| A | B |
|---|
| Technique for intramuscular injection of a substance likely to be irritating, or when deposition of a drug and absorption by muscle tissue is crucial | Z-track injection |
| Of or relating to the cheeks or the mouth cavity | Buccal |
| Temporary loss of consciousness caused by a fall in blood pressure | Syncope |
| A dry, dark scab or falling away of dead skin, typically caused by a burn, or by the bite of a mite, or as a result of anthrax infection | Eschar |
| The chemical processes that occur within a living organism in order to maintain life | Metabolic Acidosis |
| Difficulty or disvomfort in swallowing, as in a symptom of disease | Dysphagia (g=gut; dysphasia with an s is difficulty speaking; s=speech) |
| A rumbling or gurgling n oise made by the movement of fluid and gas in the intestines | Borborygmi |
| Weakness and wasting of the body due to severe chronic illness | Cachexia |
| The action of attempting to exhale with the nostris, mouth, or glottis closed (which builds up pressure) | Valsalva maneuver |
| Disruption of the normal propulsive ability of the gastrointestinal tract | Paralytic ileus |
| Difference between critical thinking and clinical judgement... | critical thinking is the old term - clinical judgement is the new term |
| This holds nurses accountable... | A license |
| This is service to the public or free work | Probono |
| Differences in years of education for nurses... | LPN - 12 months; diploma-3 years; associate-2 years; bachelors-4 years |
| Fivefferences in ASN and BSN | populations, management, research, genomics, capstone |
| Next state board visit for Shepherd... | 2015 (last one in 2008) |
| CCNE | Commission on Collegiate Nursing Education |
| This takes place in hospitals, nursing homes, health fair, public health department, doctors offices, free clinics... | community based nursing |
| Community health deals with this... | populations |
| Examples of primary care... | health promotion (mammograms) education (school nutrition)), screening (immunizations, BP), protection (condoms) |
| Examples of secondary care... | emergency care, acute care, elaborate diagnostic testing (mammogram positive and need further tests) |
| Examples of tertiary care... | Rehab, hospice, extended care (also intensive care and sub-acute care) |
| Examples of restorative and continuing care | Home health, hospice, rehab, extended care (nursing homes) |
| An example of one of these goals is "reducing obesity by increasing exercise"... | Healthy People 2020 |
| These are 2 major goals of Healthy People 2020... | increase the quality and years of a healthy life - to eliminate racial disparities |
| Describe some health care delivery issues | cost (US is #1 in world with what our health care costs); affordable HC act; limited resources (nurse and doctor shortage); fragmentation of services (3 doctors for comorbid diseases) quality of care (France #1, US #39); medical ethics (DNR, marijuanna,assisted suicide); access to care (complimentary and alternative medicine) |
| IOM - stands for this... | Institute of Medicine |
| Healthcare workers kill 98,000 people a year through this... | medical errors |
| Largest provider of health insurance... | government |
| Example of other insurance besides government... | private - by individual, employer, or an organization |
| Goverment insurance includes these three things... | Military, Medicare, and Medicaid |
| Medicare A covers this... | In hospital costs |
| Medicare B covers this... | Outpatient costs |
| CMS stands for | Center for Medicare/Medicaid Service |
| These are federal funds administered by the state.. | Medicaid |
| These are government mandated for hospitals that place the diagnosis in a category for one flat fee... | DRGs (diagnosis related groups) |
| With DRGs, the patient is linked to a group for their diagnosis. The hospital is most interested in... | getting the patient out of the hospital as soon as possible |
| ANA | American Nurses Association (voice of national standards in nursing - the largest group) |
| These are the standards of care set by the ANA... | assess, diagnose, outcomes, plan, implement, evaluate |
| First 5 standards of performance... | 1. ethics 2. education 3. EBP and Research 4. quality of practice 5. communication |
| Second 5 standards of performance... | 6. leadership 7. collaboration (get along) 8. professional practice 9. resources (utilization) 10. environment of care |
| Third 5 standards of performance | 11. quality/effectiveness of service 12. competency (minimal standards met) 13. self evaluation 14. colegiality (friendly with colleagues) 15. research = EBP |
| 6 key points of QSEN | 1. patient-centered care 2. teamwork and collaboration 3. EBP 4. quality improvement (quality indicators like infections, med safety) 5. safety (needle sticks, lifting patients) 6. informatics (electronic health records (EHR)) |
| These things help hold us accountable by setting standards... | ANA, state nurse practice acts, WV nursing code and legislative rules, institutional policies |
| Facts about Nightingale (1820-1910) | educated in Germany, nursed during the Crimean War, started London School of Nursing, wrote "Notes on Nursing" , focus was on hygiene and comfort (clean food, bed, water would = lower death rates) |
| Facts about Clara Barton (1821-1912)... | NOT a nurse, angel of the battlefield, brought medical supplies to front line soldiers, started the American Red Cross when she was 60 yrs old (1865) |
| This was started in 1900ish.. | ANA and American Nurse Journal |
| This was started in 1923... | Goldmark Report which funded university based schools of nursing - diploma and BSN programs started |
| This was started in 1951... | Associate degree programs |
| This happened in 1965 | ANA position paper on entry level |
| This happened in 1986... | NC for nursing research at NIH |
| Military Nursing dates... | 1901-Army Nurse Corps; 1908-Navy Nurse Corps; 1917-18-WW1; 1942-45-WW2; 1950-53-Korea (MASH units); 1949-Air Force Nurse Corps; 1965-72-Vietnam; 1991-Desert Storm; 2001-Afganistan and Iraq (helped improve saving more lives - amputations, brain injury) |
| First nursing theorist and her framework... | Florence Nightingale (environmental therapy) |
| Roy's framework... | adaptation |
| Orem's framework... | self-care |
| Neuman's framework... | stress insistance |
| Watson's framework... | caring theorist |
| Maslow's Hierarchy of Needs... | self actualization, self esteem, love, safety, physiologic (passion and caring=compassion |
| For NCLEX style questions the mneumonic RACE can be used for this... | Recognize keywords/client, Ask what is the question asking, Critically analyze options, Eliminate incorrect options |
| Flu shot is an example of this type of care... | primary |
