renewed every 2 years, must be active to practice, required education
code of ethics
ethical standards for nursing practice
scope of practice
Most commonly defined by state law; describes the care you are competent to provide
for the patient
drug diversion
The transfer of any legally prescribed controlled substance from the individual for whom
it was prescribed to another person for any illicit use
maleficence
Harm to patient beneficence to do good State Nurse Practice Act Laws established by
state legislatures providing minimum standards of nursing care to which nurses are
expected to practice and are held accountable to the State Board of Nursing social
determinants of health Poverty, education, safe medication, and other healthcare
disparities which impacts patients health diabetes abnormally high glucose levels,
decreased insulin availability (fasting glucose > 126 mg/dL) type 1 diabetes
autoimmune destroys pancreatic beta cells, most common in children, onset rapid, hard
to control
type 2 diabetes
hyperglycemia, insulin resistance, onset is gradual
-caused by obesity or metabolic syndrome
insulin produced by
beta cells of pancreas
Liver's role in Diabetes
converting glycogen to glucose
Warning signs of diabetes
, Unusually high urination
Extreme hunger or thirst
Unexplained weight loss
Extreme fatigue
Fuzzy vision
Frequent skin, gum, or bladder infections
Slow healing cuts and bruises
Tingling or numbness in your hands or feet
Generalized itching without presence of a rash
Complications of Diabetes
blindness, kidney failure, poor wound healing, amputations of the extremities
role of bedside nurse
Assessment and evaluation
Documentation
Delegation
just culture
culture where staff are willing to come forward with information about errors so
everyone can learn from mistakes; the culture recognizes the need for accountability &
at times disciplinary action
double sign offs
chemo, blood, narcotics
shared decision making
A patient and provider work together to decide on a treatment plan
role of insulin
• Receptor binder on cell membranes
• Filtered by the kidneys
• Metabolizes carbs, fats, and proteins
• Converted into energy
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