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Cards In This Set
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Tympanic thermometers
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Place pinna back, up and out for adult. Not used for infants less than one, with patients with ear infections or after ear surgeries.
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Rectal thermometers
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Use lubricant, insert 1- 1/2 inches for adult, never force. If feel resistance withdraw immediately. Place patient in side-lying position.
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Independent nursing interventions
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Those interventions that must be verified with the nursing care plan or primary nurse. Can be delegated to nursing assistant. EX: turning and repositioning, deep breathing exercises, skin care.
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Dependent nursing interventions
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Invasive procedures and medically determined therapies which must be verified with health care provider's order. Such as medication, urinary catheterization and wound care.
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Nursing Process
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Assessment, diagnosis, planning, implementation and evaluation
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Sources of evidence based practice
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Research studies, quality improvement data, risk management data, audits, clinical experts, infection control data
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Medical asepsis
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Procedures to reduce the number of and spread of microorganisms- hand hygiene, PPE, routine environmental cleaning
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Surgical asepsis
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Sterile technique, including procedures used to eliminate All microorganisms from an area
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Hospital acquired infection
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Infection that is acquired in a health care facility
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Routes of microorganism transmission
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Contact, droplet, airborne, common vehicle, vector-borne
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Contact precautions
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Direct patient to environmental contact, gown, gloves, private room
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Airborne precautions
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Droplet nuclei smaller than 5 microns, measles, chickenpox (varicella), TB private room, respiratory isolation, negative pressure room, special respirator mask.
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Droplet precautions
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Droplets larger than 5 microns, diphtheria, streptococcal pharyngitis, pertussis, mumps, private room, mask
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Applying PPE
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Gown, mask, goggles, gloves
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Removing PPE
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Gloves, goggles, gown, mask
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