ARCHER: NCLEX Fundamentals

ARCHER: NCLEX Fundamentals

Leave the first rating Students also studied Terms in this set (22) Science MedicineNursing Save NCLEX PREP archer?157 terms Sobara1Preview Fundamentals - Archer Review (2/3)...101 terms carlydenbraber9 Preview Archer NCLEX 65 terms HernandezOsuna89 Preview ARCHE 66 terms Nin What is an advanced directive?A legal document written before a person becomes ill, that specifies their medical choices; saved for if they ever become ill.This document is prepared by a lawyer and is notarized. The advanced directive can include a broad range of topics (wish for DNR, full code), it can also include things you don't want (ex. yes to ETT, no to ECHMO).Can an EMT abide by an advanced directive?Once the EMT are called to a situation, they MUST perform life saving interventions. If a advanced directive is presented, they can give it to the Dr. once they arrive at the hospital, but they can't not make the decision to activate it.Also, in order for the Dr. to immediately activate the advanced directive, the document must be physically on that person.Can an advanced directive be used from state to state? Depends on the state. To be sure, update the advanced directive for every permanent or temporary move.Will an advanced directive ever expire?No.If there are more than one advanced directives, the most recent one will be used.A patient is unresponsive, and we are unable to get in contact with anyone related to the patient (John Doe).How will we decide their medical interventions?Two doctors will need to evaluate the patient and make a decision.What is a medical power of attorney (MPOA)?A person designated to make full medical related decisions on another person's behalf, should they be unable to do so themselves.

What is the Americans with Disability Act?A federal civil rights law; prohibits discrimination of people with disabilities in all areas that serve the public.What is the Emergency Medical Treatment and Active Labor Act (EMTALA)?A federal law that requires all ED to treat each and every patient that enters the department; without regard to insurance or other factors.Never tell a person they should go to another place (such as a urgent care) this is a violation of this law.What is a tort?A wrongful act against someone's rights.What is the difference between negligence and malpractice?Negligence: Failure to take care in properly doing something (this can be anyone ex. mother to child).

Malpractice: Improper, illegal, or negligent activity or treatment from a

professional (nurse, lawyer, teacher, etc).What is the difference between assault and battery? Assault = verbal threat Battery = physical threat What is false imprisonment?The state of being imprisoned without legal authority. Example: restraints, medications, psych holds.What is HIPAA?Health Insurance Portability and Accountability Act

• Protects patients healthcare information.
• Share only on a need-to-know basis.
• You can share info with a patient's family IF the patient gives you permission.

Generally, you have ______ to chart on a patient, after that if you haven't been re-assigned to them, do not re-open the chart.24 hours

True or False:

Chart everything as if it is going to be analyzed in trial.You can be called in to testify for up to 10 years after providing care for a patient.True Why should you never chart under someone else's name, or allow them to chart under yours?Why should you NEVER change another person's charting.This falsifies the record.You weren't there! If you feel they charted incorrectly, let them know verbally.

When is SBAR used?Define each step in the SBAR format.It's a standard tool used with HCP. Allows the nurse to give a short report on a patient when speaking to non nurse HCP (ex. Doctors) a nurse to nurse report would be more detailed.

Situation: Introduce yourself, the patient, and what is going on.

Background: Tell why the pt. is in the hospital, PMH, Diagnosis, pertinent lab

values.

Assessment: Tell the doctor what you think the problem is.

Recommendation: What you think is going on, or what you want to happen. Ex.

come to the bedside, d/c an order, provide an order, etc.

True or False:

The higher the HOB is elevated, the better for respiratory distress.True, this allows for full thoracic expansion, and gravity pulls the diaphragm down allowing the lungs to fully expand. Prone is also good for this as it perfuses different areas of the lungs.What is the orthopneic position?In bed tripoding, good for RD.On which lateral side should a patient lay to encourage gastric emptying?Right side On which lateral side should a pregnant woman lay?Why?Left side, promotes blood flow to the placenta/baby.What is the Sim's position best for?Rectal examinations and procedures