F7.7 Identify safety factors that should be considered when utilizing cold therapy. F12.2 Implement safety standards related to assessment. F17. 3. Explain safety concerns related to the care of geriatric patients. F18.7 Identify safety precautions to take when performing phlebotomy procedures. Ped 2.12 Identify environmental hazards. Ped 8.7 Describe methods of holding a child. MHN 1.6 State the actions the practical nurse should take when unexpected responses occur. MHN 5.8 List the indicators that a patient has for potential violence. MHN 5.9 Describe mechanisms to prevent violence. MHN9.10 Discuss the role of the practical nurse in protecting the suicidal patient. Provide client with appropriate method to signal staff members F10.11a List the steps of: a. Orientating a patient to a nursing unit. Evaluate the appropriateness of health care provider order for client* P3.5 – Document adverse effects to medications or parenteral therapy; P4.12 – Apply the six rights for injection administration P7.8 – Reinforce teaching regarding IV therapy. Emergency Response Plan Emergency Response Plan Identify nursing and assistive personnel roles during internal and external disasters LTCNA 4.16 Explain an evacuation plan for a healthcare setting. LTCNA 4.17 Execute an emergency plan in response to a natural disaster or other emergency. Participate in preparation for internal and external disasters (e.g. fire or natural disaster)* LTCNA 4.16 Explain an evacuation plan for a healthcare setting.
Identify situations requiring completion of occurrence/variance report (e.g., medication administration error, client fall) P4.13 – Document adverse effects to medications or parenteral therapy Acknowledge and document practice (e.g., incident report)* P4.8 – Monitor for actual and potential adverse effects of medications; P3.11 – Identify symptoms or evidence of adverse effect of medications related to allergic reaction Monitor client response to P3.10 Follow procedures to counteract adverse effects of medications. P3.11 Identify symptoms or evidence of adverse effect of medications. P3.12 Identify and document response to actions taken to counteract adverse effects of medications. P4.9 Identify and document response to action taken to counteract adverse effects to parental medications. P4.10 Identify symptoms or evidence of adverse effect of parenteral medications related to allergic reaction. P4.14 Notify primary health care provider actual or potential adverse effects of patient's medications or parenteral therapy. P8.10 Document patient's adverse effects to IV therapy Least Restrictive Restraints and Safety Devices Least Restrictive Restraints and Safety Devices Demonstrate knowledge of appropriate application of restraints/safety devices LTCNA 4.7 Demonstrate application of ordered restraints. LTCNA 4.8 Demonstrate proper safety procedures for an immobilized resident
Use aseptic and sterile techniques* F1.10 Demonstrate the ability to set up a sterile field F1.11 Demonstrate the ability to perform a sterile dressing change. F6.15 Demonstrate the ability to set up a sterile field. Use appropriate supplies to maintain asepsis (e.g., gloves, mask, sterile supplies) F1.10 Demonstrate the ability to set up a sterile F1.11 Demonstrate the ability to perform a sterile dressing change. P6.8 – Perform a peripheral venipuncture utilizing standard precautions guidelines. Use correct techniques to apply and remove gloves, mask, gown and protective eye wear F13.18 Demonstrate the ability to use correct techniques to and remove mask, gown, gloves and protective eyewear. Use correct hand hygiene techniques 8.1 Apply infection control procedures including standard precautions and handwashing techniques. Prevent environmental spread of infectious disease through correct use of equipment F1.6 Describe various types of wound care equipment. Protect immunocompromised client from exposure to infectious diseases/organisms Monitor client care area for sources of infection LTCNA 4.10 Identify environmental hazards Set up a sterile field F1.10 Demonstrate the ability to set up a sterile F6.15 Demonstrate the ability to set up a sterile field Reinforce appropriate infection control procedures with client and staff members F1.7 Implement safety standards related to wound care. Health Promotion and Maintenance The LPN/VN provides nursing care for client that incorporate knowledge of expected stages of growth and development and prevention and/or early detection of health problems. Health Promotion and Maintenance The practical/vocational nurse provides nursing care for clients that incorporate knowledge of expected stages of growth and development, and prevention and/or early detection of health problems. Aging Process Process
Reinforce teaching to client on required adaptations for performing activities of daily living (e.g., shower chair, hand rails) Rest and Sleep Rest and Identify client usual rest and sleep patterns (e.g., bedtime, sleep rituals) LTCNA 6.7 Identify factors that affect relaxation/sleep Provide measures to promote LTCNA 6.8 Identify action that can promote relaxation/sleep Schedule client care activities to promote adequate rest and sleep LTCNA 6.8 Identify action that can promote relaxation/sleep Pharmacological Therapies – The LPN/VN provides care related to the administration of medications and monitors clients who are receiving parenteral therapies. Pharmacological Therapies – The LPN/VN provides care related to the administration of medications and monitors clients who are receiving parenteral therapies Adverse Effects/Contraindications/Side Effects/Interactions Adverse Effects/Contraindications/Side Effects/Interactions Identify potential and actual incompatibilities of client medications P2.1 – Gather information about medications; Identify a contraindication to the administration of a prescribed or over-the-counter medication to the client P2.1 – Gather information about medications; Identify symptoms of an allergic reaction (e.g., to medication) P3.12 – Identify and document response to actions taken to counteract adverse effects of medications; P4.11 – Identify symptoms or evidence of adverse effect of medications related to allergic reaction Implement procedures to counteract adverse effects of medications P2.1 – Gather information about medications; P3.6 – Recognize or question prescriptions that may increase risk of accident or error;
P3.10 – Follow procedures to counteract adverse effects of medications; P4.8 – Monitor for actual and potential adverse effects of medications; P4.10 – Implement and document nursing actions that will counteract adverse effects of patient’s medications Withhold medication dose if client experiences adverse effect to medication Monitor and document client response to actions to counteract adverse effects of medications MHN4.3 List the action, side effects, adverse reactions and nursing administration cautions for two prototype medications in each classification. P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, basic teaching); P3.5 – Document adverse effects to medications or parenteral therapy; P3.10 – Follow procedures to counteract adverse effects of medications; P4.8 – Monitor for actual and potential adverse effects of medications; P4.13 – Document adverse effects to medications or parenteral therapy. Monitor client for actual and potential adverse effects of medications (e.g., prescribed, over-the-counter and/or herbal supplements) MHN4.3 List the action, side effects, adverse reactions and nursing administration cautions for two prototype medications in each classification. P3.11 – Identify symptoms or evidence of adverse effect of medications related to allergic reaction. Monitor anticipated interactions among client prescribed medications and fluids (e.g., oral, IV, subcutaneous, IM, topical) MHN4.3 List the action, side effects, adverse reactions and nursing administration cautions for two prototype medications in each classification. P3.6 – Recognize or question prescriptions that may increase risk of accident or error.
Monitor and document client side effects to medications P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, basic teaching); Monitor and document client response to management of medication side effects including prescribed, and herbal supplements P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, basic teaching); Reinforce client teaching on possible effects of medications (common side effects or adverse effects, when to notify primary health care provider) Notify primary health care provider of actual/potential adverse effects of client medications MHN4.4 List patient instructions for each of the selected prototype medications MHN4.5 Discuss the importance of therapeutic medication levels as it applies to psychotropic medications P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, basic teaching); P3.8 – Reinforce teaching on possible adverse effects of P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, basic teaching); P3.6 – Recognize or question prescriptions that may increase risk of accident or errormedications; Dosage Calculations Dosage Calculations Perform calculations needed for medication administration* P1.1 – Perform conversions within the metric system; P1.2 – Determine equivalents among systems of measurement; P1.3 – Calculate medication dosages; P6.6 – Calculate IV drip rates Use clinical decision making when calculating doses P1.1 – Perform conversions within the metric system; P1.2 – Determine equivalents among systems of measurement; P1.3 – Calculate medication dosages Expected Actions/Outcomes Expected Actions/Outcomes
P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, basic teaching); P4.9 – Evaluate the effectiveness of an injection. Use resources to check on purposes and actions of pharmacological agents MHN4.1 List the common classifications of psychotropic medications. P2.1 - Gather information medications. knowledge of pathophysiology when addressing client pharmacological agents Monitor client use of medications over time (e.g., prescription, over-the-counter, home remedies) P3.14 – Determine responses to prescription and medications and home remedies. Reinforce education to client regarding medications* MHN4.4 List patient instructions for each of the selected prototype medications P2.1 - Gather information about medications; P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, teaching); P3.8 – Reinforce teaching on possible adverse effects of medications; Reinforce client teaching on actions and therapeutic effects of medications and pharmacological interactions MHN4.5 Discuss the importance of therapeutic medication levels as it applies to psychotropic medications P2.1 - Gather information medications; P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, basic teaching); Evaluate client response to medication* P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, teaching); P3.9 – Evaluate the effectiveness of medication administration; P4.9 – Evaluate the effectiveness of an injection Medication Administration Medication Administration
Identify client need for PRN medications Mix client medication from two as necessary (e.g., insulin) P2.1 - Gather information about medications; P4.2a – Prepare medications from vials; P4.3 – Combine two medications in one syringe for injection. Follow the rights of medication administration* P3.4 – Apply the six rights of medication administration; P4.12 – Apply the six rights of injection administration; P8.1 – the six rights of IV medication administration. Maintain medication safety practices (e.g., storage, checking for expiration dates or compatibility)* P2.2 – Describe the general classifications of medications (expected, side effects, responses, implications, basic teaching); P4.12 – Apply the six rights of injection administration. Reconcile and maintain medication list or medication administration record (e.g., prescribed medications, herbal supplements, over-the-counter medications)* P2.1 - Gather information about medications; Collect required data to medication administration* P2.1 - Gather information about medications; Assist in preparing client for insertion of central line F13.2 Assess patient’s preparation status for diagnostic test, procedure or surgery. F13.18 b. Prepare a patient for procedure or surgery F13.18 c. Complete a pre-operative checklist Administer medication by oral route* P2.1 - Gather information about medications; 3.3a – Administer medications via the following route: oral; P3.2 – Discuss preparation required before administering oral or topical medications Administer intravenous piggyback (secondary) medications* P8.4 – Administer IV piggyback medications Administer medication by gastrointestinal tube (e.g., nasogastric [NG] tube, g-button or j-tube)* P3.3g – Administer medications via the following routes: nasogastric or gastric tube