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6700 Exam 4: CNL Role
Bourgault's Online Lecture
24
Nursing
Graduate
12/03/2013

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Cards

Term
number of deaths by medical error each year vs. breast cancer, MVAs, and AIDS combined, per year
Definition
98,000 vs. 101,755, only 3,755 difference
Term
Cost implications for medical errors
Definition
extended stay, malpractice suit, and reimbursement
Term
Types of preventable errors originating from MD and how to intercept them
Definition
med error: check against pt history, known facts, etc.
wrong surgical site: timeout
diagnostic inaccuracy: continuing education
Term
Types of preventable errors originating from external variables and how to intercept them
Definition
equipment failure: quality assurance
child abduction: code words and continuous monitoring
Term
Types of preventable errors originating from nurses and nursing aides and how to intercept them
Definition
system failure: double/triple check
transfusion error: double/triple check
mislabeled labs: double/triple check
Term
two focuses of "crossing quality chasm" recommendation
Definition
Innovation & Improved Delivery of Care
Term
According to "Crossing the Quality Chasm," healthcare should be:
Definition
Safe & Patient-Centered
Effective & Efficient
Timely & Equitable
SET & PEE (teehee)
Term
How to achieve High Quality Healthcare
Definition
Reengineer the process using evidenced based practice interdisciplinarily
Term
The CNL Role addresses...
Definition
...the fragmentation of delivery by fostering interprofessional care
...the quality/cost-effectiveness of care
...the shortage of nurse educators and therefore the shortage of nurses
Term
A CNL is...
Definition
...a generalist nurse clinician who manages a microsystem
Term
Practice at the microsystems level
Definition
One of the Ten Assumptions of the CNL Role:
Being held accountable for the outcomes of a unit, and for coordinating the care of the clients
Term
The measure of quality practice
Definition
client care outcomes
Term
Benchmarks
Definition
nurse-sensitive indicators against which outcomes are compared to validate quality
Term
Practice guidelines are based on...
Definition
...evidence
Term
In an effort to improve upon practice guidelines, one must...
Definition
...seek evidence that challenges current practice
Term
Client-centered care is intra/interdisciplinary
Definition
One of the Ten Assumptions of the CNL Role:
CNL coordinates w/ a variety of team members and communicates with them effectively
Term
If presented with a situation you are uncomfortable with regarding the standards of practice, where the parties involved are very much your senior...
Definition
...they must be reported to the proper authority.
Term
CNL is responsible for _________ clients & families
Definition
educating
Term
It is the CNL's responsibility to _____ their knowledge on a subject with ___________________
Definition
Share, other care providers
Term
The basis for theory & knowledge development
Definition
Nursing Assessment Data
Term
Fiscal Stewardship
Definition
the cost-effective/efficient use of resources: condition of quality care
Term
How to be a good fiscal steward
Definition
treat resource use at the hospital like you would at home: ensure quality, yet fiscally responsible items are used or reserved PRN
Term
Communication Technology in Nursing
Definition
Good way to monitor improvement, sustain relationships, and provide care
Term
the CNL must assume guardianship of the nursing profession
Definition
One of the Ten Assumptions of the CNL Role
we are encouraged to get involved wherever we can as leaders in the profession
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