Management of Nursing Care Flashcards

Under NCNZ competencies, what is the nursing process that guides clinical decision-making in NZ?

Answer: Assessment, planning, implementation, and evaluation (APIE)

The nursing process used in NZ follows the APIE framework: Assessment (gathering data), Planning (setting goals and interventions), Implementation (carrying out care), and Evaluation (reviewing outcomes and adjusting care).

What is the NZ nurse's responsibility regarding medication administration?

Answer: Adhere to the 'five rights': right patient, right drug, right dose, right route, right time

NZ nurses must adhere to the 'five rights' of medication administration: right patient, right drug, right dose, right route, and right time. Additional checks include right documentation and right reason.

What is the NZ requirement for nurses regarding informed consent?

Answer: Nurses must ensure patients have received adequate information to make informed decisions about their care and that consent is voluntary

Under the Code of Health and Disability Services Consumers' Rights, NZ nurses must ensure patients receive adequate information, understand it, and give voluntary consent. Nurses also have a role in assessing ongoing consent throughout care.

Under NZ nursing competencies, what is the nurse's role in infection prevention and control?

Answer: Apply standard precautions consistently, follow hand hygiene protocols, and manage transmission-based precautions as needed

All NZ nurses must apply standard precautions (hand hygiene, PPE, safe sharps management, environmental cleaning) consistently and implement transmission-based precautions (contact, droplet, airborne) when required by the patient's condition.

What is the NZ nurse's obligation regarding patient deterioration and escalation?

Answer: Recognise signs of clinical deterioration early, respond appropriately, and escalate using established systems like the NZ Early Warning Score

NZ nurses must be able to recognise signs of clinical deterioration early, respond with appropriate nursing interventions, and escalate concerns using established systems such as the New Zealand Early Warning Score (NZEWS) and ISBAR communication.

What does the NCNZ require regarding delegation of nursing care in New Zealand?

Answer: The nurse retains accountability for delegated care and must ensure the person is competent to perform the delegated task

When a NZ nurse delegates care, they retain professional accountability for the outcome. They must assess that the person to whom they delegate has the competence, knowledge, and skills to perform the task safely.