Standards Nursing Practice 18 - Academy of Medical ...

1 Acknowledgments The Scope and Standards of Medical -Surgical Nursing Practice , 6th edition, was revised bythe Scope and Standards 6th Edition Task Forceof the Academy of Medical -Surgical Nurses(AMSN) whose members Practice as Clinical Nurse Specialists (CNS) and Registered Nurses (RN)in a variety of Medical -Surgical settings and geographic locations. The document was reviewedby Medical -Surgical Nurses throughout the country. The Standards were then approved by theAMSN Board of is extended to our editors and reviewers, and especially the individuals listed onpage 2 for their expertise, dedication, and commitment to producing this revised Scope andStandards for Medical -Surgical Nursing Edition All rights reserved.

2 No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including but not limited tophotocopy, recording, or any information retrieval system without permission of the Academy of Medical -Surgical Nurses. Copyright 2018 Academy of Medical -Surgical NursesEast Holly Avenue Box 56 Pitman, NJ 08071-0056 ContentsScope and Standards Task Force.. 4 Definition of Medical -Surgical Nursing .. 5 Introduction.. 6 Scope of Practice for Medical -Surgical Nursing .. 7 Standards of Medical -Surgical Nursing PracticeStandard I.

3 Assessment.. 11 Standard II. Diagnosis .. 11 Standard III. Outcome Identification.. 12 Standard IV. Planning.. 12 Standard V. Implementation.. 13 Standard VI. Evaluation .. 13 Standards of Professional PerformanceStandard I. Quality of Care.. 14 Standard II. Performance Appraisal .. 14 Standard III. Education .. 15 Standard IV. Collegiality .. 15 Standard V. Ethics .. 16 Standard VI. Collaboration.. 16 Standard VII. Research .. 17 Standard VIII. Resource Utilization .. 17 Standard IX. Communication.. 18 Standard X. Leadership.. 19 References.. 20 Additional Readings.

4 20 Glossary.. 21 Scope and Standards of Medical -Surgical Nursing Practice , 6th Edition (2018) Copyright 2018 Academy of Medical -Surgical Nurses 3 Scope and Standards Task Force 6th EditionScope and Standards of Medical -Surgical Nursing Practice , 6th Edition (2018) Copyright 2018 Academy of Medical -Surgical Nurses 4 Board of Directors - LiaisonSummer Bryant, MSN, RN, CMSRNN urse ManagerThe University of Kansas HospitalKansas City, KSEditors Kristi Reguin-Hartman, MSN, APRN, ACNS-BC,Chairperson Clinical Nurse Specialist, Medical -SurgicalWakeMed Health & HospitalsRaleigh, NCRita Bush, MSN, RN, CCCRN, NE-BCDirector, Clinical Data SolutionsHealthTrustNashville, TNSusan Hopkinson, PhD, RN-BCChief, Center for Nursing Science & Clinical Inquiry Womack Army Medical Center Fort Bragg, NCAmanda Murray, MSN, APRN.

5 CMSRN, AGCNS-BCClinical Nurse SpecialistNorton Health CareLouisville, KYSharlene Parmley, MSN, RN, CMSRNC linical NurseSpartanburg Regional Healthcare SystemSpartanburg, SCKathy Kay Prue-Owens, PhD, RNColonel (Retired)Army Nurse Corps Colorado Springs, CO Cynthia Steinwedel, PhD, RN, CNEA ssistant ProfessorBradley UniversityPeoria, IL ReviewersJeffrey S. Hillis, MAJ(P), ANClinical Nurse Specialist, Med/SurgWOMACK Army Medical CenterFort Bragg, NCElaine Marinello, MSN, RN-BCSupervisor, Nursing Education DepartmentWakeMed Health & HospitalsRaleigh, NCKimberly Maynard, BSN, RNClinical Officer in ChargeFamily Care WardFort Carson, CONaziha Nabha, BSN, RNClinical Nurse ManagerBeaumont Healthcare SystemDearborn, MIAMSN LiaisonMichelle L.

6 LescureAssociation Services CoordinatorAcademy of Medical -Surgical Nurses (AMSN)Definition of Medical -Surgical NursingThe Practice of Medical -Surgical Nursing requires specialized knowledge and clinical skills to manageactual or potential health problems that affect individuals, their significant other(s), and the community. Medical -Surgical Nursing services are provided to clients from adolescence throughout the life Nursing is the single largest Nursing specialty in the United States. Medical -SurgicalNurses Practice primarily on hospital units and care for adult patients who are acutely ill with a wide variety ofmedical issues or are recovering from surgery.

7 They provide care 24/7 and have more facetime with patientsthan any other professional in the Nurses are the master coordinators of the unit, juggling care for many patients at a timewhile keeping the entire health care team on the same page ( Academy of Medical -Surgical Nurses, 2017).They have high-level critical-thinking skills, vast clinical knowledge, and stay calm under pressure. Many nursingspecialties require similar skill sets, but it is the intense level of coordination from the time patients arrive untilafter they leave the hospital that distinguishes Medical -Surgical after leaving the inpatient setting, the Medical -Surgical Nurse continues to provide care to patientsin subacute care facilities, home care agencies, ambulatory care clinics, outpatient services, residential facilities,skilled Nursing facilities, private Practice , adult day care agencies, primary care and specialty practices, schools,insurance companies.

8 And private companies. The role of the Medical -Surgical Nurse includes caregiver, carecoordinator, client educator, case manager, counselor, client advocate, consultant, researcher, administrator/manager, staff educator, and expert and Standards of Medical -Surgical Nursing Practice , 6th Edition (2018) Copyright 2018 Academy of Medical -Surgical Nurses 5 IntroductionAs the professional organization for nurses practicing in Medical -Surgical settings, the Academy of Medical -Surgical Nurses (AMSN) is responsible for establishing the scope and setting the Standards for Medical -SurgicalNursing Practice .

9 This is the sixth edition of the Scope and Standards of Medical -Surgical Nursing document builds on the full suite of the American Nurses Association s (ANA) foundational nursingreferences including Nursing : Scope and Standards of Practice (ANA, 2015a). Medical -Surgical Nursing has developed as a specialty (Taylor, 2006) and continues to evolve. Initially, inthe late 1800s and early 1900s, patients were placed on separate Medical , surgical, and obstetrical Nursing education curriculum was separated into Medical Nursing , surgical Nursing , and diseaseprevention.

10 The transition to combine Medical and surgical Nursing education into one course began duringthe late 1930s. Course content included the theory and treatment of abnormal physiological conditions, inaddition to the concepts of health promotion and the psychological, social, and physical aspects that impacthealth. It was not until the 1960s that Nursing schools had fully integrated the study and Practice of medicaland surgical Nursing . At this time, Standards were beginning to be developed for Nursing specialties. The firstMedical-Surgical Nursing Practice and Standards were published in 1974 by the ANA, with a Statement onthe Scope of Medical -Surgical Nursing Practice following in 1980.