Term
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Definition
| Quality and Safety Education for Nurses |
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Term
| What is the overriding goal of QSEN? |
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Definition
| prep future nurses to improve quality and safety of the healthcare system |
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Term
| What are the six core competencies of QSEN? |
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Definition
| patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, informatics |
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Term
ID:
minimize risk of harm to patients and providers through system effectiveness and individual performance |
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Definition
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Term
| What is the definition of safety according to UF CON? |
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Definition
| avoidance, prevention, assessment and amelioration of adverse outcomes |
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Term
| What two pieces of information are used to ID patients? What should not be used? |
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Definition
| Name and MRN; date of birth |
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Term
| Why are patients at risk for developing infections? |
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Definition
| lower resistance, increased exposure, and invasive procedures |
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Term
| Patient teaching of infection control must include what 3 things? |
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Definition
| infection, mode of transmission, methods of prevention |
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Term
| What are the top 3 CODs in the US (in order)? |
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Definition
| Infection, cancer, heart disease |
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Term
| What are 4 common hospital infections? |
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Definition
| staph, strep, influenza, candida |
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Term
| What are two common drug resistant infections? |
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Definition
| MRSA (Methicillin Resistant Staph Aureus) VRE (Vancomycin Resistant Enterococcus) |
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Term
| What are the 3 lines of defense in fighting infection? |
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Definition
| skin/mucous membranes, inflammation, immunity |
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Term
| How does the mucous membranes act as a mode of defense against infection? |
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Definition
| sloughing off cells, coughing/sneezing, flushing, vomiting |
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Term
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Definition
| bacteria and fungi living on our skin and mucous membranes |
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Term
| ____ _____ is sometimes enough to stop infection if the first line of defense is breached |
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Definition
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Term
ID Relationship Type:
benefits host, neutral to organism |
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Definition
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Term
ID Relationship Type:
benefits host and organism |
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Definition
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Term
ID Relationship Type:
no harm to host, benefits organism |
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Definition
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Term
ID Relationship Type:
harms host, benefits organism |
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Definition
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Term
ID Relationship Type:
Harms host with less resistance, benign organism becomes pathogenic |
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Definition
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Term
| What are 4 functions of colonization microorganisms? |
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Definition
| Produce, enzymes, antibacterial factors, vitamin k and b vitains |
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Term
| Colonization microorganisms are maintained by what two systems? |
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Definition
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Term
| What are the 4 phases of infection? |
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Definition
| colonization, invasion, multiplication and spread |
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Term
| What are the 4 names for the presence of microorganisms in the blood? |
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Definition
| septicemia, bacteremia, viremia and fungicemia |
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Term
| What four important factors influence infection development? |
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Definition
| infectivity, pathogenicity, virulence (disease causing potential/replication speed), toxigenicity |
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Term
| Describe the chain of infection |
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Definition
| infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host |
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Term
| How are skin and mucous membranes portals of exit for the chain of infection? |
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Definition
| broken skin allows normal flora to leave their normal place; organisms can exit other humans |
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Term
| What are 6 examples of a susceptible host? |
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Definition
| neonates, elderly, diabetics, immunosuppressed, CPD, chronically ill |
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Term
| What is the new name for "universal precautions"? |
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Definition
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Term
| What does Standard Precautions include the use of? |
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Definition
| hand hygiene/barriers, PPE, gloves, gowns, masks, eye protection |
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Term
| Under what three circumstances should you wash your hands instead of using a hand rub? |
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Definition
| if hands are visibly soiled, if infectious material has spores (C-Diff), multidrug resistant organism (MRSA,VRE) |
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Term
| How far away should you sit from someone coughing? |
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Definition
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Term
| What are the 4 types of transmission based precautions? |
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Definition
| airborne, droplet, contact, compromised host |
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Term
| Describe the necessary precautions of an airborne precautions room? |
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Definition
| negative air flow, private room, N-95 mask, airborne infection isolation room, assigned equipment |
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Term
| How do you ameliorate a patient's stay in isolation? |
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Definition
| explain isolation precaution type, reason and duration. Provide distractions |
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Term
| What is the order of PPE donning? |
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Definition
| hand hygiene, gown, mask, eyewear, gloves |
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Term
| What is the order of PPE removal? |
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Definition
| gloves, eyewear, gown, mask, hand hygiene |
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Term
| Describe compromised host precautions |
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Definition
| private room, no flowers, no one with a fever may enter the room, standard precautions prn, patient wears mask outside of room |
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Term
| What is the normal range for blood albumin? |
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Definition
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Term
| What are the two types of nutrition? |
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Definition
| enteral (normally); parenteral (IV-central line) |
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Term
| What is the term for a swallowing disorder? |
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Definition
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Term
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Definition
| ingestion of food, liquid, etc. into the lungs |
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Term
| What is the amount of fluid needed for normal fluid balance? For special populations? |
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Definition
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Term
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Definition
| production of more than 30ml of urine/hr |
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Term
ID:
involuntary micturition in children beyond time that bladder control is normally achieved |
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Definition
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Term
ID:
overdistention of the bladder because of inability to urinate |
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Definition
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Term
| What are 4 abnormal stool characteristics and their meaning? |
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Definition
clay colored/white: Ba in GI; absence of bile pigment due to obstruction
black: bleeding from stomach or SI; iron
Red: colon or rectal bleeding
Gray/green: antibiotics |
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Term
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Definition
| solution introduced into rectum and large intestine to distend and increase peristalsis (used to treat constipation) |
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Term
| Describe a clean catch specimen |
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Definition
| cleaning the perineal area, voiding and taking the sample midstream |
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Term
| What causes a pressure ulcer? |
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Definition
| pressure on bony prominence in combination with shear and friction |
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Term
| What are the 3 intrinsic factors of pressure ulcer development? |
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Definition
| nutritional state, incontinence, activity, immobility |
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Term
| What are the 3 extrinsic factors related to pressure ulcer development? |
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Definition
| shear stress (head of bed up >30 degrees and pt slides down), friction, and moisture |
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Term
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Definition
| 6 subscales for risk assessment for pressure ulcers; <18 means you're at risk |
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Term
ID ulcer stage:
intact skin with non-blancheable redness |
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Definition
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Term
ID ulcer stage:
just reddened area; look for cause and effect |
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Definition
| differential diagnosis for stage 1 |
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Term
| When do you check the skin? |
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Definition
| on admission for baseline; every time the patient is assessed |
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Term
| What color may pressure ulcers appear as in those with darker skin tone? |
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Definition
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Term
ID ulcer stage:
partial thickness loss of dermis; shallow, open with red wound bed; no slough |
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Definition
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Term
ID ulcer stage:
appears as blister with or without the skin intact |
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Definition
| stage 2 differential diagnosis |
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Term
ID ulcer stage:
full thickness tissue loss; fat may be visible but no bone or muscle; may have slough |
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Definition
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Term
ID ulcer stage:
deeper than a blister but not deep enough to go down to bone |
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Definition
| stage 3 differential diagnosis |
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Term
ID ulcer stage:
full thickness tissue loss with exposed bone, tendon or muscle; slough may be present; includes tunneling |
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Definition
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Term
ID ulcer stage:
should appear to have depth and go down into bone, tendon or muscle |
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Definition
| stage 4 differential diagnosis |
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Term
ID ulcer stage:
full thickness tissue loss; ulcer is completely obscured by slough and/or eschar in the wound bed |
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Definition
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Term
| What is another name for unstageable differential diagnosis? |
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Definition
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Term
| Describe deep tissue injury |
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Definition
| purple or maroon localized area of discomfort; due to damage of underlying soft tissue |
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Term
| What are the 5 categories of high risk for immobility? |
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Definition
| physical, environmental, neurological, psychological, medications |
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Term
| What is an effect of immobility? |
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Definition
| loss of gravity acting on the body in an upright position |
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Term
| What are the 3 effects of immobility on the musculoskeletal system? |
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Definition
| demineralization, plantar flexion of ankle, and contracture (permanent tightening of muscle; fibrous tissue replaces muscle cells) |
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Term
ID:
blood clot that originates at the site of obstruction |
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Definition
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Term
ID:
blood clot that dislodged from a site of origin and moved within system until stuck |
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Definition
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Term
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Definition
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Term
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Definition
| bed rest with bed side commode |
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Term
Define med term:
Up ad lib |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| How often should patients be turned at minimum? |
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Definition
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Term
| Describe the Hendrich 2 Fall Scale |
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Definition
| used to assess patient risk of falling; administered quickly; focused on 8 independent risk factors |
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Term
| Describe the Morse Fall Scale |
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Definition
| determine fall risk factors and target interventions to reduce risks; range 0-125; 0-25 low, 25-45 moderate risk, >45 high risk |
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Term
| What are some interventions for reducing falls? |
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Definition
| PT, OT, Bed alarms, family involvement, bed alarms |
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