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Quiz 2 Study Guide

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Planning
Types
what do you want
achieve
to
Make
:
-
Time
sequenced planning thrubut
:
Initial starts
when you meet
:
Ongoing
:
Discharge
:
.
.
statements actual risk for
·
,
will walk to end
Wellness
of the hall
long
>
-
document
can
implement
well-being
:
short term-
compliance
wimmediate feedback
Goalsare
SMART
Goals
S
comprehensive
multidisciplinary
(critical)
Pt
teaching
.
*
· nursing-sensitive
electronic
·
a
ways to
Legal implications
.
written
·
.
starts when the pt arrives
Formats
·
Eval
plan
resources
Devise
.
written
a
Her
shift
pt
wlpt
whoever works
the
will you do this?
andhow
,
term
31/day W/
April
by
walker
8
pt Outcomes
+
.
Teaching goals
>
-
cognitive
do
Standards of
learning
they understand ?
·
·
Reasoning
·
relevance
learning
address how they're
looking
Demotions+
feelings
Types
independent by
by
:
A
the nurse
:
dependent
depth
the
provider
The entire healthcare team
intment
breadth
precision
learning
Intervention
significance
clarity
accuracy
affective
psychomotor
:
logic
Observation monitor pt
:
.
prevention prevent complications
...........................................
:
Implementation
putting
treatment
Reducation
as
the nurse
Are these barriers to
make sure you can
Never
delegate
Teaching
Evaluation
ready
treating the
health promotion
interventions in
place
Are you
:
is the
to do this ?
learning ?
:
lack of edu
.
improving
biggest
Is the
no
problem
or
a maintenace
keeping
level
intervention A
pt ready
to do this?
.
support system
,
etc
.
explain what you did and why ?
Assessment
Advanced interventions
Collaboration
Unstable pt
.
Planning
recordeverythingA
*
·
change
·
·
progress
pt progress
"now
.
eval. can be
·
Assessment
pt responses
Recommendation
1
:
:
audit
nursing
·
structure eval
.
3
Compare pt outcomes / desired outcomes
evaluative statement
.
Relate
5
no
nursing interventionsto outoe
a
involved
for all
harm
eval
......
.
outcome eval
.
nursing diagnosis care plan
.
,
,
, elimination
, nutrition
hydration
·
med orders tests scheb
.
,
,
,
etc
prescribed
treatments
outcomes
nursing
interventions
Addendum care Plans
used for
·
daily clin care plans
pt will get modified version
.
written
,
Predictable conditions
·
profile
.
instructions
needs
to meet
basic
responsibilities
plan
for pt
.
s
identified
Unit standards of care
standardized "preprinted care plans
·
common
·
:
collaborative problems
pathway
. ruh
pts
total
+
nursing di agnoses
multidisciplinary
·
pt
&
& nursing
Standardized
·
includes
I
care
discharge planning
special teaching needs
:
.
prob
.
·
·
critical
↳
,
,
outcomes
nursing orders for a single
nursing diagnosis
comprehensive plan of care
plan of care for a pt
age admitting diagnoses
support system demographics other data
,
:
and
or
name
draw conclusions
. Write the
4
. . . . . . . . . . . . .
·
where you see
change interventions
Review the desired outcomes/indicators
.
process
.
---
. Collect the eval. data
2
·
peer review
beneficence best
nonmaleficence do
You need to redo or
Process
ongoing
reliability
Terms
·
n
test results
standard validity
criteria
Sitchuation
ackground
,
.
·
How do I measure this ?
·
.
nursingdiagnose.progress
.............
if
this is
plan of care ?
·
identify pt pt condition
changes in pt
.
the
was
SBAR
of shift
.,
Evaluation
...........
successful
Reports
Oral
Vitals
behavior
·
specific
by
to
nurses
groups rather
an
indiv
defined situations
I contain medical orders
No
·
care for
.
only
Model Care Plans
kept wlpts active care plan
nurses are held
accountable
in the
not
·
stored
·
easu
Care
deviations from the
unit for
the
Planning
. list all
3
detailed instructions
·
referencing
process format
addendum care plans can be added
Guide
*
Kardex
protocol
Guidelines for
synthsize data
+
problems
I
determine which problems
2
date
.
.
3
addressed " now
.
. individualize model care plans 4
6
#
can be
7
.
to the
plan
remaining nursing diagnoses
8
problems
. Implement care plan
9
11.
-
2 Where would you find
.
ink
other sources
be
holistic
coord aspects
"
.
Include
discharge plans
of
care
are
the
five components
comprehensive care plan ?
,
profile basic needs nursing diagnosis
a pt s
a
,
.
plans
to be
,
implemented addendum
,
.
.
,
. What doc. would
4
you find out how
a
pt friend can visit ICU ? policy
.
Which doc would you use when
.
physician
priority
. Which doc would you use for apt
6
pts special
need to be found ? addendum admitted for a hip replacement and
. Where would a
3
5
in
pts
What
.
religious preferences Pt. profile
long
in order of
ReviW
1
!
.
needs
any revisions
plan
of the
showing graphic
relationships among ideas concepts
Pethical considerations -
teaching
discharge
,
concise terms
legibly+
Include collab
.
18
mapping
technique for
problems
,
9
. plan must be individualized
. eval results of care
10
Visual
,
priority
plan must
.
plan
orders for each problem in order
7. refer to
+
Collab
,
.
.
Care Plans
,
collab
nursing diagnoses
6 Write
Policy
basic needs medical
5 Write in clear
8
. develop individualized plan for
mind
,
initial
sign
of
needed
transcribe all needs
profile
#nursing
+
as
:
.
vs
writing
nursing diagnosis
complex teaching
problems
protocols
vs
.
Include
.
. make formal list of labeled
4
.
5
standards
agency
nursing
data
analyze
.
. record
pts
on
1. Collect
2
·
is
coming to your unit
a
to
insert chest tubes into your pt.? protocol
you need a map
of
the
collaborative care to be
during
provided
pt.s stay ?
critical pathway
the
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