05.05 Nursing Process – Implement
- Phase Information
- Phase Information
- Fourth Phase
- Begins after planning
- Execute Care
- Actual delivery of the care or intervention
- Deliver care
- The first two phases of the nursing process prepares for implementation, in addition to solid knowledge base
- Be confident in how you deliver your car. You have the knowledge to back up what you’re doing, so go in as if you’ve done that intervention hundreds of times.
- Monitor for safety before, during and after interventions
- Requires reassessment, changing plan of care if necessary
- Continuous, cyclical process
- Always assessing, analyzing and changing care plans if necessary
- Sometimes interventions do not work
- Not a sign of a bad nurse
- Maybe a better intervention is available
- Follow up with resources available to you
- Charge nurse
- Veteran nurses
- Execute Care
- Clinical Judgment
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nursing.com/cornell
The implementation phase is the fourth step in the nursing process. I’m not gonna beat a dead horse here too much guys, this is where you do it, this is where you do the interventions that you have planned.
Let’s talk about it really quick though, like I said it’s the fourth phase of the nursing process, this begins right after we plan our care. The RN is gonna evaluate the interventions and if they worked in the next phase. What we do here guys is we basically execute our care, we do our planned interventions. One thing I want you to keep in mind here guys is that you need to be confident.
All right what can happen here is during this first phase of the nursing process the assess, diagnose, this planning, all these different phases we’ve been gathering all this data, we’ve collected all this information, and now it’s time for us to go do what we need to do. You need to do these things confidently, don’t walk in there scared, don’t walk in there timid, walk in there confident. You’ve made your decision go in there and perform your care as if you’ve done it 100 times. Your patient doesn’t want to see you walk in there all scared, they want to see you walk in there confident, comfortable in what you’re doing so have confidence of this phase. You’ve collected the data, you’ve made your decision, now go in there and do it.
Sometimes these things that we plan to do, these things that we implement they just don’t work. That doesn’t mean that you’re a bad nurse, you’re not a bad nurse if your interventions don’t work. Okay sometimes world class athletes trip on a hurdle in the Olympics, that doesn’t mean that they’re bad runners or they’re slow, that means it just didn’t work that time. Okay? An intervention might not be available, the patient might have an unexpected reaction to something we didn’t know about, so if it doesn’t work that doesn’t reflect poorly on you, the patient might be dehydrated, you might not be able to get a vein, nobody might be able to get a vein, so just be easy on yourself during this phase especially if interventions don’t work.
You can follow up with people if they aren’t working, follow up with your charge nurse first, you can follow up with other veteran nurses who maybe have more experience on the floor or who have done this before, you can follow up with other providers or physicians. If you say you know this is what we planned to do and it just didn’t work and here’s all the data I’ve gathered and this is why I did this and it just didn’t seem to work follow up with these people and they’re gonna be willing to help you, we all want the patient to be good, we all want the patient to get healthy, so follow up with these people they’re gonna help you out. Now the nursing concept you need to keep in mind here are professionalism and clinical judgment. Again using your judgment, using all this data, all this information that you’ve gathered to then go implement the care that you have determined is best for your patient.
The key points out here guys, biggest thing is just do it. Right? Just do it, don’t tell Nike, I don’t want them to sue me. But once you’ve decided what you’re gonna do go do it, that’s as easy as it is. Deliver the care with confidence, the first thing here guys is you need to know your stuff. Learn all that you can, practice all that you can, and then when these interventions arise for you on the floor go in there and do your stuff. Then be humble, sometimes the interventions don’t work, that doesn’t mean you’re a bad nurse sometimes things just don’t work, sometimes there might be a different option or something might work better for a patient.
One thing to keep in mind here guys as you’re taking NCLEX questions what should the nurse do next doesn’t always mean implementation, make sure that you’re following the nursing process don’t just jump to action means implement. Your first action might be an assessment or something like that so don’t get caught in that NCLEX trap, we do talk about that in the test taking course.
All right guys I hope that helps. Dive into the other lessons here and just realize and what I want you to keep in mind here is have confidence when you implement, talk to your patient clearly, talk to them cleanly, and then go in and just do it and be humble if things don’t work. You guys can do this, I know you can, go out and be your best selves today. Happy nursing.