Debra Bourassa
NUR1015
Extra Credit
December 6, 2020
Concept Learning Modules Extra Credit
1)Safety & Quality 1 Patient/Nurse Safety
A level of performance consistent with current evidence to increase efficiency and effectiveness
for desired patient safety outcomes and decreasing the risks of dangers or hazards to prevent
accidents, injuries, mistakes, and harm.
6 AIMS:
Safe- avoid injuries
Effective- research/evidence-based practice
Patient centered needs and values
Timely- reduce wait time
Efficient- avoid waste
Equitable- equal care for all
Restraints are a LAST RESORT:
Soft wrist restraints/easy release slip-knot tie
24 hrs. need new doctors’ orders
15-minute safety checks/skin integrity
Every 2-hours release and give PT a
break/check demeanor
6 PT Safety Goals:
Identify PT with full name & DOB
Improve effective communication
Improve safety of high alert medications
Ensure correct site of procedure
Reduce risks of HCAI’S
Perform proper
hand-hygiene
,2)Perfusion
Continuous transport of oxygenated blood from the heart and throughout the body.
8 Pulse Sites:
Temporal; Carotid artery; Apical; Brachial; Radial; Femoral; Popliteal; Post-Tib;
Dorsal-Pedis
Korotkoff Sounds:
Phase 1- sharp tapping
Phase 2- soft swishing
Phase 3- crisp/loud
Phase 4- blowing/muffled, fades off
Phase 5- silence
Systolic Contraction- heart pushes out, max pressure
Diastolic Contraction- heart is at rest, lowest pressure
3)Hygiene
Self-care of one attending to bathing, toileting, and general bodily hygiene/grooming; involving
care of the skin, hair, teeth, nails, nasal cavity, eyes, ears, perineal/genital areas.
ADL’S:
Maintains dignity/self esteem
Promotes comfort
Minimizes skin irritation & reduces risk of infection
Increases circulation/promotes venous return
Promotes independence
Allows for skin assessment
Types of Bathing:
Independent Bath- PT performs themselves
Partial Bath- PT & nurse do together
Complete Bed Bath- nurse does 100% of
Shower- PT who is ambulatory, requires minimal assistance
Times for Hygiene Care:
, Accommodate PT routine
Upon waking- hands, face, oral care
AM Care- after breakfast bathing and grooming, bed-making
PRN Care- as needed, unscheduled time when PT needs
hygiene PM Care- some PTs prefer evening bathing
instead
4)Mobility
State or quality of being mobile/moveable. Purposeful, physical movement.
206 bones in the human-body, skeletal system provides support; control movements;
stability; protection of vital organs, and works with the circulatory and nervous systems
Bones provide framework for the body; muscles aid in mobility; joints hold bones
together; ligaments adhere bone to bone; tendons adhere bone to muscle; cartilage
provides cushion & structure
Bed aides include trochanter roll to keep hips in neutral position; hand roll to prevent
hand-contractures; foot board to assist in moving PT from stretcher to bed
5)Clinical Judgement 1 Nursing Process/Pursing Plan of Care
Critical decision-making is a process that nurses use in the clinical setting to evaluate and select
the best actions to meet desired goals. Clinical judgment is the end product of the clinical
decision making.
Critical Thinking- Enables the nurse to recognize the situation, respond quickly, and adapt
interventions to meet specific client needs
Skills and Abilities to Develop Critical Thinking:
Intellect
Creativity
Inquiry
Synthesis
Inductive and Deductive Reasoning
Reflection
Intuition
Types of Problem Solving:
Trial & Error- trying solutions until one is found to be the best use
Intuition- Unconscious awareness of potential for danger
NUR1015
Extra Credit
December 6, 2020
Concept Learning Modules Extra Credit
1)Safety & Quality 1 Patient/Nurse Safety
A level of performance consistent with current evidence to increase efficiency and effectiveness
for desired patient safety outcomes and decreasing the risks of dangers or hazards to prevent
accidents, injuries, mistakes, and harm.
6 AIMS:
Safe- avoid injuries
Effective- research/evidence-based practice
Patient centered needs and values
Timely- reduce wait time
Efficient- avoid waste
Equitable- equal care for all
Restraints are a LAST RESORT:
Soft wrist restraints/easy release slip-knot tie
24 hrs. need new doctors’ orders
15-minute safety checks/skin integrity
Every 2-hours release and give PT a
break/check demeanor
6 PT Safety Goals:
Identify PT with full name & DOB
Improve effective communication
Improve safety of high alert medications
Ensure correct site of procedure
Reduce risks of HCAI’S
Perform proper
hand-hygiene
,2)Perfusion
Continuous transport of oxygenated blood from the heart and throughout the body.
8 Pulse Sites:
Temporal; Carotid artery; Apical; Brachial; Radial; Femoral; Popliteal; Post-Tib;
Dorsal-Pedis
Korotkoff Sounds:
Phase 1- sharp tapping
Phase 2- soft swishing
Phase 3- crisp/loud
Phase 4- blowing/muffled, fades off
Phase 5- silence
Systolic Contraction- heart pushes out, max pressure
Diastolic Contraction- heart is at rest, lowest pressure
3)Hygiene
Self-care of one attending to bathing, toileting, and general bodily hygiene/grooming; involving
care of the skin, hair, teeth, nails, nasal cavity, eyes, ears, perineal/genital areas.
ADL’S:
Maintains dignity/self esteem
Promotes comfort
Minimizes skin irritation & reduces risk of infection
Increases circulation/promotes venous return
Promotes independence
Allows for skin assessment
Types of Bathing:
Independent Bath- PT performs themselves
Partial Bath- PT & nurse do together
Complete Bed Bath- nurse does 100% of
Shower- PT who is ambulatory, requires minimal assistance
Times for Hygiene Care:
, Accommodate PT routine
Upon waking- hands, face, oral care
AM Care- after breakfast bathing and grooming, bed-making
PRN Care- as needed, unscheduled time when PT needs
hygiene PM Care- some PTs prefer evening bathing
instead
4)Mobility
State or quality of being mobile/moveable. Purposeful, physical movement.
206 bones in the human-body, skeletal system provides support; control movements;
stability; protection of vital organs, and works with the circulatory and nervous systems
Bones provide framework for the body; muscles aid in mobility; joints hold bones
together; ligaments adhere bone to bone; tendons adhere bone to muscle; cartilage
provides cushion & structure
Bed aides include trochanter roll to keep hips in neutral position; hand roll to prevent
hand-contractures; foot board to assist in moving PT from stretcher to bed
5)Clinical Judgement 1 Nursing Process/Pursing Plan of Care
Critical decision-making is a process that nurses use in the clinical setting to evaluate and select
the best actions to meet desired goals. Clinical judgment is the end product of the clinical
decision making.
Critical Thinking- Enables the nurse to recognize the situation, respond quickly, and adapt
interventions to meet specific client needs
Skills and Abilities to Develop Critical Thinking:
Intellect
Creativity
Inquiry
Synthesis
Inductive and Deductive Reasoning
Reflection
Intuition
Types of Problem Solving:
Trial & Error- trying solutions until one is found to be the best use
Intuition- Unconscious awareness of potential for danger
