The Unofficial NCLEX® Prep Podcast by NRSNG

Substance abuse/diversion Improper care Staffing practices

Abuse and neglect Child, elderly, domestic Know your local reporting agencies (Child Protective Services) Communicable diseases Vaccine Adverse Event Reaction System (VAERS, vaers.hhs.gov) Report to Center for Disease Control (CDC) 2016 list of reportable conditions: https://wwwn.cdc.gov/nndss/conditions/notifiable/2016/ Adverse reactions to vaccinations … Continued

To be clinically appropriate medical interpreter, you must have appropriate credentials This is important because medical jargon is very different from fluency in a language, therefore competency and knowledge of specific medical jargon in various languages must be verified prior … Continued

Be able to know when something is outside of your comfort zone High risk, low frequency procedures Know your chain of command for both clinical “how-to” situations and also administration issues Document appropriately

Most facilities have policies and procedures to properly secure valuables Ideally, valuables are given to family/friends to be taken home and secured If this is not possible, there should be a secured and locked location within the facility to keep … Continued

Refusing treatment HCPOA disputes/living wills Mental illness and inability to sign own consents

This includes evidenced-based research, information technology, policies and procedures) Access data for client through online databases and journals Most hospitals have subscriptions to journals Professional organization journals have a plethora of information available, directly related to nursing Consistent review of … Continued

Apply knowledge of facility regulations when accessing patient charts Ideal to do chart and enter orders in real time, however this is not always possible Important to document in real time or as close to real time as possible because … Continued

Each facility may have a different process Identify inappropriate and/or unclear treatments or medications A nurse must administer treatments unless they believe they are inappropriate or unclear If this occurs, you must contact the prescriber and discuss further, document appropriately, … Continued

What is informed consent?  Basically the patient is giving permission for treatment and acknowledging that they understand the risks and benefits of the procedure as well as the consequences for not receiving the treatment. Wikipedia The patient must be an … Continued

Two codes of ethics for nurses Last updated 2015 First developed in 1953 Last updated 2012 The American Nurses Association Code of Ethics The Code of Ethics for Nurses (International Council of Nurses) Remember, these codes are not laws Different … Continued

Basic definition of ethics: attempt to distinguish between right and wrong as it relates to knowledge as opposed to opinion This can get very challenging in medical situations, especially related to death, suffering, rights, and religion Examples of various kinds … Continued

While getting report, make sure to understand the overall goal(s) for each patient for that shift Examples Getting discharged today Remove feeding tube and start oral diet Get dialysis completed today Better pain control and adequate oral intake to discontinue … Continued

Prioritize the delivery of care ANA: Helping new nurses set priorities Nurse Eye Roll: For the Overwhelmed New Grad Nurse How to figure out prioritization ABC’s – if something is compromising their airway, breathing, or circulation then it is a … Continued

Issues arise frequently that require the nurse to address them and ensure the problem has been resolved Examples Lab problems: unable to get serum sample, sample obtained hemolyzed, came to draw lab and patient at another test Nutrition issues: patient … Continued