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

2. 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.
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3. 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
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Document specific activities executed by the nurse and the client’s responses to these activities
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5. Requirements For Effective Implementation
Cognitive skills
Psychomotor skills
Interpersonal skills
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6. Implementation Activities
Ongoing assessment
Necessary to validate the relevance of proposed interventions
Allows for adaptations to be made to better individualize care
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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
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Allocation of resources
Delegation of tasks
Types of management systems
Functional nursing
Team nursing
Primary nursing
Total patient care and modular nursing
Case management
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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
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Nursing Interventions Classification (NIC)
Nursing intervention activities
Assisting with ADL
Delivering skilled therapeutic interventions
Monitoring and surveillance of response to care
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Teaching
Discharge planning
Supervising and coordinating nursing personnel
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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.
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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
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14. 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
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