NATIONAL AMERICAN

UNIVERSITY

BLOOMINGTON CAMPUS BSN PROGRAM Nursing 3360: Holistic Nursing Care in Acute Illness I Spring 2014 Learning Plan 8 Infection Control Infectious Disease O !ecti"e o# t$e Course%Co&petenc': (e&onstrate t$eoretical principles an) a ilit' to per#or& sa#e* e##ecti"e an) e##icient ps'c$o&otor s+ills, no!le"#e an" s$ills lea"in# to %aster& of t'is co%(etenc& a) E*(lain t'e interrelations'i(s a%on# t'eor&+ (ractice+ an" researc') ,) Inte#rate t'eories an" conce(ts fro% li,eral e"ucation into nursin# (ractice) c) Deter%ine t'e a((lication of (s&c'o%otor s$ills for t'e efficient+ safe+ an" co%(assionate "eli-er& of client care) ") Maintain o(ti%u% le-el of (ain relief+ o*&#enation+ (atenc& of air!a&+ a"%inistration of intra-enous t'era(&+ an" inte#rit& of %e"ical su((lies an" e.ui(%ent) e) Pro%ote res(irator&+ circulator&+ car"io(ul%onar&+ #astrointestinal+ #enitourinar&+ inte#u%ent+ an" %usculos$eletal functionin#) f) Pro%ote t'e nutrition an" flui" ,alance+ eli%ination+ ('&sical acti-it&+ restoration or %aintenance of ('&sical e+ ('&sical co%fort+ rest an" slee(+ an" (ersonal '&#iene of t'e client) 1, Ac-uire +no.le)ge t$at pro&otes t$e sa#e )eli"er' o# prescri e) &e)ications, no!le"#e an" s$ills lea"in# to %aster& of t'is co%(etenc& a) Esta,lis' a foun"ational un"erstan"in# of t'e %e"ication a"%inistration (rocess) ,) I"entif& sources of infor%ation necessar& to a"%inister (rescri,e" %e"ication+ inclu"in# co%(ati,ilit& an" interactions a%on# (rescri,e" %e"ications an" co%(le%entar& su,stances) c) Deter%ine t'e safe ran#e of t'e "osa#e (rescri,e") ") Calculate "osa#e necessar& to a"%inister (rescri,e" %e"ications) e) De%onstrate t'e a,ilit& to follo! (roce"ure for !or$in# !it' controlle" su,stances) 2, /0plain t$e purposes* rationales* an) in)ications #or "arious nursing actions, no!le"#e an" s$ills lea"in# to %aster& of t'is co%(etenc& a) Incor(orate a %o"el of critical t'in$in# !'en %a$in# clinical /u"#%ents an" "ecisions) ,) Cite nursin# an" associate" literature t'at su((orts t'e nursin# action)

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Deli-er co%(assionate+ client0centere"+ e-i"ence0,ase" care t'at res(ects client an" fa%il& (references) ") E*(lore ('eno%ena in nursin# t'at relates to t'e 'u%an res(onse to illness) Ac-uire +no.le)ge #ro& t$e e$a"ioral* iological an) p$'sical sciences necessar' to pro"i)e si&ple to inter&e)iate le"el nursing actions, no!le"#e an" s$ills lea"in# to %aster& of t'is co%(etenc& a) S&nt'esi1e t'eories an" conce(ts fro% li,eral e"ucation to ,uil" an un"erstan"in# of t'e 'u%an e*(erience ,) I"entif& sources of infor%ation necessar& to "eli-er nursin# actions to clients an" fa%ilies !'o are e*(eriencin# illness) c) Incor(orate t'eories of a#in# !'en (ro-i"in# care for #erontolo#ical clients) ") E*(lore t'e Patterns of no!in#) (ocu&ent pertinent* accurate an) co&plete client care in#or&ation, no!le"#e an" s$ills lea"in# to %aster& of t'is co%(etenc& a) Incor(orate a stan"ar"i1e" ter%inolo#& in a care en-iron%ent t'at reflects nursin#2s uni.ue contri,ution to (atient outco%es) ,) E*a%ine infor%ation an" electronic %e"ical recor" s&ste%s use" to "ocu%ent client infor%ation) c) E*(lain t'e use of CIS s&ste%s to "ocu%ent inter-entions relate" to ac'ie-in# nurse sensiti-e outco%es) (e&onstrate a)"ancing +no.le)ge an) s+ill in i&ple&enting t$e nursing process in client care an) critical t$in+ing acti"ities, no!le"#e an" s$ills lea"in# to %aster& of t'is co%(etenc& a) Articulate t'e co%(onents of t'e nursin# (rocess3 Assess%ent+ "ia#nosis+ outco%e i"entification+ (lannin#+ i%(le%entation+ an" e-aluation) ,) Relate t'e si* co%(onents of t'e nursin# (rocess to t'e nurse2s clinical reasonin#) c) Discuss t'e si#nificance of nursin# "ia#nosis for nursin# (ractice) ") Differentiate ,et!een a %e"ical an" nursin# "ia#nosis) e) Discuss t'e cate#ori1ation of nursin# "ia#nosis ,& functional 'ealt' (atterns) f) E*(lore t'e four t&(es of "ia#nostic state%ents3 Actual+ ris$+ (ossi,le+ an" !ellness) #) E*(lain t'e (ur(oses of outco%e i"entification an" (lannin#) ') E*(lore Nursin# Outco%es Classifications an" Nursin# Inter-ention Classification) i) E*(lain t'e (ur(oses of i%(le%entation an" e-aluation) /) E*(lain acti-ities t'e nurse carries out to effecti-el& use t'e nursin# (rocess) /0plore t$e stress* an0iet'* coping an) a)aptation o# t$e client an) #a&il', no!le"#e an" s$ills lea"in# to %aster& of t'is co%(etenc& a) In-esti#ate t'e conce(ts of stress+ an*iet&+ co(in# an" a"a(tation) ,) E-aluate (erson en-iron%ent factors t'at contri,ute to t'e e*(erience of stress an" an*iet&) c) E*a%ine t'e i%(ortance of co#niti-e a((raisal in e*(eriencin# stress) ") Deter%ine strate#ies to %ana#e stress an" illness) e) Deter%ine !'en (ro,le%0focuse" an" e%otion0focuse" co(in# s'oul" ,e use")

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O"er"ie.:

T'e inci"ent rate of clients "e-elo(in# infections as a result of a 'os(ital sta& an"4or (roce"ure is on a rise) T'e 5oint Co%%ission 6T5C7 'as -ie!e" t'is as a client safet& issue) Infection (re-ention an" control are essential for creatin# a 'ealt' en-iron%ent t'at is safe for ,ot' clients an" staff) Clients an" t'eir fa%ilies nee" to ,e a,le to reco#ni1e sources of infection an" institute (rotecti-e %easures) Nurses an" ot'er 'ealt' care !or$ers %ust (rotect t'e%sel-es fro% contact !it' infectious %aterials an"4or co%%unica,le "isease ,& usin# a((ro(riate (ersonal (rotecti-e e.ui(%ent 6PPE7 an" ,& usin# $no!le"#e of t'e infectious (rocess) Learning Acti"ities: Le.is: C'a(ter 89 Infection an" :IV Infection Potter an) Perr' C'a(ter ;< Infection Pre-ention an" Control A2I A)ult 3e)ical4Surgical Nursing S+ills 3o)ules C'a(ter 8=>0Bacterial+ Viral+ ?un#al an" Parasitic Infections A2I 5un)a&entals: C'a(ter 88 Infection Control 6e"ie.: Center for Disease Control 6'tt(344!!!)c"c)#o-73 o 'tt(344!!!)c"c)#o-4nci"o"4"'.(4("f4infDis4C"iff@CC5M=;@=>)("f o 'tt(344!!!)c"c)#o-4nci"o"4"'.(4("f4ar4%"roGui"eline;==>)("f o 'tt(344!!!)c"c)#o-4nci"o"4ei"4-olAno;4!en1el)'t% o 'tt(344!!!)c"c)#o-4'an"'&#iene4trainin#4interacti-eE"ucation4 o 'tt(344!!!)c"c)#o-4cancer4s$in4 o 'tt(344!!!)c"c)#o-4-accines4-("0-ac4s'in#les4"is0fa.s)'t% Co&e to class prepare) to )iscuss: Infection (re-ention an" control o Infectious A#ent o Portal of E*it o Mo"es of Trans%ission o Portal of Entr& o :an" '&#iene o Pre-ention Isolation an" isolation (recautions o PPE o Ba##in# linen an" tras' o Trans(ortin# clients E%er#in# an" ree%er#in# "isease o L&%e "isease o Best Nile -irus

o Influen1a A o E,ola -irus o Se-ere acute res(irator& s&n"ro%e 6SARS7 o Di('t'eria o Pertussis o Measles+ %u%(s+ ru,ella Anti,iotic Resistant Or#anis%s o MRSA4VRE

Post4class3 Learning O !ecti"es: 8) E*(lain relations'i( ,et!een c'ain of infection an" trans%ission of infection ;) I"entif& clients %ost at ris$ for infection C) Descri,e si#ns4s&%(to%s of a locali1e" infection an" t'ose of a s&ste% infection D) E*(lain con"itions t'at (ro%ote t'e trans%ission of 'ealt' care0associate" infection 9) E*(lain t'e rationale for stan"ar" (recautions >) Perfor% (ro(er (roce"ures for 'an" '&#iene A) E*(lain 'o! infection control %easures %a& "iffer in t'e 'o%e -ersus 'os(ital <) Pro(erl& "on a sur#ical %as$+ sterile #o!n+ an" sterile #lo-es E) E*(lain (roce"ures for eac' isolation cate#or& 8=) Discuss t'e i%(act of e%er#in# an" ree%er#in# infections on 'ealt' care