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- 1. Implementing
- 2. Question Tell whether the following statement is true or false. One of the advantages of using Nursing Intervention Classifications in nursing practice is to ensure appropriate reimbursement for nursing services. A. True B. False Wolters Kluwer / Lippincott Williams & Wilkins
- 3. Advantages of Nursing Interventions Classifications • Helps demonstrate the impact that nurses have on the system of healthcare delivery • Standardizes and defines the knowledge base for nursing curricula and practice • Facilitates appropriate selection of a nursing intervention • Facilitates communication of nursing treatments to other nurses and other providers • Enables researchers to examine the effectiveness and cost of nursing care • Assists educators to develop curricula that better articulate with clinical practice Wolters Kluwer / Lippincott Williams & Wilkins
- 4. Advantages of Nursing Interventions Classifications (cont.) • Facilitates the teaching of clinical decision making to novice nurses • Assists administrators in planning more effectively for staff and equipment needs • Promotes the development of a reimbursement system for nursing services • Facilitates the development and use of nursing information systems • Communicates the nature of nursing to the public (McCloskey Dochterman, & Bulechek, 2008) Wolters Kluwer / Lippincott Williams & Wilkins
- 5. Types of Nursing Interventions • Independent nursing actions • Nurse-initiated interventions • Protocols • Standing orders • Collaborative nursing actions • Physician-initiated interventions • Collaborative interventions Wolters Kluwer / Lippincott Williams & Wilkins
- 6. Group activity • Find at least three examples of each • Independent nursing intervention • Nurse initiated intervention • Collaborative intervention • Physician initiated intervention
- 7. Question Which one of the following nursing interventions is an indirect care intervention? A. A nurse explains available birth control measures to a young couple. B. A nurse meets with the collaborative care team to plan nursing measures for a patient. C. A nurse prays with a patient prior to surgery. D. A nurse administers pain medication to a patient with end-stage renal cancer. Wolters Kluwer / Lippincott Williams & Wilkins
- 8. Implementing Copyright 2011 Wolters Kluwer / Lippincott Williams & Wilkins
- 9. Question Tell whether the following statement is true or false. A nurse who follows the protocol for taking vital signs following surgery is performing a physician-initiated intervention. A. True B. False Wolters Kluwer / Lippincott Williams & Wilkins
- 10. Implementing the Care Plan • Determine the patient’s new or continuing need for assistance. • Promote self-care. • Assist the patient to achieve valued health outcomes. Wolters Kluwer / Lippincott Williams & Wilkins
- 11. Checklist for Organizing Student Clinical Responsibilities • Patient profile and name by which patient is addressed • Patient’s chief complaint and reason for admission • Patient’s current health status • Routine assistance to meet basic human needs • Priorities for nursing care and special daily events • Special teaching, counseling, or advocacy needs • Special family needs Wolters Kluwer / Lippincott Williams & Wilkins
- 12. Variables Influencing Outcome Achievement • Patient variables • Developmental stage • Psychosocial background • Nurse variables • Resources • Current standards of care • Research findings • Ethical and legal guides to practice Wolters Kluwer / Lippincott Williams & Wilkins
- 13. Question Which one of the following is an example of a nurse variable influencing patient outcomes? A. A patient in a nursing home refuses to take his medications. B. A low-income family is unable to afford formula for their newborn infant. C. An alcoholic patient is unwilling to participate in AA meetings. D. A rape victim does not receive counseling at the ER because a counselor is not available. Wolters Kluwer / Lippincott Williams & Wilkins
- 14. Common Reasons for Noncompliance • Lack of family support • Lack of understanding about the benefits • Low value attached to outcomes • Adverse physical or emotional effects of treatment • Inability to afford treatment Wolters Kluwer / Lippincott Williams & Wilkins
- 15. Question Tell whether the following statement is true or false. When a patient fails to cooperate with the plan of care despite the nurse’s best efforts, it is time to reassign the patient to another caretaker. A. True B. False Wolters Kluwer / Lippincott Williams & Wilkins
- 16. Essentials of Effective Delegation • Know your state and institutional policies on delegation. • Be clear on the difference between nursing process and nursing tasks. • Know the training and background of the unlicensed assistive personnel. • Know the patient’s needs and what he or she is at risk for. • Know what clinical cues the UAP should be alert for and why. • Assess which tasks can be safely delegated. Wolters Kluwer / Lippincott Williams & Wilkins
- 17. Essentials of Effective Delegation (cont.) • Have the UAP repeat your instructions to be sure you have communicated them clearly. • Make frequent walking rounds to assess patients. • When talking with the patient, members of the patient’s family, or UAPs, listen for cues that indicate changes in the patient’s condition. • Take frequent mini-reports for the UAP. • Evaluate the UAP’s performance and the patient’s response Wolters Kluwer / Lippincott Williams & Wilkins