Chapter 19

Introduction

  • Implementation ⇒ Your action base on a Plan of care.
  • Direct care interventions
    • Treatments nurses provide through interactions with patients or a group of patients.
  • Indirect care interventions
    • Treatments performed away from a patient but on behalf of the patient or group of patients. Work in community. Example: Like getting somone else to do somethig to the patient.)
      • You give work to the CNA and LPN. Delegating, supervising.
      • Bring a Counselor to the patient in cases when he needs support.
      • Communication could be oral or writen.
      • Asses, assist, teach
  • Documentation (If it’s isn’t documented it means it wasn’t done.)
  • Interprofessional collaboration
  • Scope of nursing practice

Standard Nursing Interventions

  • Standing orders
    • Preprinted document containing medical orders.
    • Directs patient care in a specific clinical setting.
  • Clinical practice guidelines and protocols
    • A systematically developed set of statements about appropriate health care for specific health care problems or clinical situations.
  • Care bundle
    • Group of interventions related to a disease process or condition.
  • Nursing Interventions Classification (NIC) interventions
    • Common interventions recommended for various nursing diagnoses.
  • Standards of practice
    • Nurses use the ANA Standards of Professional Nursing Practice as evidence of the standard of care provided to patients.
  • Quality and Safety Education for Nurses (QSEN)
    • Standard competencies in knowledge, skills, and attitudes for the preparation of future nurses.
  • Who is responsible from being competent → The nurse.

Implementation Skills (3)

1- Cognitive

2- Interpersonal communication

3- Psychomotor skills

Patient adherence = means patients and families follow the treatments and spend the time needed to do them.

"Rational” ⇒ Reason why you did something.

Chapter 20 Evaluation.

Documenting outcomes: means writing clearly how the patient is doing, what care was given, how the patient responded, and what the next plan is. This helps the whole health team track progress, especially in electronic records.

Patient-centered care happens only when patients and their families take part in checking and reviewing the care and progress.