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ATI - NURSING FUNDAMENTALS STUDY GUIDE-UPDATED 2022

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Regulatory agencies - US Dept of Health and Human Services FDA State and local public health agencies State icensing boards Joint Commission-JCAHO Professional Standards Review Organizations Review committees Healthcare financing mechanisms - publically federally funded progams -Medicare ...

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  • January 4, 2024
  • 134
  • 2023/2024
  • Exam (elaborations)
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  • ati nursing fundamentals study guide updated 202
  • ati nursing fundamentals study guide
  • fundamentals study guide updated 202

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  • ATI - NURSING FUNDA
  • ATI - NURSING FUNDA

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ATI - NURSING FUNDAMENTALS STUDY GUIDE -UPDATED 2022 Regulatory agencies - US Dept of Health and Human Services FDA State and local public health agencies State icensing boards Joint Commission -JCAHO Professional Standards Review Organizations Review committees Healthcare financing mechanisms - publically federally funded progams -Medicare -Medicaid -Private pay Levels of Healthcare - Preventive Health -immunization, stress management Primary -nutrition counseling Secondary -emergency Tertiary -techincal care, cancer centers Restorative -home health, rehab Continuing -long -term, chronic Interdisplinary Personnel -Non-Nursing - Clergy -spiritual Registered Dietitian -educate on nutrition Lab Tech -obtain specime ns Occupational Therapist -regain ADLs Pharmacist -provide/monitor medications Physical Therapist -increase musculoskeletal function Provider -assess, diagnose, treat client Radiologic Techs -perform xrays Respiratory Therapist -evaluate respiratory status Social Worker -equip client/family with community resources Speech Therapist -assist with regaining speech Autonomy (Ethical Responsibilities) - ability of the client to make personal diecisins, even when those decissions may not be in the clients best inte rest Beneficence (Ethical Responsibilities) - agreement that the care given is in the best interest o the client; taking positive actions to help others Fidelity (Ethical Responsibilities) - agreement to keep one's promise to the client about care that w as offered Justice (Ethical Responsibilities ) - fair treatment in matters related to physical an psychosocial care and use of resources Nonmaleficnce (Ethical Responsibilities) - avoidance of harm of pain as much as possible when giving treatments Ethic al dilemna (Ethical Responsibilities) - it cannot be solved solely by a review of scientiic data; it involves a conflict between two moral imperatives; the answer will have a profound effect on the situation/client Nurses basic code of ethics (Ethical Res ponsibilities) - advocacy, responsibility, accountability and confidentiality nurses role in ethical decision making (Ethical Responsbilities) - 1. an agent fo the client facing and ethical decision -helping decision of abortion for adolscent; discussing b lood transfusion w/JW; 2. the decison maker in regard to nursing practice -witnessing surgeon provide options but not dangers Sources of Law (legal responsibilities) - Health Insurance Portablity and Accountability Act -HIPAA; The Americans with Disabiliti es Act -ADA; The Mental Health Parity Act -MHPA; The Patient Self -Determination Act -PSDA Criminal law - subsection of public law and relates to the relationship of an individual with the govenment -nurse who falsifies medical record Civil law - protects the individual rights of people -provision of nursing care is tort law Negligence - Unintentional Torts - nurse fails to implement safety measures for a client who has been identified as at risk for falls Malpractice - Unintentional T orts - nurse administers a large dose of medication due to a calculation error. Client has a cardiac arrest and dies Breach of Confidentiality - Quasi -Intentional Tort - a nurse release the medical diagnosis of a client to a member of the press Defamatio n of Character - Quasi -Intentional Tort - a nurse tells a coworker that she believes the clienthas been unfaithful to her spouse Assault - Intentional Torts - the conduct of one person makes another person fearful -threatening Battery - Intentional Tort - intentional and wrong physical contact that involves injury or offensive contact -restraining of a client False Imprisionment - Intentional Tort - a person is confined/restrained against their will -competent client put in restraints to prevent leaving fac ility Professional Negligence - failure of a person with professional training to act in a reasonable and prudent manner Responsiblities for informed consent - Provider -obtain consent; Client -give consent; Nurse -witnesses consent Types of Advance Direct ives - Living Will -expressin clients wishes regarding medical treatment; Durable Power of Attorney for Healthcare -designates a healthcare proxy; Providers Order -DNR -do not resuscitate; AND -allow natural death; CPR -cardiopulmonary resuscitation Chart Info rmation - assessments; medication administration; treatments geven and the clients responses; client education Chart documentation - subjective data -what the client says in quotation marks; objective data -what you see; accurate/concise -info documented must be precise; complete/current -info is comprehensive and timely; organized -communicate in logical order Delegation and Supervision - RNs to RNs, LPNs and Nursing assistants Delegation Factors - Predictability of outcom e; Potential for harm; Complexity of care; need for problem solving and innovation; level of interaction with the client Five Rights of Delegation - Right Task -identify task; Right Circumstance -access health status/complexity of care; Right person -verify compentencey of delegatee; Right direction/communication -data to collect; Right supervision/evaluation -provide direct/indirect supervision

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