importance/initial nursing admission assessment-relationship to ethical/profess/legal role of RN

importance/initial nursing admission assessment-relationship to ethical/profess/legal role of RN

1. importance

   • emphasis in nurse training/education
     • competancies=attitude/knowledge&skills
   • forms foundation for planning of care
     • planning care transitions begins
     • consistency in processes of care
     • can be used as a tool to measure effectiveness
   • assessment & collaboration keys to high quality client care
     • adequate baseline pt data - foundation element of risk management
       • tools - hendrich falls score
       • nurse acuity planning
         • nurse sensitive outcomes
       • data tracking
   • all nursing decisions and actions based on initial & ongoing assessments
     • effectiveness of rest of nursing process relies on accuracy/thoroughness of assessment
     • collecting appropriate data key to accurate & comprehensive assessment
       • goal directed interview
   • applicable to diverse areas of prcatice
   • provides a baseline to compare future assessments to

2. subjective & objective data

   • physical
   • emotional
   • spiritual
   • social
     • economic
   • primary source data(direct from client)
     • subjective - symptoms as described by pt/answers to health history q's
     • objective - lab results
   • secondary sources - family members/carers

3. client population/professional body- mandates legal/ethical accountability

   • personal ethics
     • ?admitting pt for termination
   • professional ethics/standards
     • people in your care must be able to trust you with their health & wellbeing
       • care of people 1st concern /treat as individuals/respect dignity
       • work with others tp protect/promote health/wellbeing of those in your care/families/carers/wider community
       • be open/honest - act with integrity/uphold reputation of profession