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Nur 323 Introduction to Med Surg Notes

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This is a comprehensive and detailed note on intro to med Surg for Nur 323. *Essential Study Material!!

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  • September 18, 2024
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  • 2019/2020
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  • Prof. fuvich
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anyiamgeorge19
Unit 1: Care of the Patient in the Acute Care Setting
January 25, 2019
Multiple Roles of the Professional Nurse:
What is Nursing?:
 Definitions of Nursing:
o ANA (American Nursing Association)
 Nursing is the protection, promotion, and optimization of health
and abilities, prevention of illness and injury, alleviation of
suffering through diagnosis and treatment of human response, and
advocacy in the care of individuals, families, communities, and
populations
o Florence Nightingale
o Henderson
Nursing Practice:
 Domains of nursing practice
 Nursing’s view of humanity
o Physiologic (biophysical)
o Psychologic (emotional)
o Sociocultural (interpersonal)
o Spiritual
o Environmental
Roles of the professional nurse:
 Autonomy & Accountability
 Caregiver
 Advocate
 Educator
 Communicator
 Manager

 Basically need a doctor’s order for everything (Tylenol, oxygen, etc.)
o Sometimes obtain doctors order after ex. Patient in respiratory distress
give them oxygen then obtain order
Influences on professional nursing practice:
 Quality and Safety Education for Nurses (QSEN)
o *Six Core Competencies*
1.) Patient-Centered Care
2.) Teamwork and Collaboration

, 3.) Safety
4.) Quality Improvement
5.) Informatics and Technology
6.) Evidence-Based Practice
*Competency 1: Patient-Centered Care:
 Recognizes the patient and caregivers as full partners in providing compassionate
and coordinated care based on respect for patients’ preferences, values and needs
 Knowledge, Skills & Attitudes
o Provide care with sensitivity and respect
o Assess level of comfort and treat appropriately
o Engage the patient in an active partnership
o Facilitate patient’s informed consent for care
*Competency 2: Teamwork and Collaboration:
 Function effectively within nursing and interprofessional teams
o Interprofessional Team
 Providers from various disciplines (physicians, nurses, pharmacists,
occupational and physical therapists, social workers)
 Knowledge, Skills & Attitudes:
o Value the skill and enterprise of each interprofessional member
o Initiate referrals when appropriate
o Follow communication practices that minimize risks with handoffs and
transitions in care
 Effective communication is a key component
 Structured model for communication
 SBAR (Situation-Background-Assessment-
Recommendation)
o Participate in interprofessional rounds

Communication:
 S-Situation
 B-Background
 A-Assessment
 R-Recommendation/ Request

 Hand-off Communication
o Standardized and verbal
o Allow for questions and exchange of information

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