Intro to Acute Care
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The new prospective payment system implemented in 1983 to stem the rise in health care costs was
Diagnostic Related Groups
T or F: Voluntary/not-for-profit hospitals are only concerned about meeting expenses on an ongoing basis
Name the types of hospitals
- Voluntary/not-for profit
- For profit
What are the 3 goals of case management
- Promoting Self care
- upgrading quality of life
- using resources efficiently
Following the great depression the demand for hospital-based nurses increased due to
the availability of hospital insurance through blue cross
Functional nursing requires that
the RN coordinates for an entire team or unit
A major advantage of team nursing is
The RN knows the clients well
The term diagnosis-related groups (DRGs) refers to:
reimbursement of hospitals for client care based on clients’ diagnoses.
The nurse functioning in the role of case manager is responsible for managing the care of clients:
before and during the hospitalization and after discharge.
What is interaction with patients in which boundaries are blurred and the nurse's personal needs may be served rather than the patient's?
What is therapeutic care that minimizes the psychologic and physical distress experienced by kids and their families
What is the philosophy that recognizes the family as the constant in a child's life that service systems must support and enhance?
What is meaningful interaction with caring, well-defined boundaries separating the nurse from the patient?
What occurs 2 to 3 times more often in children than all other illnesses
Respiratory Tract Infections
Two basic concepts in the philosophy of family-centered pediatric nursing care are:
enabling and empowerment
An example of atraumatic care would be to
eliminate or minimize distress experienced by a child in a health care setting
What did hospitals used to be called back in the 17th and 19th century
- Homes for the incurable
- Chronic disease hospital
When was the Blue Cross Plan established?
What increased the demand for hospital-based nurses
development of insurance
What is a government sponsored hospital?
One that receives local, state or federal government support
What is a non-profit hospital?
- Sponsored/run by non-profit, tax-exempt organizations
- must still be concerned about the bottom dollar
What are for-profit hospitals
governing organizations focus is to generate profit
What is a specialty hospital?
One that has a specific focus such as orthopedics, cardiac, pediatrics
How does a nurse act as provider of care
assesses patients, comforts clients, gives meds,
How does a nurse act as an educator
teaching about dx, teaching when discharged, diabetic counseling, lactation consultant
When does nurse act as manager of care
when juggling multiple patients' needs, when in the role of manager
What is functional nursing
- assembly-line model
- CNA does ADL, direct care
- LPN passes meds
- RN assess and coordinates care
where is functional nursing mostly used
Long term care facilities
what are some advantages of functional nursing?
low cost, efficient
what are disadvantages to functional nursing?
- client interacts with several people
- psychosocial needs are seldom met
- RN seldom cares directly for patient
- breaks in communication
What is team nursing
- RN/LPN, RN/CNA, RN/LPN,CNA working together with a group of patients
- RN works with one or more health care personnel to provide care for 4 or more patients
What are the advantages of team nursing
- RN is head of team and knows clients
- more individualized care
What are disadvantages of team nursing
fairly expensive, lack of delegation skills by RNs would reduce efficiency, communication issues
What is primary nursing?
RN working independently, taking care of all needs for a group of patients
What are the advantages of primary nursing
client has same nurse, communication improved, psychosocial needs can be met, individualized care
What are the disadvantages of primary nursing?
increased cost in hiring large RN staff, can be overwhelming
Why do we need regulation and accreditation
- quality improvement
- cost effective care
- improved standards of care
- maintenance of "minimum standard"
For pediatric nursing what is the main focus
- Health promotion
- improve quality of health care for kids
- improve quality of life, increase quantity of life
What are the goals of Health People 2010
- increase quality and years of healthy life
- eliminate health disparities
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