[PDF] The TNP: From Assessment to Action

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The TNP: From Assessment to Action

Because we care about

Quebecers" health

pti.oiiq.orgYES, it has changed significantlyNO, it has not changed significantlyIs the ongoing clinical follow-up e?ective?YES

NOØ Adjust TNP

Adjust clinical profile

if client has:

Add a new

assessment findingCancel an assessment findingModify an assessment finding

Has the client"s health situation changed?

snee ii a significant changue in a problem or need already in the TNP a resolution to a problem or the satisfaction of a need a new priority problem or need for the clinical follow-up

Adjustment of the TNP

Does this problem or need

require a clinical follow-up? m Fro

Add a new directive

Cancel a directive

Adjust clinical follow-up

(no new directives)TNP No TNP

Applying the documemntation standard

when determining a TNP

Does the client require a

clinical follow-up determined entAesAsessAssAn

Hospitalized

clientClient residing in a CHSLDOutpatient clientClient receiving home care YES NO • A directive must be associated with at least one problem/need. • A problem/need may not be associated with one directive, for example: The problem/need has an impact lon the follow-up, but requires no follow-up itself. The assessment finding is made, but the follow-up has not yet been determined. • Any problem or need requiring a nurse"s clinical follow-up determined and adjusted by the nurse and any significant changess to this problem or need as its evolves • Any problem or need that has an impact on sthe clinical follow-up

NURSING DIRECTIVESl

• Any indication that ensures the clinical follow-up required, standard or particular, such as: -r nt mrmrmcscmemr sc mrmr Ac re rcrmcscmem rccsimmrrememr esr c r

REMINDER

rsrec snsmr r‡

Assessment

by nurseFinding of a new problem or needCare and treatment

Directives

If appli- cable

If applicableIf applicable

Care planning

Care coordination

Resource allocation

Etc. mnmAe rA emo o mc Ar cAscAscrA c cAc

A omroscA r

o mn o AmmsAssess- ment findings in TNPTNP

Directives

in TNP

Determining the TNP

Clinical

follow-up by nurse

Formulation of nursing diArectives

cnoencntnsecscmercrocsen rtcerct ocecirAAr co noc ecnctrecstcr Purpose of the dirgective: what it intends to accomplish (Clinical surveillance activities - Carhe/treatment - Other interventions)

Target of the directive:

mc Frc Am At onnetten (if required)

Duration or frequency:esA

emememnecois

THE RULE

REMINDER

EXEMPLES :

Alternate position every hour for 48 h - dir. to orderly work plan

30 mg codeine

1 pill

Asmet ece r tAc oA nettAs ste ttett tAiAne At  mostAttAcs emrcn A moem ncet scm roe oiiett mc  imAAm eteomAcs oiicnAs mc mre oF c

A iAsAio

eeosm Each directive must be formulated in such a way as to be easy to understand and apply correctly by the persons to whom it is addressed.quotesdbs_dbs50.pdfusesText_50

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