NURS 3000H Lecture Notes - Lecture 6: Nursing Care Plan, Nursing Process, Pain Management

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What is medical-surgical nursing? caring for acutely ill adults experiencing complex variations in health: nursing is very broad, primary responsibilities include: prioritization, accountability, advocacy, organization, and coordination of evidence informed care for multiple pts. Evidence informed practice: continuous interactive process involving the explicit, conscientious, and judicious consideration of the best available evidence to provide care, figure 1-1 p. 7, figure 1-2 p. 7, table 1-6 p. 7 --> five steps of eip (evidence informed practice) Advanced nursing practice: roles focus on health assessment, diagnosis, and treatment of conditions previously considered to be the physician"s domain, rapidly growing integration of technology into nursing practice as well. Documentation: proper documentation enables safe and effective pt. care, problem list: used as a basis for identifying nursing diagnoses, soap charting (subjective-objective-assessment-plan): way of documenting pt. progress (table 1-9 p. 16, electronic health records (e. h. r. ): electronic collection of health care data used among many agencies.

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