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Nursing Flashcards

history of nursing & nursing roles

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13635482131896the American Nurses Association founded0
13635482141900American Journal of Nursing first published1
13635482151903the first RN license, State Practice Act2
13635482161912Nation League of Nursing; The US Public Health Service3
136354821719551st male commissioned a military RN4
13635482181974American Assembly for Men in Nursing (AAMN) was founded5
13635482191977ANA declares "Year of the Nurse"; using the theory to practice6
13635482201994135 million American enrolled in managed care insurnce plans7
13635482211996Pew Report & Institute of Medicine report an impending nursing shortage8
13635482222001nursing practice mirror society changes; bioterroism, emerging infections, disaster management9
13635482232001 Nursing Code of Ethics revisedreflects current issues affecting the health care delivery system10
1363548224Nation League of Nursing (NLN)governs nursing education11
1363548225American Nursing Association (ANA)political body for nurses; political & practice arm12
1363548226Specialty Organizationsdevelops policy & standards13
1363548227Professional Characteristicsbasically intellectual w/ high responsibility, body of knowledge that is learned, applied, taught by professinal education, strong internal organization, & motivated by altruism14
1363548228Nursing defined by ANA (2003)is the protection, promotion, & optimization of health & abilities, prevention of illness & injury, alleviation of suffering through the diagnosis & treatment of human response, & adovcacy in the care of individuals,families communities, & populations15
1363548229Nursing is an Artcompassionate, caring delivery16
1363548230compassionateguides the actions of assessment, planning, interventon, & evaluation17
1363548231caring deliverlyfacilitate health healing; a commitment to common good & health18
1363548232Nursing is a Scienceevidenced based practice-research based info in nursing decision making, scientific body of knowledge-used to transform inputs & outputs19
1363548234Nursingcaring profession, provides for the needs of others- Maslow=needs, displays empathy-feel another's pain, & actively involved in curative processes20
1363548235Nursing EducationHosptial Diploma Program 4 mth- less & less of them, Associate degree (ADN)- 2 or 3 years, Baccalaureate Degree (BSN)- 4 years, Advanced Degree (APN)- provides speical care to selected population i.e. certified nurse midwife, RN anesthetist, nurse practitioner, & clincial nurse specialist21
1363548236Nursing Education-Certificationsattesting or endorsing the demonstrated knowledge base & clinical practice behaviors associated w/ high quality performance in an area of speicalization22
1363548237Countinuing Education (CEU's)required for a licensed profession in order for the professional to maintain the license.23
1363548238Life-long learningto get journals to keep a nurse healthy in nursing24
1363548239Nursing Autonomywillingness to take risks & be accountable for actions25
1363548240Nurse Practice Act*to protect the public*; Regulates licenseure of RN's, LPN's, & certification of UAP; unique to each state26
1363548241Licensure: NCLEX-RNa minimum standard of knowledge for nursing practice27
1363548242Why study nursing history?It repeats itself28
1363548243Recurrent Issues in Nursingnursing shortages- utilization of nurses, public's image of nurses, low economic reward- pay rate, conflict btw service towards others & economic remuneration(pay), education requirements for entry level RN since 1975, & specialty certifications29
1363548244Recurrent Issues in Nursing Workplacelicense requirements- Education, nursing roles/responsibilties use of UAP's adaptation to societal needs diversity in the pateints & workplace, & access to care30
1363548245Florence Nightingalenurse during the Crimean War(1853-1856); looking at infection control31
1363548246Critical Thinkingessential to nursing practice, interpretation of clinical situations, complex decision making, clinical judgement based on fact, experience, & standard of care32
1363548247Nursing ProcessAD PIE Assessement-gathering & validating client health data, strengths, risks, & concerns Digagnosis/analysis- processing client data & indentifying appropriate nursing diagnoses Planning- designing strageties to solve indentified problems & build on client strengths Implementation- delivering & documenting the planned care Evaluaton- determining the effectiveness of care delivered33
1363548248Nursing TeamRN, LPN, & UAP (tech & CNA)34
1363548249RNin depth knowledge & skills in teaching, communication & management provides care based on theory, w/ knowledge of expected growth/development principles, prevention & early detection of health problems35
1363548250RN rolesaccountable for comprehensive care of the patients on a team (supervises RN, LPN, UAP), autonomous-full command of expert knowledge & allowing for accountability & authority in decision making, utilizes the nursing process & critical thinking36
1363548251LPNunder the supervision, provides competent care for clients w/ commonly occuring health probelms w/ predictable outcomes assess clients; collect/ organize relevant data; assists in identification of health needs & problems thoughout the life span37
1363548252LPN rolesunderstands the disease process, knows when to notify the RN for clinical changes in the patient, follows the nursing care plan to provide the care as outlined, & supervises other LPN's & UAP's38
1363548253UAP or CNAperforms duties under the supervision of an RN or LPN, supervises other UAP's performs activities of daliy living, comfort measures, some speicalized duties based on local policy & training39
1363548254Health Insurance Portability & Accountablity Act (HIPAA)privacy component of transmitting health care info. to EHR (Electic Health Record); if breached can have a negative impact on an indicidual's health & wellbeing40
1363548255Documentationlegal reason for documentation; if it isn't writtten, it did not happen41
1363548256Societal Challenges Health Caretechnology, health care system- managed care & care expectations, family health, chronic illness- unhealthy lifestyles42
1363548257Social IssuesAging, poverty, cultural diversity- the better U understand other ppl culture the better the care & workplace; ASKED Awareness-Skill-Knowedge-Encounters-Desire, violence, environmental43
1363548258Societal Challenges for Nursesnurse faculty shortage, H1N1 outbreak, shortage of school nurse, retention, civility in the workplace, cutural competence44
1363548259Technology in Healthcarepoint of care computing- health care practitioner process pt care data @ where service is being provided, Electronic heath record- pt health info. generated by care delivery settings & telehealth- videoconferencing and/or telecommunication telechnologies to enable communication btw pt & health care providers45
1363548260Knowledge Technologybiomedical technology, complex machinery, implantable devices, safe more effective care for pt,46
1363548261Info. Technologycomputer based programs, storage of pt info.- electronic health record (EHR), research data, standardized practice guidelines47
1363548262Nursing Informaticsmethodology & technology used to support health related fields, elcetronic health record, internet- info. sharing48
1363548263easier care for nurseseffective pt monitoring & accessibilty of data49
1363548264Knowledge Technology"Technology of the mind," "Expert system"- Smart carts(Med cart & AED's), simulation systems, pt safety, clinical decision making, pt mgmt problems50
1363548265Man vs. Machineinaccurate internet sites, "nursing" the equipment not the pt, dual documentation systems create more work for nurses51
1363548266Man vs. Machine 2training, maintenance costs, efficiency of equipment, technology failure & inadequate backups, Electronic Medical Record (E-MR) & pt confidentially52
1363548267Healthcare Delivery Systemshealthcare system, very complex- difficult to access53
1363548268Large Health care systemsdue to mergers ( profit/nonprofit)54
1363548269Managed Carewho delivers care, the cost & how is care provided, control healthcare cost- decrease fraud55
1363548270Purpose of Managed CareControl of primary health care services, standardized & improved quality of healthcare, increased access- especially for poor/uninsured/underinsured56
1363548271Medicaidhealth insurance,income below state poverty level, Federally & State funded57
1363548272Administered by State Gov'tChildren's Health Insurance Program(S-CHIP), federally funded, perminums determined by States, for person not eligible for Medicaid ( birth- 21) or Medicare, some states provide prenatal care58
1363548273MedicareFederally funded & adminsitered, eligible age 65 & some disabilities, they must had paid into social security59

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