To be a professional nurse means to have a sense of oneself that is influenced by characteristics,
norms and values of the nursing discipline.
2. Patient centered care:
To practice patient centered care is to keep the patient at the center of the healthcare plan. To see the patient as more than just the disease or illness that they have. It means to keep the patient well informed and to always make sure that the patient has a say so in the plan for their care.
3. Cultural Preferences? How would you find out what your patient prefers? The best course of action to find out what your patient prefers is to simply ask them or theyre family.
4. What are some of the things that you cannot do as an LPN?
As an LPN, we are not allowed to push medications into IV, but are allowed to give hanging medications such as an ATB drip. As an LPN, we are not allowed to teach nursing. As an LPN, we are not allowed to create a patient care plan, but are allowed to help implement the care plan as defined by the RN. 5. What is HIPAA? HIPAA is the health information portability accountability act.
6. What is and what is not appropriate to post on social media?
Appropriate: I had the best day at work today with the best patients ever! Inappropriate: The patient today was so great, she is 82, lives in Westerville and is a grandmother to 4 children, and she still gardens! 7. Just Culture : a. A system for reporting errors without judgement. Encourages people to report mistakes without fear of being punished for said mistakes. 8. The Ohio Nurse Practice Act a. The definition of the scope of practice for a nurse or LPN. This act defines what an LPN, RN, or advance registered nurse may or may not do. 9. National Patient Safety Goal a. Goals for patient safety across healthcare. Such as Hospital = Identify patients, give medications safely, prevent infection from surgeries and surgical errors b. Long Term Care or Home Care = Prevent fall, identify patients, and prevent infection 10. Collaboration: a. The collaboration of multiple health care entities on a single patient case. 11. Active Listening a. Summarizing the patients words b. Clarifying anything that may be misunderstood c. Keeping Eye Contact with the speaker d. Validating what the patient is saying 12. Therapeutic Communication a. Asking open ended questions 13. Blocks in Communication: a. False Reassurance Everything will be ok b. Judging c. Belittling d. Giving Advice e. Acting Disinterested 14. Transmission of Infection a. Susceptible Host Low immune System b. Reservoirs Person c. Place of exit cough or sneeze d. Modes of transmission droplet e. Places of entry nurse touches patient and then her nose, or nurse breathes without protective covering (mask) 15. PPE requirements for contact isolation a. Gown and gloves 16. PPE Requirements for droplet precautions a. Gloves, Gown and Surgical Masks 17. Airborne PPE Requirements a. Gloves, Gown, and a respirator 18. Types of infections and how to treat them a. Bacterial ATB b. Viral Antiviral c. Fungal Antifungal d. Parasitic Antiparasitic 19. Hospital Acquired Infection, who is most likely to get this? a. Persons with weakened immune systems b. How can we as nurses prevent hospital acquired infections? : By use of hand hygiene and PPE 20. Chain of infection? How do we stop this? a. Hand hygiene and PPE. b. Rooming patient with similar illness i.e. do not put a freshly operated patient in a room with a TB patient. 21. What is CAUTI? a. Catheter associated urinary tract infections 22. What is the number one way to prevent them? a. To not use a catheter in the first place! 23. What infections can we only use soap and water to wash our hands? And Why? a. C-Diff or Norovirus b. It does not kill the bacteria or this virus 24. Safety risks that are present at a healthcare facility a. Superbugs b. Falls 25. When would you complete a falls risk assessment? a. Every time someone is admitted into the hospital. 26. What do you do if someone does fall? a. Let the patient slide gently down your body onto the floor, being sure to protect their head. b. Call for help or emergency services c. Record and report the incident according to your office policy 27. How do you prevent falls? a. Use of color coding materials, taking patient to the restroom often, the use of assistive devices such as bedside commodes, and the use of alarms 28. SBAR and how to communicate each part: a. Situation Who you are, pt name and room number, whats wrong and how severe b. Background Date of admission and diagnosis, pertinent pmhx c. Assessment Vital signs, what you think is going on d. Recommendation Ask the Dr. to see the patient, order prescriptions or order referrals 29. The proper placement of restraints a. Restraints are tied to a movable portion of the bed, not the rails or the frame, so that they move with the bed 30. How often do restraints need to be removed? a. Restraints must be removed every hour 31. How often does the patient need to be assessed? a. The patient needs to be assessed every hour b. Restraints require a physician order and the order is only valid for 23 hours 32. Proper Body Mechanics Use thigh muscles to bend, and lift. Never use your back or knees 33. How to listen to BP and what each sound represents a. 1st sound = systolic b. 2nd sound = dystolic 34. What happens if the cuff is too big or small? a. The reading will be incorrect. 35. Proper techniques for taking pulse and temperature 36. How to perform oral care 37. How do you properly bathe a patient 38. Putting on and taking of PPE a. Putting on Hand Hygiene, Gown, Mask, Eye Protection, Gloves b. Doffing Gloves, Eye Protection, Gown, Mask, Hand Hygiene