Fundamentals ATI (the things you may be tested on)
Chapter 1
\uf0b7 State board of Nursing
o Determines laws and regulation that governs nursing in their state
o Ensure health care providers comply with state regulations
o Issue and revoke nursing licenses
o Nurses must have a license in every state that they practice in
\uf0b7 JCAHO
o Develops accreditation standards for health care facilities
o They do surveys, interviews, check charting
\uf0b7 Medicare \/ Medicaid
o Medicare Eligibility:
\uf0a7 >65 years
\uf0a7 Receiving disability for at least 2 years
\uf0a7 diagnosed with ALS OR end stage renal disease and dialysis
o Medicare Parts:
\uf0a7 A: covers inpatient hospital limited skilled care
\uf0a7 B: outpatient care [diagnostic, PT, OT]
\uf0a7 C: combines A and B and is provided through private insurance company
\uf0a7 D: provides prescription drug coverage
o Medicaid Eligibility:
\uf0a7 Low socioeconomic status w\/ no insurance
\uf0a7 Household size
\uf0a7 Income
Chapter 2
\uf0b7 Registered dietitian: assist w\/ nutritional needs
\uf0b7 Lab technician: blood draws
\uf0b7 Pharmacist: medications
\uf0b7 PT: works on mobility
\uf0b7 OT: can help patient regain ability to perform ADLs
\uf0b7 Providers [doctor, APRN, PA]: sometimes have to work underneath doctors
\uf0b7 Social worker: identifies and coordinates community resources, medical equipment, and
other needs for patients to be discharged.
\uf0b7 Speech pathologist: help with speech and do swallowing assessments
Chapter 3:
\uf0b7 Autonomy: patient has the right to make his\/her own decision even if it\u2019s not in their
best interest. [Jehovah\u2019s witness refuses blood transfusion]
\uf0b7 Beneficence: doing what is best for the patient [doing good]
\uf0b7 Fidelity: keeping your promises [follow through]<\/p>\n\n\n\n
\uf0b7 Justice: fairness in care and allocation of resources [allocating money, resources, and
time fairly across multiple groups]
\uf0b7 Non-maleficence: do no harm [doctor prescribes wrong prescription; you should
question it]
\uf0b7 Veracity: telling the truth [if patient asks about diagnosis you have to tell them]
Chapter 4:
\uf0b7 Unintentional torts:
o Negligence: Had patient who is at high risk for falls and you forgot to set bed
alarm and they hurt themselves
\uf0b7 You did not mean to hurt patient but they did
o Malpractice: medication error \u2013 gave the wrong dose or type of medication
\uf0b7 Intentional torts:
o Assault: you threaten the patient
o Battery: follow through with threat
o False imprisonment: inappropriately restrain, or give chemical restraint
[sedative]
\uf0b7 Informed consent:
o Provider is responsible for communicating purpose of procedure and description
of procedure in the person\u2019s language. Explaining the risks vs benefits of
procedure. Alternative options to treat conditions.
o RN: provider gave patient all the information they need. Patient is competent to
give informed consent [drunk, high]. Have patient signs document. Notify
provider if patient has more questions or does not understand.
o Who can give informed consent:
\uf0a7 Competent adults
\uf0a7 Child: parent or legal guardian
\uf0a7 Durable Power of Attorney
\uf0a7 Emancipated minors
o Refusal of treatment:
\uf0a7 Patient has right to autonomy
\uf0a7 Make patient sign document that they are refusing treatment despite
risks
\uf0a7 If patient wants to lease against medical advice then we need to notify
provider, patient, and then sign AMA
\uf0b7 Advance directives
o Living will: document created by patient that communicates wishes regarding
treatment if they become incapacitated
o DPOA: individual that the patient designates that is their health care proxy
o Providers order: prescription for DNR or AND [allow natural death].
\uf0b7 Mandatory reporting
o If you suspect abuse you have to report it [do not have to gather more data, do
not need proof, suspicion needs to be reported]<\/p>\n\n\n\n
o Communicable diseases that need to be reported to local or state health dept. \u2013 Fundamentals ATI (the things you may be tested on)Chapter 1\uf0b7 State board of Nursingo Determines laws and regulation that governs nursing in their stateo Ensure health care providers comply with state regulationso Issue and revoke nursing licenseso Nurses must have a license in every state that they practice in\uf0b7 JCAHOo Develops accreditation standards for health […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-118443","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118443","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=118443"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/118443\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=118443"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=118443"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=118443"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
mandated by the state
o Co-worker is impaired at all [drinking, drugs, etc.] you need to report to
appropriate manager
Chapter 5
\uf0b7 Nursing documentation
o Objective
\uf0a7 See, hear, feel, smell
\uf0a7 Never include opinion or interpretation
\uf0a7 Describe what you see (not medical diagnosis)
o Subjective
\uf0a7 Direct quotes or identified as information gathered from patient
\uf0a7 Patient state \u201c__<\/em><\/strong>\u201d
o Never leave black spaces
o Never fluid, black out works, or scratch.
o Always include name and title in documentation
o Incident needs to be created if there is a fall, accident, medication error
\uf0a7 Good to do incident reports because it prevents these from occurring
again
\uf0a7 Do not refer to your incident report in patient charting
\uf0a7 It is NOT part of the patients record
\uf0b7 Telephone order
o Have a second RN listen in
o Read back prescription to provider
o Makes sure provider signs prescription within 24 hours
\uf0b7 HIPPA
o In place to ensure confidentiality of health information
o Only those responsible for patient care may have access to that patient\u2019s medical
record
o You are not allowed to look up patient you are not caring for
o Never use a patient name on public display board
o Communication about patients should be discussed in private places [nurses\u2019
station]
o Everyone should have own unique password that they do not share
o Do not share patient information with unauthorized people
\uf0b7 Code system
o Used if a patient is concerned about patient information being released
o If someone calls in to find out about a patient, they need to give you the code
created by person to
Chapter 6
\uf0b7 Delegation
o Do not delegate
\uf0a7 Patient assessment
<\/p>\n","protected":false},"excerpt":{"rendered":"