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Chapter 1 The Nursing Process and Drug Therapy Copyright © 2017, Elsevier Inc. All rights reserved. The Quality and Safety Education for Nurses (QSEN) Project Initiated in 2005 Preparing future nurses with the knowledge, skills, and attitudes (KSAs) needed to continuously improve the quality and safety of patient care within the health care system KSAs flow out of the QSEN initiatives and are being integrated into nursing education curricula and clinical outcomes. Copyright © 2017, Elsevier Inc. All rights reserved. 2 Six Major Initiatives of QSEN Patient-centered care Teamwork and collaboration Evidence-based practice (EBP) Quality improvement (QI) Safety Informatics Copyright © 2017, Elsevier Inc. All rights reserved. 3 A r e s e a r c h b a s e d The Nursing Process Copyright © 2017, Elsevier Inc. All rights reserved. 4 A s s e s s m e n t N u r s i n Five Steps of the Nursing Process Copyright © 2017, Elsevier Inc. All rights reserved. 5 D a t a c o l l e c t i o n , Assessment Copyright © 2017, Elsevier Inc. All rights reserved. 6 T h e Audience Response System Question n u r s e a n s w e r Copyright © 2017, Elsevier Inc. All rights reserved. 7 North American Nursing Diagnosis Association International (NANDA-I) Purpose of NANDA-I: increase the visibility of nursing’s contribution to the care of patients and to further develop, refine, and classify the information and phenomena related to nurses and professional nursing practice See Box 1-2 for more information about the 2012 to 2014 NANDA-approved nursing diagnoses. See Box 1-3 for a listing of NANDA-approved nursing diagnoses (2012-2014) most relevant to drug therapy. Copyright © 2017, Elsevier Inc. All rights reserved. 8 N u r s i n g d i a g n o s e Nursing Diagnoses Copyright © 2017, Elsevier Inc. All rights reserved. 9 T h r e e s t e p p r o c e Nursing Diagnoses (Cont.) Copyright © 2017, Elsevier Inc. All rights reserved. 10 I d e n t i f i c a t i o n o Planning Copyright © 2017, Elsevier Inc. All rights reserved. 11 T h e Audience Response System Question p a ti e n t’ s m e d c Copyright © 2017, Elsevier Inc. All rights reserved. 12 I n i t i a t i o n a Implementation Copyright © 2017, Elsevier Inc. All rights reserved. 13 R i g h t d r u g R i g h t The “Six Rights” of Medication Administration Copyright © 2017, Elsevier Inc. All rights reserved. 14 Audience Response System Question The day shift charge nurse is making rounds. A patient tells the nurse that the night shift nurse never gave him his medication, which was due at 2100. What will the nurse do first to determine whether the medication was given? A. B. C. D. Call the night nurse at home. Check the medication administration record. Call the pharmacy. Review the nurse’s notes. Copyright © 2017, Elsevier Inc. All rights reserved. 15 O n g o i n g Evaluation p a r t o f Copyright © 2017, Elsevier Inc. All rights reserved. 16 Audience Response System Question A nurse makes an error when administering medications to a patient. Which action by the nurse requires the supervising nurse to intervene? The nurse A. B. C. D. completes an incident report. informs the prescriber of the error. documents adverse effects to the medication error. records completion of an incident report in the medical chart. Copyright © 2017, Elsevier Inc. All rights reserved. 17