Beyond the Bedside: Fundamentals of Nursing for RN Students

Cassandra Grimaldi
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Step into the world of professional nursing with this foundational mastery-focused podcast designed for nursing students preparing for practice and NCLEX success. Each episode breaks down the core concepts of Foundations of Nursing—from history and professional roles to cultural competence, vital signs, hygiene, and patient safety. Case studies retold in full, with analysis and teaching moments for real clinical insight.

  1. Beyond the Bedside: Informatics & Health Care Technologies

    10月18日

    Beyond the Bedside: Informatics & Health Care Technologies

    Beyond the Bedside Chapter 21: Informatics & Health Care TechnologiesTurn clicks into care. In this episode, we master nursing informatics (ANA/AMIA), SDLC (design → build → test → train → implement → maintain → evaluate), usability, interoperability, analytics (viz, predictive, big data), portals, telehealth/telemedicine/telecare, security/privacy, hospital-at-home, and the basics of genomics/pharmacogenomics. Three full cases (Frank, Jorge, Danielle) show you how data becomes decisions—and decisions become better outcomes. You’ll learn:• DIKW: data → information → knowledge → wisdom• SDLC + testing ladder (unit → function → integration → performance → UAT)• Usability principles that cut clicks and errors• Standard terminology & interoperability (why free text hurts nursing)• Patient portals, predictive dashboards, and hospital-at-home• Security essentials (strong passwords, MFA, audit trails)• UNI, blockchain, and where genomics fits in care Case studies:• Frank (COPD): Portal + remote monitoring + telehealth + hospital-at-home• Jorge (Ortho CAUTI): Standardized documentation + predictive dashboard• Danielle (Neuro ICU): Palliative screening built with full SDLC NCLEX angles:SDLC order, usability vs optimization, interoperability, analytics types, testing phases, portal capabilities, password hygiene, standard terminology, UNI. Keywords: NI, SDLC, usability, interoperability, standard terminology, patient portal, telehealth, predictive analytics, big data, CAUTI, UNI, blockchain, genomics, pharmacogenomics, hospital-at-home. CTA:Follow, rate, and share with a classmate. Download the NCLEX “Power 10” wrap and flashcards from the show notes.

    46 分钟
  2. Beyond the Bedside: Documenting & Reporting

    10月18日

    Beyond the Bedside: Documenting & Reporting

    Beyond the Bedside Chapter 20 — Documenting & Reporting Not charted, not done—unless you chart like a pro. In this power episode, we turn documentation and reporting into a clinical superpower: clear, timely, HIPAA-safe, and legally rock solid. What you’ll master The big five: POMR/SOAP, PIE/PIER, Focus (DAR), CBE, and collaborative pathways ISBARR that actually gets action (with read-backs done right) HIPAA essentials + ISMP/JCAHO “Do Not Use” abbreviation traps Purposeful rounding (the 4 Ps + the key phrase that boosts satisfaction and safety) Full case studies (start-to-finish) Phillippe — post-colonoscopy discharge teaching that sticks Millie — post-op wound infection, variance charting, and WOC consults Jason — minor in custody, legal/ethical tightrope, and bulletproof ISBARR NCLEX angles woven in: best documentation statements, where trends live (graphic record), PRN timing, verbal-order limits, and privacy pitfalls. Hit play to chart like a scientist, hand off like a pilot, and protect privacy like a vault.Follow the show, drop a review, and share with your study group—mastery loves company.

    50 分钟
  3. Beyond the Bedside: Evaluating

    10月18日

    Beyond the Bedside: Evaluating

    Beyond the Bedside Chapter 19: Evaluating (Close the Loop on Care) Evaluation is where nursing proves it works. In this episode, we master the fifth step of the nursing process—writing tight evaluative statements, choosing concurrent vs. retrospective evaluation, and knowing exactly when to terminate, continue, or modify a plan. We walk through three full cases (Tyler the neonate, Mioshi on diuretics, Nicholas with new diabetes) to show how real bedside data drives smarter decisions. Then we scale up with QI/PDSA, NDNQI indicators, HCAHPS, IOM’s 10 Rules, the AACN Healthy Work Environment standards, and the Seven Crucial Conversations so speaking up becomes standard practice—not a gamble. You’ll learn:• How to write bullet-proof evaluative statements (date + verdict + evidence)• When to use concurrent vs. retrospective evaluation• Fast plan revisions using Table 19-2 logic• QI that actually sticks (small tests, measured change)• Safer teamwork using Silence Kills + AACN HWE NCLEX Boost: sequencing the 5 evaluation elements, domains of outcomes, and “best next step” logic when outcomes are only partially met.

    36 分钟
  4. Beyond the Bedside: Implementing

    10月18日

    Beyond the Bedside: Implementing

    Beyond the Bedside Chapter 18: Implementing Turn care plans into safe, person-centered action at the bedside. In this episodeWe master how to implement evidence-based interventions using NIC/NOC, QSEN, and Alfaro’s Assess → Reassess → Revise → Record loop—while delegating safely, preventing errors, and documenting like a pro. You’ll learn The 9-step implementation workflow you can use on any shift Direct vs. indirect vs. community interventions (when to use each) How to apply the Five Rights of Delegation (task, circumstance, person, directions, supervision) Care bundle must-dos (e.g., central line) and how to stop “work-arounds” Turning nonadherence into partnership (find the “why,” fix the barriers) Documentation that protects your patient—and your license Case studies James McMahon (ICU): line labeling, compatibility checks, med safety under pressure Estelle Morrissey (LTC): ethics, loneliness vs. assisted-death requests, pastoral support Antoinette Browne (Peds): nurse-, provider-, and collaborative interventions; care coordination with family teaching ED Advocacy (Penuela family): cost barriers, language access, social work + affordable regimens Tools & frameworks NIC ↔ NOC mapping to make outcomes measurable QSEN competencies in action (patient-centered care, teamwork, EBP, QI, safety, informatics) Box 18-1 checklist before every intervention; Table 18-1 communication behaviors Dry-erase boards for goals/pain/safety; TJC Speak Up scripting NCLEX quick-checkPrioritization, “first action” (reassess!), safe delegation to APs, bundle compliance, and what belongs in implementation vs. assessment/diagnosis. Resources mentionedAHRQ Patient Safety • IHI Care Bundles • The Joint Commission “Speak Up” Tags: nursing process, implementation, NIC, NOC, QSEN, delegation, care bundles, patient safety, documentation, NCLEX.

    46 分钟
  5. Beyond the Bedside: Outcome Identification & Planning

    10月18日

    Beyond the Bedside: Outcome Identification & Planning

    Beyond the Bedside Chapter 17 — Outcome Identification & Planning Turn diagnoses into doing. We write SMART, patient-valued outcomes, map NANDA → NOC → NIC, and build plans that survive handoffs—from admission through discharge. In this episode you’ll learn: How to set priorities with Maslow, patient preference, and risk anticipation To craft SMART outcomes across cognitive, psychomotor, and affective domains How to choose NIC interventions that target the etiology (not just the label) Where critical pathways, algorithms, guidelines, and order sets fit in planning How to document & evaluate with clean met/partially met/not met statements Case studies: Glenda (wellness): Long-term weight goal + short-term behavior wins (snacks, step goals, weekly logs) Darla (pregnancy & recovery): Ethical neutrality, harm-reduction outcomes, and timely consults Elijah (home care pressure injury): Clinical + functional + caregiver outcomes; pressure management, moisture control, nutrition Takeaways: Outcomes = results you want; interventions = how you’ll get there Link NANDA diagnosis → NOC outcome indicators → NIC interventions Update the plan—stale plans are unsafe plans Perfect for: Fundamentals, clinical rotations, and NCLEX prep Keywords: outcomes, care plans, SMART goals, NOC, NIC, Maslow, pathways, algorithms, guidelines, Joint Commission NPSGs, evaluation

    30 分钟
  6. Beyond the Bedside: Diagnosis & Problem Identification

    10月18日

    Beyond the Bedside: Diagnosis & Problem Identification

    Beyond the Bedside — Chapter 16: Diagnosis / Problem Identification Turn messy real life into clean, defensible nursing problem statements. In this episode, we master diagnostic reasoning, write bullet-proof PE/PES statements, and avoid test-bait errors that derail care. We’ll apply PPMP (Predict–Prevent–Manage–Promote), Tanner’s Clinical Judgment, and QSEN competencies across three full cases—Martin (constipation + rectal bleeding), Antonia (treatable cancer, missed follow-ups), and Angie (suspected date-rape survivor). You’ll learn how to cluster cues, validate with patients, document in the EHR, and choose etiologies that actually drive interventions. Highlights PE vs. PES: write it right Nursing vs. medical diagnosis (Table 16-1) Box 16-1 rapid screen (Actual/Risk/Possible) Common errors & fixes (Table 16-4) Trauma-informed, culturally sensitive wording NCLEX mini-drill + prioritization bridge to Ch. 17 Keywords: nursing diagnosis, PE/PES, PPMP, Tanner model, QSEN, data clustering, EHR problem list, NCLEX prep, concept mapping, patient-centered care.

    38 分钟
  7. Beyond the Bedside: Assessing

    10月18日

    Beyond the Bedside: Assessing

    Beyond the Bedside Chapter 15: Assessing Turn scattered details into safe action. In this episode, we master purposeful, prioritized nursing assessment—what to gather, how to validate it, and when to escalate. You’ll apply OLD CARTS, the HELP doorway sweep, PCAM for social determinants, and ROS to build a clean database fast. We work three full cases—Sylvia Wu (communicable concern & triage), Susan Morgan (new MS & functional focus), and James Farren (grief, sleep, safety)—to practice QPA vs. focused vs. initial assessments, documentation that quotes the patient, HIPAA/privacy musts, and the Legal Alert on reporting critical changes immediately. Finish with NCLEX-style prioritization using Maslow and rapid checks you can use on your next shift. You’ll learn: QPA vs. focused vs. emergency; cues vs. inferences; validation methods; high-impact documentation; equity-minded assessment with PCAM. Tags: #NursingAssessment #NCLEXPrep #ClinicalJudgment #OLD_CARTS #HELP #PCAM #PatientSafety #Documentation #Triage #Maslow

    40 分钟
  8. Beyond the Bedside: Clinical Judgment — Think Like a Nurse

    10月18日

    Beyond the Bedside: Clinical Judgment — Think Like a Nurse

    Beyond the Bedside Chapter 14 — Clinical Judgment Walk into any room and see what matters first. In this mastery episode, we turn Chapter 14 into action: clinical judgment you can use at the bedside and on the Next Gen NCLEX. We demystify the language (critical thinking, clinical reasoning, clinical judgment), work the big models (Tanner, NCSBN CJMM/CJAM, Lasater LCJR, ADPIE), and thread in the competency spine (QSEN, AACN Essentials, NLN, ANA, IPEC). You’ll learn to spot cues fast, form sound hypotheses, act within RN scope, and evaluate outcomes—while protecting situational awareness and managing cognitive load. Then we apply it through full cases: Ashley (new student), Daniel (test anxiety), Kallie (paramedic→nurse), a QSEN team simulation debrief, and an AI/EHR sepsis-alert scenario. What you’ll get:• A 60-second CJAM stem parser for NGN questions• A live Tanner debrief map you can run after any sim• A one-page “model mashup” (ADPIE × CJAM × Tanner) as your mental GPS• LCJR self-scoring steps to track real growth• NCLEX warm-up ritual (ABCs, unexpected > expected, act before “call provider”) By the end, you’ll notice more, interpret smarter, act earlier, and reflect better—exactly what safe practice and the NGN demand.

    36 分钟
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Step into the world of professional nursing with this foundational mastery-focused podcast designed for nursing students preparing for practice and NCLEX success. Each episode breaks down the core concepts of Foundations of Nursing—from history and professional roles to cultural competence, vital signs, hygiene, and patient safety. Case studies retold in full, with analysis and teaching moments for real clinical insight.

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