Policy Power
What is the FHCC Staffing Methodology?
This policy guides staffing assignments based on patient acuity, skill mix, and census.
What are the Five Rights of Delegation?
What is the #1 priority for Charge Nurse decision-making?
Patient safety
This system ensures the "five rights" of medication administration are verified electronically.
What is BCMA (Bar Code Medication Administration)?
Whole Health is not only for Veterans - it also applies to supporting this group in the workplace.
Staff and care teams
What is the Patient Acuity or Clairvia system?
Charge nurses use this system to ensure assignments meet patient care needs while supporting staff workload balance
Staff role that can perform ADLs, collect vital signs, but cannot assess.
Nursing assistant/ Health Tech
A deteriorating patient needs rapid response activation. What must Charge Nurse ensure?
Delegate roles and communicate clearly
This color-coded system in the facility promotes safety and rapid communication during emergencies.
What are hospital emergency codes (e.g., Code Blue, Code Pink)?
What is one way a Charge Nurse can support staff using Whole Health principles during a stressful shift?
Encouraging breaks, checking in, reassigning workload, emotional support.
What is the Nursing Policy and Procedures Manual?
This policy defines how nursing standards, ethics, and accountability are maintained within FHCC
The task and the staff must be determined first before delegating.
Competency
When faced with multiple priorities, charge nurses use this process to determine which task is most urgent.
What is prioritization?
A patient behavioral incident should trigger this documentation and follow-up process.
What is incident reporting or safety reporting?
Providing learning opportunities and recognition supports which self-care component?
Personal Development
When adjusting staff assignments, admissions, or discharges, charge nurses must notify this group.
Bed Coordinators
Delegating a blood glucose check to NA/HT, what must RN still ensure?
Interpretation and follow-up of results.
What should Charge Nurse do when a nurse reports unsafe assignment?
Assess the situation and escalate immediately to leadership.
This committee uses aggregated data to identify trends in patient outcomes and safety.
What is the Quality and Safety Committee or RCA Team?
Charge Nurse model Whole Health by demonstrating this positive behavior.
Work-life balance and self-care
This document outlines regulatory and organizational requirements that govern staffing ratios and patient safety.
VA Directive and FHCC Staffing Policy
Delegation failure often occurs due to lack of follow-up. This is a charge nurse responsibility.
What is supervision/evaluation of the delegated task?
This process involves analyzing near misses or errors to prevent future occurrences.
What is root cause analysis (RCA)?
Code status conflict is discovered. What must be done first?
Clarify orders and confirm with the provider or patient if able.
What initiative connects staff to wellness and mental health programs?
Employee Whole Health/ EAP (Employee Assistance Program) referral