OMSB_OEN Exam Dumps

During the planning phase, a healthcare organization defines its mission, which states its purpose and fundamental aims to achieve in the long term. The mission statement outlines the organization's core purpose, target population, and primary objectives. It provides direction and guides decision-making and strategic planning. Vision, on the other hand, describes what the organization aspires to become in the future. Strategy refers to the specific actions and plans to achieve the mission and vision, while values are the principles and beliefs that guide the organization's behavior.

Role of Circulating Nurse: The circulating nurse manages the overall environment of the operating room, ensuring safety and coordination among the surgical team. They are responsible for maintaining patient safety, including correct positioning.

Prioritizing Safety:

Risk for anxiety: While relevant, managing anxiety is typically addressed preoperatively and postoperatively, not the immediate intraoperative period.

Risk for bleeding: While bleeding is a concern, it is primarily monitored and managed by the surgical team.

Risk for injury related to positioning: During surgery, improper positioning can lead to nerve damage, pressure sores, and musculoskeletal injuries. The circulating nurse must ensure that the patient is correctly positioned to avoid these injuries.

Risk for infection: Preventing infection is crucial, but the sterile field and surgical techniques primarily address this risk.

Conclusion: The highest priority for the circulating nurse is to ensure the patient is correctly positioned to prevent any injury related to positioning, as this is a direct and immediate responsibility during the surgical procedure. Reference: Surgical nursing textbooks, NCLEX-RN review guides, AORN (Association of periOperative Registered Nurses) guidelines.

Macular edema is a complication of non-proliferative diabetic retinopathy. It involves swelling or thickening of the macula due to fluid leakage from blood vessels, leading to vision problems. Non-proliferative diabetic retinopathy is an early stage of diabetic retinopathy where blood vessels in the retina are damaged but do not yet proliferate. Nystagmus, glaucoma, and cataracts are not specific complications of non-proliferative diabetic retinopathy. Macular edema is a key concern and requires timely management to prevent vision loss.

The initial step in an evidence-based process to improve pain management for patients with cancer is to write an answerable question.

Writing an Answerable Question : This is often done using the PICO (Patient/Problem, Intervention, Comparison, Outcome) format to clearly define the clinical issue and guide the research.

Selecting the Study Design: This comes after formulating the question and involves choosing an appropriate methodology to answer it.

Obtaining Ethical Approval: This is essential for conducting research but comes after defining the question and designing the study.

Formulating Hypothesis Statement: This is part of the research design and planning, following the creation of an answerable question.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice.

National Institutes of Health (NIH): Evidence-Based Practice Resources

Outcome research in nursing focuses on understanding the results of health care practices and interventions. It aims to evaluate how effective these practices are in improving patient outcomes. This type of research is crucial for ensuring that the care provided is evidence-based and leads to the best possible health results for patients.

For example, if a new wound care protocol is introduced, outcome research would measure whether patients heal faster or have fewer infections compared to the previous method. This helps in determining the effectiveness of the new protocol.

Polit, D. F., & Beck, C. T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer Health.