Management of Nursing Care Flashcards

What clinical assessment framework is commonly used in NZ nursing for systematic patient assessment?

Answer: The head-to-toe systematic assessment using inspection, palpation, percussion, and auscultation

NZ nurses perform comprehensive patient assessments using a systematic head-to-toe approach incorporating the four techniques: inspection (looking), palpation (feeling), percussion (tapping), and auscultation (listening), alongside vital signs and history taking.

What is ISBAR and how is it used in NZ nursing communication?

Answer: Introduction, Situation, Background, Assessment, Recommendation — a structured communication tool for clinical handover

ISBAR (Introduction, Situation, Background, Assessment, Recommendation) is the structured communication framework used widely in NZ healthcare for clinical handover, escalation, and referral to ensure critical information is communicated clearly.

Under NZ nursing standards, what constitutes a medication error?

Answer: Any deviation from the prescriber's order or standard medication administration protocols, whether or not harm occurred

A medication error in NZ is defined as any deviation from the prescriber's order or established protocols, including wrong drug, wrong dose, wrong time, wrong route, wrong patient, omission, or documentation errors — regardless of whether harm occurred.

What is the NZ nurse's responsibility regarding care planning?

Answer: Develop individualised, evidence-based care plans in partnership with the patient and review them regularly

NZ nurses must develop individualised care plans based on their assessment, using evidence-based interventions, in partnership with the patient and their whānau/family. Plans must be reviewed and updated regularly based on evaluation of outcomes.

What is the NZ standard for nursing documentation regarding timeliness?

Answer: Documentation must be completed contemporaneously — at the time of or as soon as possible after the care is provided

NZ nursing standards require contemporaneous documentation — records should be completed at the time care is provided or as soon as practicable afterwards. Delayed documentation risks inaccuracy and can have legal implications.

What is the NZ nurse's role in discharge planning?

Answer: Begin discharge planning from admission, coordinate with the multidisciplinary team, and ensure the patient understands their ongoing care needs

In NZ, discharge planning should begin at admission. Nurses play a key role in coordinating with the multidisciplinary team, assessing home care needs, educating the patient and whānau, and ensuring follow-up arrangements are in place.