2015 American Board of Perianesthesia Nursing Certification, Inc.

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1 2015 American Board of Perianesthesia Nursing Certification, Inc. 2014

2 Definition of a Concept Map Formal attempt to organize or represent knowledge Type of graphic organizer used to help organize and represent knowledge of a subject. Concept maps begin with a main idea (or concept) and then branch out to show how that main idea can be broken down into specific topics.

3 How to Build a Concept Map Concept maps are typically hierarchical, with the subordinate concepts stemming from the main concept or idea. This type of graphic organizer however, always allows change and new concepts to be added.

4 Benefits of Concept Mapping Helping to brainstorm and generate new ideas Encouragement to discover new concepts and the propositions that connect them Allows to clearly communicate ideas, thoughts and information Helps integrate new concepts with older concepts Enables enhanced knowledge of any topic and to evaluate the information

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6 A Concept Map for Anesthesia Physiological, Cognitive, and Behavioral Needs Phases of Anesthesia Techniques General Regional Moderate Sedation MAC TIVA Reversal Agents

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8 Concepts for Physiological Needs Respiratory System Cardiovascular System Hematological Renal System Systems Genitourological Reproductive System System Endocrine System Fluid and electrolytes Physiological Therapeutic comfort Environment Peripheral Vascular Integumentary System Musculoskeletal System Maintenance of Normothermia

9 Physiological Knowledge Needed Nursing Process Growth and development Acceptable deviations from normal physiologic state Vital signs/hemodynamic monitoring Evidence based practice Pathophysiology Co-morbidities/ potential complications Fluid/electrolyte management Anatomy / physiology of body system Normal / abnormal diagnostic values Physical assessment techniques

10 Concept Map for Physiological needs

11 Concepts for Behavioral / Cognitive Patient family education Evaluation of understanding Recognize and respect diversity Privacy / confidentiality Psychosocial assistance Ability to learn, barriers, readiness Admission Preparation for procedure Pain control measures Discharge care Medication reconciliation Impact of existing medical conditions Measures to assist healing process Measures to prevent complications

12 Behavioral/Cognitive Knowledge Needed Discharge planning / Criteria Teaching and learning Impact of psychosocial issues EBP Growth & development Compliance Privacy/patient confidentiality Co morbidities/ potential complications Comfort Conflict resolution/ mediation Pain assessment & management Discharge Regulatory, legal, ethical guidelines PONV/PDNV Healing Diversity Pharmacology Anesthesia Communication and techniques Surgical procedure interventions Psychosocial / cognitive assessment Abnormal psychological / psychiatric states Multidisciplinary collaboration Environmental influences Alternative / adjunctive treatments Special needs Language barrier, sensory limitations, etc

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14 Concepts for Safety Needs Deliver, document and communicate care based on national standards Develop and implement effective multidisciplinary care Protect from harm and take preventative measures ASPAN standards Competent responsible caregiver Use of protective safety devices Applicable laws Safe transport to home Immobility / positioning Guidelines and regulations Prepare for safe home environment Verbal / written discharge instructions Awareness of procedural limitations Infection control Patient access to: Post discharge assessment Ability to understand and comply Referrals, pastoral care, nutritional education Follow up MD visit, follow up phone call, etc Resources for care in the home Physical / occupational therapy

15 Knowledge needed Safety Needs Nursing Process EBP Growth & development Co morbidities Normal / abnormal response to procedure Positioning Anesthesia ASPAN Standards Environmental influences Discharge planning and criteria Injury prevention Infection control Diversity Quality and risk management principles / guidelines

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