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Nursing Flashcards

history of nursing & nursing roles

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5515424241873 Linda Richards1st trained RN in US; developed nursing note0
5515424251879 Mary Mahoney1st professionally trained African American nurse1
5515424261882Clara Barton- American Red Cross2
5515424271893 Lillian Wald & Mary BrewsterHenry Street Establishment for the poor people in New York City3
5515424281896the American Nurses Association founded4
5515424291900American Journal of Nursing first published5
5515424301903the first RN license, State Practice Act6
5515424311912Nation League of Nursing; The US Public Health Service7
55154243219551st male commissioned a military RN8
5515424331974American Assembly for Men in Nursing (AAMN) was founded9
5515424341977ANA declares "Year of the Nurse"; using the theory to practice10
5515424351994135 million American enrolled in managed care insurnce plans11
5515424361996Pew Report & Institute of Medicine report an impending nursing shortage12
5515424372001nursing practice mirror society changes; bioterroism, emerging infections, disaster management13
5515424382001 Nursing Code of Ethics revisedreflects current issues affecting the health care delivery system14
551542439Nation League of Nursing (NLN)governs nursing education15
551542440American Nursing Association (ANA)political body for nurses; political & practice arm16
551542441Specialty Organizationsdevelops policy & standards17
551542442Professional Characteristicsbasically intellectual w/ high responsibility, body of knowledge that is learned, applied, taught by professinal education, strong internal organization, & motivated by altruism18
551542443Nursing 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, & populations19
551542444Nursing is an Artcompassionate, caring delivery20
551542445compassionateguides the actions of assessment, planning, interventon, & evaluation21
551542446caring deliverlyfacilitate health healing; a commitment to common good & health22
551542447Nursing is a Scienceevidenced based practice-research based info in nursing decision making, scientific body of knowledge-used to transform inputs & outputs23
551542448Nursingcaring profession, provides for the needs of others- Maslow=needs, displays empathy-feel another's pain, & actively involved in curative processes24
551542449Nursing 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 specialist25
551542450Nursing Education-Certificationsattesting or endorsing the demonstrated knowledge base & clinical practice behaviors associated w/ high quality performance in an area of speicalization26
551542451Countinuing Education (CEU's)required for a licensed profession in order for the professional to maintain the license.27
551542452Life-long learningto get journals to keep a nurse healthy in nursing28
551542453Nursing Autonomywillingness to take risks & be accountable for actions29
551542454Nurse Practice Act*to protect the public*; Regulates licenseure of RN's, LPN's, & certification of UAP; unique to each state30
551542455Licensure: NCLEX-RNa minimum standard of knowledge for nursing practice31
551542456Why study nursing history?It repeats itself32
551542457Recurrent 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 certifications33
551542458Recurrent Issues in Nursing Workplacelicense requirements- Education, nursing roles/responsibilties use of UAP's adaptation to societal needs diversity in the pateints & workplace, & access to care34
551542459Florence Nightingalenurse during the Crimean War(1853-1856); looking at infection control35
551542460Critical Thinkingessential to nursing practice, interpretation of clinical situations, complex decision making, clinical judgement based on fact, experience, & standard of care36
551542461Nursing 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 delivered37
551542462Nursing TeamRN, LPN, & UAP (tech & CNA)38
551542463RNin depth knowledge & skills in teaching, communication & management provides care based on theory, w/ knowledge of expected growth/development principles, prevention & early detection of health problems39
551542464RN 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 thinking40
551542465LPNunder 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 span41
551542466LPN 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's42
551542467UAP 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 & training43
551542468Health 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 & wellbeing44
551542469Documentationlegal reason for documentation; if it isn't writtten, it did not happen45
551542470Societal Challenges Health Caretechnology, health care system- managed care & care expectations, family health, chronic illness- unhealthy lifestyles46
551542471Social IssuesAging, poverty, cultural diversity- the better U understand other ppl culture the better the care & workplace; ASKED Awareness-Skill-Knowedge-Encounters-Desire, violence, environmental47
551542472Societal Challenges for Nursesnurse faculty shortage, H1N1 outbreak, shortage of school nurse, retention, civility in the workplace, cutural competence48
551542473Technology 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 providers49
551542474Knowledge Technologybiomedical technology, complex machinery, implantable devices, safe more effective care for pt,50
551542475Info. Technologycomputer based programs, storage of pt info.- electronic health record (EHR), research data, standardized practice guidelines51
551542476Nursing Informaticsmethodology & technology used to support health related fields, elcetronic health record, internet- info. sharing52
551542477easier care for nurseseffective pt monitoring & accessibilty of data53
551542478Knowledge Technology"Technology of the mind," "Expert system"- Smart carts(Med cart & AED's), simulation systems, pt safety, clinical decision making, pt mgmt problems54
551542479Man vs. Machineinaccurate internet sites, "nursing" the equipment not the pt, dual documentation systems create more work for nurses55
551542480Man vs. Machine 2training, maintenance costs, efficiency of equipment, technology failure & inadequate backups, Electronic Medical Record (E-MR) & pt confidentially56
551542481Healthcare Delivery Systemshealthcare system, very complex- difficult to access57
551542482Large Health care systemsdue to mergers ( profit/nonprofit)58
551542483Managed Carewho delivers care, the cost & how is care provided, control healthcare cost- decrease fraud59
551542484Purpose of Managed CareControl of primary health care services, standardized & improved quality of healthcare, increased access- especially for poor/uninsured/underinsured60
551542485Medicaidhealth insurance,income below state poverty level, Federally & State funded61
551542486Administered 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 care62
551542487MedicareFederally funded & adminsitered, eligible age 65 & some disabilities, they must had paid into social security63

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