ongoing part of the nursing process determining the status of the goals

Ongoing part of the nursing process determining the

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: ongoing part of the nursing process, determining the status of the goals & outcomes of care, monitoring patient’s response to drug therapy, & clear, concise documentation Appropriate approach for giving children of different ages injections:
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- Child weighs 22 lbs Order is 10 mg/kg IV every 12 hours 2.2 lbs= 1kg 22lbs/2.2=10kg 10mg x 10kg= 100mg every 12 hours Know what an inform consent is: - Written permission obtained from a patient consenting to a specific procedure What constitutes as a medication administration error, & what should be done immediately? - Any preventable adverse drug events involving an appropriate med used by a patient or healthcare professional; they may or may not cause the patient harm - Report to prescriber & nursing management - Document error per policy & procedure - Observed changes in patient condition & follow-up Adverse effect VS side effects (both undesirable, one is unexpected other unexpected) - Adverse Drug Effect : Any undesirable occurrence related to administration of or failure to administer a prescribed medication (unexpected) - Side Effect : expected Common nursing diagnosis related to drug therapy include: - Deficient knowledge - Risk for injury - Non-compliance Measurable Outcome Goal Requirements- S.M.A.R.T. - S pecific
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M easurable A chievable R ealistic T ime-oriented Medication Reconciliation: - A procedure to maintain an accurate & up to date list of meds for all patients between all phases of health care delivery. How do you translate when there is a language barrier? - Call language line to speak to a translator When do you need to clarify a physician order? - When you can’t read the prescriber’s handwriting - When drug route is not specified How do you take a telephone order from a physician? - Record the order word for word on the health care provider’s order sheet or enter it into a computer; note the date & time; on the next line write telephone order; then write the health care provider’s name & sign your name; repeat the order; spell out the drug name if needed; pronounce dosage in single digits, route, & frequency Know the difference between Subjective & Objective Data (subjective “S” for said) - Subjective :
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