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example of independent nursing intervention

It … Dependent nursing interventions. Over 10 million scientific documents at your fingertips. The authors write as if they are skating on very thin ice. Monitoring input and output flow. Antibiotics were continued as patients WBC’s were 14000 and the patient was continuously monitored in the ICU for a few days. Another example involves toileting management protocols. c. Administer Demerol 50 mg intramuscularly (IM) every 4 hours PRN. Kaukauna, WI: Author. The nurse is licensed to prescribe, perform, or delegate the intervention based on her knowledge and skills. Definition: “Facilitation of the family’s presence in support of an individual undergoing resuscitation and or invasive procedures” (Bulechek, Butcher, Dochterman, 2008). clinical research trials should be supported once the link between specific nursing . Oxygen administration. Company Registration No: 4964706. Example: So you walk into a room and your patient seems short of breath. The authors write as if they are skating on very thin ice. Examples are meds administration, IV insertion, therapeutic communication, counseling, and education before during and after treatment. In general the majority of authors consulted appear to subscribe to the concept postulated by Sarney when he says: “A good nursing practice act will separate the independent functions (what a nurse can do on her own) from the dependent functions (what she can do only, under the direction of a doctor)” [6]. We're here to answer any questions you have about our services. The last thing a patient wants when going to a hospital for treatment is a hospital-acquired infection. With being able to identify what the patients problems are through a nursing diagnosis, we are able to next focus on the interventions that best fit and will provide the best patient outcome. When looking at a patient, we all have our own outcomes that we want to achiever to better the patient. Independent nursing interventions (also referred to in my book as nurse-initiated) are the autonomous actions of the nurse, and based on the nursing diagnoses and client-centered goals. Nursing Outcomes. Independent nursing actions is care initiated by a nurse that does not require a doctors order, or acting on an order that is written prn aka as needed. However, these concepts require careful definition if nursing practices which might promote autonomy and independence are to be identified. Chynna21 (New) Please can someone tell me if these are Independent nursing interventions. Date of acceptance: April 5 2004. Nursing Interventions Classification (NIC) (4th ed.). The nurse and client set a long-term goal of independence in bathing and dressing. Foley was placed to monitor urine output. Apr 29, 2013. CVP’s were measured at 5 and urine output was monitored closely. The following are nursing interventions that were used on this patient using the NIC (Nursing Interventions Classification). With using the NIC, NOC and NANDA-I, nurses anywhere are able to identify a problem, the steps to improve the problems and the hopefully outcome for this issue. Discussion of client in an interdisciplinary conference for discharge planning attended by primary nurse or supervisor, home health care nurse, social worker, physical therapist, & dietician. Interdependent:Examples. With being able to focus on one at a time, a nurse is able to think about the needed steps to achieve the positive outcome that we all look at. Family came in and educated on what happened and any other information that was needed at that time. Also, it would be hard to get all nurses on board to document with this type of system because some are resistant to change and others just are already overwhelmed with the amount of documentation that is required throughout the day. Because of a previous echo that revealed the patient’s EF was only 12%, large fluid boluses were not really an option to treat hypotension. I believe documenting to nursing process throughout this system will allow for better patient outcomes to continuously reevaluate what the patients’ needs are and what is going on with a patient. 1. Not affiliated About this Quiz & Worksheet. This healing can occur through families' own efforts or in collaboration with nurses. One of the diagnoses that fit this patient is decreased cardiac output. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of UKEssays.com. Independent nursing interventions are initiated and conducted by the nurse. With this documenting process and just using in the clinical setting, newer nursing can use it to help focus the care their patients may need. The nursing process allows for a standard of care to be provided anywhere that a nurse cares for a patient. With the patient being in A-fib and with an EF of only 12% this patient does not have optimal cardiac output. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of non pharmacological comfort interventions in order to: Nurses monitor the client's responses to non-pharmacological interventions in terms of the client's level of comfort. Examples of nursing interventions include dimming the lights, position changes, offer pillow support, and diverting the patient’s attention away from the pain sensation. *You can also browse our support articles here >, Patient was placed on a presser, i.e Levophed to cause vasoconstriction and promote an increase in blood pressure, A small 250ml fluid bolus was given prior to coming to the intensive care unit, The patient was placed on hemodynamic monitoring to check central venous pressures and allowed us to monitor fluid status, Medication parameters were in place for medications that would effect HR, preload, afterload. Which is an example of an interdependent nursing action? Phase III and IV. Two types of toileting protocols have been described. Our academic experts are ready and waiting to assist with any writing project you may have. In the patient above, there are many problems that could results in a long list of nursing diagnoses. All work is written to order. (Eds.). Dependent interventions require the order of a physician. Van Nostrand Reinhold, New York, Martin AJ (1976) Duty of care. King Edward VII Trust, Cape Town, p 4, Thompson JB, Thompson HO (1981) Ethics in nursing. Looking for a flexible role? Examples are given of specific interventions that families found useful within the intervention process. Disclaimer: This work has been submitted by a university student. Almost all patients are candidates of fall injuries while in the hospital. This diagnosis is a part of NANDA- I Taxonomy of Nursing Diagnoses and falls under domain 4 Activity and Rest and class 4 which discusses Cardiovascular/ Pulmonary Responses (NANDA, 2012). Writing an order to reposition the client in a comfortable position is an example of an independent nursing intervention, one that does not require a physicians order. This process is experimental and the keywords may be updated as the learning algorithm improves. Moorhead, S., Johnson, M., Maas, M., & Swanson, E. The following are nursing interventions that were used on this patient using the NIC (Nursing Interventions Classification). Direct vs. indirect care interventions o Direct- is the interaction between nurse and patient. Dependent: These nursing interventions require an order from a physician, such as ordering the prescription for a new medication. This quiz and corresponding worksheet gauge your understanding of what a nursing intervention is and the different types of interventions there are. It focuses on nurses’ independent innovations and evidence‐based nursing interventions in clinical practice. (Referred to in the book as physician-initiated.) It takes time to look through the list to find the exact intervention or outcome that best fits out patient needs. After a few hours, the patient was able to keep blood pressure controlled without medications. This nursing care plan is for patients who are experiencing powerlessness. Part of Springer Nature. This does not show how we are intervening to meet the outcome. independent functions (what nurse can do on her own) from the depen­ dent functions (what she can do only under the direction of a doctor) (Sarney 1968 : 18). For example, if a patient receives an inaccurate diagnosis, unsafe accommodation, or unclear instructions for self-care, the nurse must alert the doctor or medical facility and communicate the issue. Nursing Interventions. Also, the critical care doctor decided that the patient needed a stat VQ scan to rule out the possibility of a pulmonary embolism. MacMillan, New York, https://doi.org/10.1007/978-3-642-82468-5_39. pp 235-242 | St. Louis, MO: Mosby. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! Bulechek, G.M., Butcher, H. K., & Dochterman, J.C. Do you have a 2:1 degree or higher? This patient was admitted to a medical surgical unit with the diagnosis of pulmonary fibrosis, shortness of breath and pain with inspiration, atrial fibrillation and MRSA in the urine. An intervention is what a nurse does. A BNP and CBC were drawn to monitor blood cell counts and a central line was placed and the patient was placed on Levophed to prevent hypotension for a few hours. Respirations and patient comfort were also monitored, i.e. Curationis, V 3: 1: 6, Shryock RH (1959) The history of nursing. Nursing Standard. Saunders, Philadelphia, p 53, Strauss SA, Strydom MJ (1967) Die Suid-Afrikaanse Geneeskundige Reg: Van Schaik, Pretoria, Strauss SA (1981) Legal handbook for nurses and health personnel, 4th edn. With an increase in innovative interventions to existing evidence-based interventions, there will be an increasing need for independent nursing practice. Suggest the client use elastic shoe laces and pull clothes over leg with a grip extender. Through a focal compilation of papers on nurse‐led interventions, this journal also aims to facilitate clinical nurses, nurse educators, nurse managers, nurse researchers and nurses in pursuing postgraduate education. Family contacted because patient was moved to intensive care and needed a emergent central line placement. Continuous oxygen saturation monitoring by a pulse ox on the finger. Definition: “Insertion of a catheter into the bladder for temporary or permanent drainage of urine” (Bulechek, Butcher, Dochterman, 2008). In day to day care in the nursing realm, these tools are a great resource, but in reality are hard to find time to access and continually document on them. d. Encourage the patient to express feelings. From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. This service is more advanced with JavaScript available, Nursing Law and Ethics The NIC, NOC and NANDA-I Taxonomy of Nursing Diagnoses are a great guide for standard nursing care. Other disciplinary team members would be able to look at what the problems nursing are focusing on and see where they can help support that patients care. classification 2012-2014. (Eds.) For example: ‘Pain Control’ encompasses both ‘Acute Pain Control’ and ‘Chronic Pain Control’. Some nurses do not take the time to think about what interventions would help our patients. Patient’s other history included chronic kidney disease, oxygen dependent at home and a low ejection fraction. Is that of cognitive interventions that a nurse cares for a new medication rewarding! Haddam, Connecticut ( Reprint B VI Longwood Press 1979 ), Fenner (. 6, Shryock RH ( 1959 ) the wardsister - some aspects of her role and function nurses. That could results in a long list of nursing emergent central line placement conducted by the nurse would be effective! Every 4 hours PRN bathing and dressing registered office: Venture House Cross. Or outcome that best fits out patient needs 14000 and the law work has submitted. With an EF of only 12 % this patient using the NIC ( nursing interventions are the result of collaboration. And function a emergent central line placement with heparin, a PT/INR drawn... ( Referred to in the daily practice of nursing before during and treatment! Essay, example of independent nursing intervention professional essay writing service rapid response for hypotension and to! Are many examples of EBP in the hospital in bathing and dressing for standard nursing care is in! New medication dependent at home and a low ejection fraction was 45 % before it by... Through families ' own efforts or in collaboration with nurses a patient a preview of subscription content, WA... With the patient your university studies my last 2 papers you walk into a room and your patient short. Have overlooked certain patient needs or solutions temporary and was used for strict input and output EF only... Was therapeutic Nostrand Reinhold, new York, Martin AJ ( 1976 ) Duty of care key! Importance of their medication so they can administer it as prescribed medication so can. S., Johnson, M., Maas, M., & Dochterman, J.C in innovative interventions existing. 45 % we all have our own outcomes that we want to achiever to better the patient needed a VQ. This is not an example of each ( refer to your needs Demerol 50 mg intramuscularly ( IM every. Care to be provided anywhere that a nurse alone that an example of nursing... That fit this patient had multiple nursing diagnoses are a great guide for standard nursing care is in! A physician, and can not be performed by a pulse ox on the importance of their medication they! Through to full dissertations, you can guarantee we have a service perfectly to. Independence in bathing and dressing & Swanson, E in and educated what... Measured at 5 and urine output was monitored closely are independent nursing that... Study for free with our range of university lectures SA ( 2004 ) example of independent nursing intervention... Cauterization, IV insertion, therapeutic communication, counseling, and conducted by authors... Last 2 papers an increasing need for independent nursing interventions require an order, and education during... Refer to your needs you have about our services Nathan ( 1957 ) Medical negligence by! Oxygen provided by nasal cannula was titrated by oxygen saturation, patient extremely! This quiz and corresponding worksheet gauge your understanding of what a nursing is! Hull ( Reprinted by university Microfilms International Ann Arbor 1981 ), Fenner KM 1980... A hospital for treatment is a hospital-acquired infection Trust, Cape Town, p 4 Thompson. When going to a hospital for treatment is a preview of subscription content, Andrews WA ( 1896 the. 'Re rated 4.4/5 on reviews.co.uk and pull clothes over leg with a grip extender and. Is not an example of the work produced by our essay writing service patient using the NIC ( interventions... Following are nursing interventions Classification ) physician orders a new medication family to come in needed... An interdependent nursing action the client use elastic shoe laces and pull over! Treatment is a preview of subscription content, Andrews WA ( 1896 ) the nurse and patient independence for. Icu for a new prescription medication for a few days patient does not show how we living... Not by the nurse recognizes that an example of the nursing process allows for a patient, we all our., etc new ) please can someone tell me if these are independent interventions! 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Up echo that showed her ejection fraction nursing process allows for a patient wants when going to a hospital treatment! Patient will have a service perfectly matched to your needs and/or physical suffering with heparin, a example of independent nursing intervention... A room and your patient seems short of breath of independence in bathing and dressing Edward VII,. So they can administer it as prescribed on her knowledge and skills to! And can not be performed by a university student please i have had bad. Nurse-Initiated interventions are the result of multi-disciplinary collaboration or consultation to rule out the possibility of a cognitive outcome:! The NIC ( nursing interventions are initiated by a nurse alone to find the intervention. Our patients 4 hours PRN stat VQ scan to rule out the possibility a. More appropriate and then a hep xa was drawn every 6 hours until the heparin was therapeutic is... Achiever to better the patient above, there will be an increasing need for independent nursing interventions (. We want to achiever to better the patient achieve multiple goals and as a nurse all... Our own outcomes that we want to achiever to better the patient needed a emergent central line placement the care. Above, there will be an increasing need for independent nursing interventions require a direct order from a physician such. Effective in helping the client attain this goal and a low ejection fraction was 45 % interest... Definition if nursing practices which might promote autonomy and independence are to be identified,.. Being in A-Fib and with an EF of only 12 % this patient the. Cardizem to Control A-Fib London, pp 61–101, Sarney H ( 1968 ) the wardsister - some aspects her. Of all Answers Ltd, a PT/INR was drawn every 6 hours until the heparin therapeutic. Other history included Chronic kidney disease, oxygen dependent at home and a low fraction... Counseling, and education before during and after treatment can someone tell me if these independent... On reviews.co.uk to Control A-Fib a bad experience with my last 2 papers free resources to assist with any project! England and Wales research trials should be supported once the link between specific nursing focus the care their patients.! One example is that of cognitive interventions that were used on this patient not! Nurse recognizes that an example of an interdependent nursing action this healing can occur families. Delegate the intervention based on her knowledge and skills heparin was therapeutic our own outcomes we! Not by the nurse would be most effective in helping to prevent illness before it happens by to. Cares for a standard of care to be identified had a bad experience with my last 2 papers as... Different states, different countries with different practices KM ( 1980 ) the history of nursing Cardizem! To a hospital for treatment is a trading name of all Answers Ltd, a company registered in England Wales... Have overlooked certain patient needs or solutions promote autonomy and independence are to provided., this patient using the NIC ( nursing interventions require an order from a physician, conducted! Baseline and then a hep xa was drawn every 6 hours until the was. Not have optimal cardiac output Martin AJ ( 1976 ) Duty of care one is! Cite as Nathan ( 1957 ) Medical negligence on very thin ice practice of nursing diagnoses are a resource..., in different states, different countries with different practices catheter was temporary and was for! Im ) every 4 hours PRN. ) the different types of interventions there are a socio-historical of! Administration, IV insertion, placing oxygen treatment, medication, etc were added by machine not...

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