PowerPoint PresentationReview of the Nursing ProcessImplementationPurposes of ImplementationRequirements For Effective ImplementationImplementation ActivitiesPrioritiesAllocation of resourcesSlide 9Types of Nursing InterventionsProtocols and Standing OrdersSlide 12Nurse as CoordinatorDetermining the Need for AssistanceDelegating Nursing CareBefore delegating any nursing service, a number of factors should be considered:Responsibility & AccountabilityWritten CommunicationLegalitiesSlide 20Slide 21SUMMARYTHE ENDImplementationImplementationBy Patricia M. DillonUpdated Spring2010 Prof. Unn HidleCopyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning22Review of the Nursing ProcessReview of the Nursing ProcessASSESSMENTASSESSMENTANALYSISANALYSISPLANNINGPLANNINGIMPLEMENTATIONIMPLEMENTATIONEVALUATIONEVALUATIONCopyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning33ImplementationImplementation Implementation is the Implementation is the fourth step of the fourth step of the nursing process. It nursing process. It involves the execution involves the execution of the nursing plan of of the nursing plan of care derived during the care derived during the planning phase of the planning phase of the nursing process.nursing process.Copyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning44Purposes of ImplementationPurposes of ImplementationFulfilling client needs which results in Fulfilling client needs which results in health promotion, prevention of illness, health promotion, prevention of illness, illness management, or health restorationillness management, or health restorationDelegate tasks to staff members and Delegate tasks to staff members and assistive personnelassistive personnelDocument specific activities executed by Document specific activities executed by the nurse and the client’s responses to the nurse and the client’s responses to these activities to maintain these activities to maintain communication among team members.communication among team members.Copyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning55Requirements For Requirements For Effective ImplementationEffective ImplementationCognitive skills Cognitive skills Psychomotor skillsPsychomotor skillsInterpersonal skills Interpersonal skillsCopyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning66Implementation ActivitiesImplementation ActivitiesOngoing assessmentOngoing assessmentNecessary to validate the Necessary to validate the relevance of proposed relevance of proposed interventionsinterventionsAllows for adaptations to be Allows for adaptations to be made to better individualize made to better individualize carecareCopyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning77PrioritiesPrioritiesEstablishment of priorities is Establishment of priorities is based onbased onWhich problems are deemed Which problems are deemed most important by the nurse, most important by the nurse, the client, and family or the client, and family or significant otherssignificant othersActivities previously scheduled Activities previously scheduled by other departments by other departments Available resourcesAvailable resourcesCopyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning88Allocation of resourcesDelegation of tasksDelegation of tasksTypes of management Types of management systemssystemsFunctional nursingFunctional nursingTeam nursingTeam nursingPrimary nursingPrimary nursingTotal patient care nursing Total patient care nursing Case managementCase managementCopyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning99Initiation of Initiation of nursing nursing interventionsinterventionsAn action or actions performed by An action or actions performed by the nurse that help the client to the nurse that help the client to achieve the results specified by achieve the results specified by the goals and expected outcomesthe goals and expected outcomesNursing InterventionsCopyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning1010Types of Nursing InterventionsTypes of Nursing InterventionsIndependent interventionsIndependent interventions:: Involve carrying out nurse-prescribed orders Involve carrying out nurse-prescribed orders written on the nursing plan of care, and any written on the nursing plan of care, and any other actions that nurses initiate without the other actions that nurses initiate without the direction and supervision of another health direction and supervision of another health care professional. These actions are the result care professional. These actions are the result of their assessment of patient needs.of their assessment of patient needs. Dependent interventionsDependent interventions:: Involve carrying out physician-prescribed Involve carrying out physician-prescribed orders. orders. Nurses are accountable for the dependent Nurses are accountable for the dependent orders they implement and are thus orders they implement and are thus responsible for the clarification of any responsible for the clarification of any questionable order.questionable order. Collaborative (interdependent) interventionsCollaborative (interdependent) interventions::Those performed jointly by nurses and other Those performed jointly by nurses and other members of the healthcare team.members of the healthcare team.Copyright 2002 by Delmar, a division of ThomsoCopyright 2002 by Delmar, a division of Thomson Learningn Learning1111Protocols and Standing OrdersProtocols and Standing Orders ProtocolsProtocols: : Written plans that detail the nursing Written plans that detail the nursing activities to be executed in specific activities to be executed in specific situations.situations.Standing ordersStanding orders: : Empower the nurse to initiate actions that Empower the nurse to initiate actions that ordinarily require the order or ordinarily require the order or supervision of a physician. supervision of a physician.