Chapter 9 Implementation Fundamentals of Nursing: Standards & Practices, 2E Chapter 9 Implementation

Copyright 2002 by Delmar, a division of Thomson Learning Implementation Implementation is the fourth step of the nursing process. It involves the execution of the nursing plan of care derived during the planning phase of the nursing process. Copyright 2002 by Delmar, a division of Thomson Learning

Purposes of Implementation Fulfilling client needs which results in health promotion, prevention of illness, illness management, or health restoration Delegate tasks to staff members and assistive personnel Copyright 2002 by Delmar, a division of Thomson Learning

Copyright 2002 by Delmar, a division of Thomson Learning Document specific activities executed by the nurse and the client’s responses to these activities Copyright 2002 by Delmar, a division of Thomson Learning

Requirements For Effective Implementation Cognitive skills Psychomotor skills Interpersonal skills Copyright 2002 by Delmar, a division of Thomson Learning

Implementation Activities Ongoing assessment Necessary to validate the relevance of proposed interventions Allows for adaptations to be made to better individualize care Copyright 2002 by Delmar, a division of Thomson Learning

Copyright 2002 by Delmar, a division of Thomson Learning Establishment of priorities is based on Which problems are deemed most important by the nurse, the client, and family or significant others Activities previously scheduled by other departments Available resources Copyright 2002 by Delmar, a division of Thomson Learning

Copyright 2002 by Delmar, a division of Thomson Learning Allocation of resources Delegation of tasks Types of management systems Functional nursing Team nursing Primary nursing Total patient care and modular nursing Case management Copyright 2002 by Delmar, a division of Thomson Learning

Copyright 2002 by Delmar, a division of Thomson Learning Initiation of nursing interventions An action or actions performed by the nurse that help the client to achieve the results specified by the goals and expected outcomes Types of nursing interventions Standing order Protocol Copyright 2002 by Delmar, a division of Thomson Learning

Copyright 2002 by Delmar, a division of Thomson Learning Nursing Interventions Classification (NIC) Nursing intervention activities Assisting with ADL Delivering skilled therapeutic interventions Monitoring and surveillance of response to care Copyright 2002 by Delmar, a division of Thomson Learning

Copyright 2002 by Delmar, a division of Thomson Learning Teaching Discharge planning Supervising and coordinating nursing personnel Copyright 2002 by Delmar, a division of Thomson Learning

Copyright 2002 by Delmar, a division of Thomson Learning Documentation of interventions The nurse is legally required to record all interventions and observations related to the client’s response to treatment. The recording of information can be in the form of checklists, flow sheets, or narrative summaries. Copyright 2002 by Delmar, a division of Thomson Learning

Copyright 2002 by Delmar, a division of Thomson Learning Verbal interaction among health care providers is essential for communicating current information. Verbal reports should include Activities completed and those remaining to be completed Status of current relevant problems Copyright 2002 by Delmar, a division of Thomson Learning

Copyright 2002 by Delmar, a division of Thomson Learning Any abnormalities or changes in assessment Results of treatments Diagnostic tests scheduled, or those completed with the results Copyright 2002 by Delmar, a division of Thomson Learning