What data are RELEVANT and must be interpreted as clinically significant by the nurse?
Step 1: Recognize Clues
NCSBN Clinical Judgement
Interpreting relevant clinical data, identify the most likely problem(s). Is additional data needed to confirm the significance of clinical cues collected so far?
Step2:Analyze Clues
• Utilize the information from your comprehensive assessment and monitoring of your patient to work through Layer 3 of the NCSBN Clinical Judgement Model. • Layer 3 outlines the cognitive aspects of clinical decision making that are directly measurable.
Rank the most likely problems by urgency.
Step 3: Prioritize hypotheses
Which problem is most likely present? What problem is most concerning? Why?
Step 3: Prioritize hypotheses
Based on the most pressing problem, what are the priority actions?
Step 4: Generate solutions
Step 5: Take action
Evaluate the patient’s response. Recognizing relevant clinical data, has the patient status improved, declined, or remained unchanged?
Step 6: Evaluate outcomes
• Answer the questions in the provided boxes on the table.
If the patient status has not improved, what problem may be present? What additional interventions need to be considered?
Step 6: Evaluate outcomes
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