Invasive procedures

Procedures that require you to enter the body

evidence based nursing

nursing care that uses lifelong problem-solving approach considering the best research evidence coupled with the clinical expertise of the clinician while considering the preferences and values of the patient

The practical nurse follows standards written by the

National Association for Practical Nurse Education and Service

(NAPNES)

Practice Acts

nursing activities, state the legal requirements and titles for nursing licensure, and establish what education is needed for nurses to become licensed

The practice acts are designed to ____________ the ___________, and they define the legal scope of practice

Protect

Public

Transition to practice

The goal is for all newly licensed nurses to complete a transition to practice program, typically a 6 month preceptorship with ongoing support through the first year of practice

What are the two levels of entry into nursing

Licensed practical nurse

Registered Nursing

How long is a nursing assistant program?

six to eight weeks

The practical/vocational nurse program takes how long?

Twelve to eighteen months

The Registered nursing program takes how long?

Two to Five Years

If the Student has already obtained a Practical/Vocational nursing license, how long would it take them to become a registered nurse?

One year

Practical Nurses provide direct care under the supervision of

A registered nurse

Practical Nurses provide direct care under the supervision of

advanced practice registered nurse

Practical Nurses provide direct care under the supervision of

Physician Assistant

Practical Nurses provide direct care under the supervision of

Physician, dentist, podiatrist

NAPNES

National Association for Practical Nurse Education and Service

After completion of an LPN/LVN curriculum and or licensure, the graduate can seek certification by NAPNES in

pharmacology, long term care, and IV therapy

Hospitals

The nurse provides restorative care to ill or injured patients

Acute Care

Subacute and extended care facilities

The nurse provides personal care and skilled care for patients requiring rehabilitation or custodial care in facilities for subacute, immediate, or long term care

Assisted Living facilities

The nurse provides varying degrees of nursing care in these facilities that offer housekeeping and prepared meals

Medical Offices

The nurse provides preventative care or treatment of an illness or injury prescribed by the provider

Ambulatory Clinics

preventative care or treatment of an illness or injury. Treatment by specialty groups is often available on site

Kidney Dialysis centers

the nurse provides treatments for patients with kidney failure

Hospice and Pallative care

supportive treatment for patients who are terminally ill, improving quality of life and ease of suffering

Home Health Agencies

in home care is provided

Neighborhood emergency centers/urgent care clinics

minor emergency care to patients within the community settings

Correctional facilities

provides nursing care to incarcerated individuals, assisting with physical examinations, administering medications and and performing medical treatments

School Nurse

performs triage, medication administration, first aid, and some care of students with diabetes and other chronic health challenges

Surgical Centers

same day surgeries on typically healthier individuals than those found in a hospital operating room (OR)

Health Maintenance organizations

HMOs

a type of group practice, enroll patients for a set fee per month, they provide a limited network of MDs, hospitals, and other health care providers from which to choose from

Health Maintenance organizations

HMOs

One goal of theirs is to keep patients healthy and out of the hospital

Two National HMOs are

Kaiser Permanente and US family health plan

Preferred provider organizations

PPOs

Large businesses and insured groups may contract with this

Offer a discount on fees in return for a large pool of potential patients

Heath

a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity

Chronic illness

persisting for a long time

Subjective

perceived only by the individual

Only the person can tell you if they feel ill

Acute Illness

one that develops suddenly and resolves in a short period of time

Terminal Illness

one for which no cure is available, it ends in death; normally occurs in a short period of time

Primary illness

one that develops without being caused by another health problem

secondary illness

results from or is caused by a primary illness

Congential

present at birth

Genetic diseases

inherited

Idiology

what caused it

etiology

the cause

coping

adjusting to or accepting challenges

Asymptomactic

without symptoms

Illness Behavior

any activity someone takes to determine their actual state of health and to seek a suitable remedy for a health problem

What is the highest Hierarchy of Maslows law

Physiologic

What is the second highest Hierarchy of Maslows law

Safety and security

What is the third highest Hierarchy of Maslows law

Love and belonging

What is the forth highest Hierarchy of Maslows law

Self esteem

What is the fifth highest Hierarchy of Maslows law

Self Actualization

Homeostasis

a tendency of biologic systems to maintain a stable internal environment by continually adjusting to changes needed for survival

Stressor

adverse stimulus

Stress

disturbs the organisms homeostasis and causes the body to attempt to adapt

Autonomic

not subject to voluntary control

The central nervous system is

the brain and the spinal cord

Fight of flight

when the brain perceives a threatening situation, the sympathetic nervous system stimulates the physiological functions needed