Gastrointestinal NCSBN testplan
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School
Des Moines Area Community College *
*We aren’t endorsed by this school
Course
589
Subject
Health Science
Date
Feb 20, 2024
Type
docx
Pages
3
Uploaded by BarristerExploration9915
Gastrointestinal Test Plan included in this content includes (but not limited to)
Health Promotion and Maintenance
Health Promotion/Disease Prevention
o
Identify [GI] risk factors for disease/illness (e.g., age, gender, ethnicity, lifestyle)
o
Educate client on actions to promote/maintain health and prevent disease (e.g., diet, weight loss)
o
Evaluate client understanding of health promotion behaviors/activities (e.g., weight control, exercise actions)
Health Screening [GI]
o
Identify risk factors linked to ethnicity or family (e.g., colon CA)
o
High-Risk Behaviors e.g., lack of exercise o
Life-Style Choices e.g., diet
Aging Process/Developmental Stages and Transitions
o
Provide education to client/staff members about expected age-related changes
Safety & Infection Control
Handling Hazardous and Infectious Materials
o
Identify biohazardous, flammable, and infectious materials
o
[Clostridium Difficile, Gastroenteritis, Hepatitis A, E Coli]
Standard Precautions/Transmission-Based Precautions/Surgical Asepsis
o
Understand communicable diseases and the modes of organism transmission (e.g., airborne, droplet, contact)
o
Apply principles of infection control (e.g., hand hygiene, aseptic technique, isolation, sterile technique, universal/standard precautions)
Basic Care & Comfort o
Manage the client who uses assistive devices or prostheses (e.g., eating utensils, dentures)
o
Elimination
Assess and manage client with an alteration in bowel elimination
[Bowel (Re)Training]
Evaluate whether the client’s ability to eliminate is restored/maintained
o
Nutrition and Oral Hydration
All bullet points on the test plan o
Personal Hygiene
Assess the client for personal hygiene habits/routine [Elimination]
Assess and/or intervene in client performance of activities of daily living [Elimination]
Provide information to the client on required adaptations for performing activities of daily living (e.g., commodes)
Pharmacological and Parenteral Therapies [GI MEDS on EAQ]
o
Adverse Effects/Contraindications/Side Effects/Interactions
Identify a contraindication to the administration of a medication to the client
Identify actual and potential incompatibilities of prescribed client medications
Identify symptoms/evidence of an allergic reaction to medications
Assess the client for actual or potential side effects and adverse effects of medications (e.g., prescribed, over-the-counter, herbal supplements, preexisting
condition)
Provide information to the client on common side effects/adverse effects/potential interactions of medications and inform the client when to notify the primary health care provider
Notify the primary health care provider of side effects, adverse effects and contraindications of medications and parenteral therapy
Document side effects and adverse effects of medications and parenteral therapy
Monitor for anticipated interactions among the client’s prescribed medications and fluids (e.g., oral, topical, subcutaneous, IM, IV)
Evaluate and document the client’s response to actions
o
TPN
All bullet points on the test plan
Reduction of Risk Potential o
Diagnostic Tests
[Fecal Occult Blood]
[Routine Stool Specimens]
[Upper Endoscopy, Colonoscopy, Barium Swallow, Barium Enema, DRE]
o
Lab Tests
o
Potential for Alterations in Body Systems
Identify client potential for aspiration (e.g., feeding tube, sedation, swallowing difficulties)
Identify client potential for skin breakdown (e.g., immobility, nutritional status, incontinence)
Monitor client output for changes from baseline (e.g., nasogastric tube, emesis, stool, urine)
o
Potential for Complications of Diagnostic Tests/Treatments/Procedures
Position the client to prevent complications following tests/treatments/procedures (e.g., elevate head of bed)
Insert, maintain, or remove a nasal/oral gastrointestinal tube
Maintain tube patency (e.g., nasogastric tube for decompression)
Maintain percutaneous feeding tube
Intervene to prevent aspiration (e.g., check nasogastric tube placement)
o
Potential for Complications from Surgical Procedures and Health Alterations
Evaluate the client’s response to postoperative interventions to prevent complications (e.g., prevent aspiration)
o
Illness Management
Perform gastric lavage o
System Specific Assessments
Perform focused assessments
Physiological Adaptation
Alteration in Body Systems
Assess adaptation of a client to health alteration, illness and/or disease [GI]
Provide ostomy care and/or education (e.g., enteral)
Perform wound care and/or dressing change
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