providers and organizations.
- Serious (sentinel) events must be reported
