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Need help with what a nurse-initiated intervention does. Can someone help me please.

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ptrico ptrico (New) New

For each of the following nursing interventions, identify if the intervention is a nurse-initiated intervention (N) or a physician-initiated intervention (P).

a.__P___ Give morphine sulfate 1 to 2 mg IV every 1 hr as needed for pain.

b.__P___ Insert nasogastric tube.

c.__N___ Apply moist heat to left arm.

d.__N___ Listen actively to client's concerns.

e.__N___ Perform daily bath after evening meal.

f.__P___ Infuse 0.9% normal saline at 125 ml/hr.

Are those your answers and you are asking if they are right? A nursing intervention is something that a nurse can do independently within their scope of practice. Nurses can insert NG tubes and infuse meds. As far as morphine, in my state anyway, only an RN can push Morphine.

Boog'sCRRN246, RN

Specializes in Utilization Management. Has 10 years experience.

For each of the following nursing interventions, identify if the intervention is a nurse-initiated intervention (N) or a physician-initiated intervention (P).

a.__P___ Give morphine sulfate 1 to 2 mg IV every 1 hr as needed for pain.

b.__P___ Insert nasogastric tube.

c.__N___ Apply moist heat to left arm.

d.__N___ Listen actively to client's concerns.

e.__N___ Perform daily bath after evening meal.

f.__P___ Infuse 0.9% normal saline at 125 ml/hr.

You're correct. Physician-initiated interventions are those that require a physician's order to be implemented, i.e., anything involving medication or any invasive procedures.

Yes those are my answers and I would like to know if they were right. If indeed I am understanding the nurse-initiated intervention concept at all, cause although as nurses we can insert NG tubes and infuse meds I was confuse as whether we still needed that physician's order first to be implemented.

Can someone please clarified that for me.

decembergrad2011, BSN, RN

Specializes in Oncology. Has 12 years experience.

Yes those are my answers and I would like to know if they were right. If indeed I am understanding the nurse-initiated intervention concept at all, cause although as nurses we can insert NG tubes and infuse meds I was confuse as whether we still needed that physician's order first to be implemented.

Can someone please clarified that for me.

You cannot insert an NG tube or infuse meds without an order, no. The initiation has to do with who STARTED the intervention, not who can perform it.

However, for nursing exam (not real world) purposes, you assume that you have the order if the intervention needs an order out in the real world and it's an answer. For example, if the correct answer is "Insert Foley catheter" you assume that there is an order for the foley catheter. You would not throw out the answer based on the reasoning that you have to get an order first. This is hard to explain so I hope it makes sense!

Edited by decembergrad2011
Clarification.

syckRN

Specializes in Emergency Department, House Supervisor. Has 15 years experience.

I agree with all of the above. I wonder though if a standing protocol...like for mso4 for a palliative pain patient or other, could be a "nurse-initiated" intervention.

SyckRN:confused:

Just like others said, a nurse initiated intervention is an intervention that a nurse can do without a doctors order. If it needs an order it's usually considered a "collaborative intervention" (atleast that's what they are teaching us at my school). Even if it's a situation of a standing order/protocol, it is still not an independent nursing intervention because you still need the standing order to be able to do it, if the standing order wasn't there, you wouldn't be able to do it.

please give me 5 examples of collaborative interventions,asap thanks

please give me examples of nurse initiated interventions,physician initiated intervention and collaborative interventions

please let's hear about what you think before we write your homework for you.

Even with standing orders, the physician had to initiate it first. Nurse initiated: pt positioning, emotional support, ambulating

Physician initiated: Admin PRN meds, wound care, Foley insertion, restraints, diet.

Collaborative: With RT, keep o2 sats such and such, workiing with PT, OT ST etc.