Delegation
Delegating “keep an eye on the patient” without instructions violates this and leaving the unit violates this principle.
What is right supervision?
A pneumonia client becomes suddenly restless and confused. Priority cause?
What is hypoxia?
Restraining a client without proper justification =
What is false imprisonment?
SBAR “A” stands for
What is Assessment?
Joining a professional organization demonstrates this.
What is professional commitment?
Incompatible blood transfusion is this type of event.
What is sentinel event?
Unstable or changing condition → who must assess?
What is RN?
A client with diabetic neuropathy reports tingling in both feet. Priority level?
What is nonurgent/chronic finding?
Performing a procedure reserved for APRN =
What is scope of practice violation?
“I’m concerned, uncomfortable, safety issue” =
What is CUS?
Providing staff with appraisal tools before evaluation supports this.
What is fair performance appraisal/preparation?
Primary purpose of hierarchy of evidence.
What is rank strength of evidence?
IM medication administration can be delegated to this role.
What is LPN?
1-day post-op client reports pain 7/10. Priority level?
What is needs treatment but not immediate?
Family says stop CPR but chart says Full Code → do this.
What is start CPR?
Best first response to unhappy client
What is “Tell me what happened”?
The method to clear up unclear or unsafe issues.
What is process improvement method?
After identifying a problem, implementing change = which PDSA phase?
What is Do?
Task with no judgment (feeding, sitting) goes to this role.
What is UAP?
Which is priority: pain 7/10 or new confusion?
What is new confusion?
Valid DNR + family demands CPR → follow this.
What is DNR/patient wishes?
Repeating an order back =
What is check-back?
Best intervention for burnout/turnover
What is support and work-life balance?
Only this is included in documentation.
What is objective facts only?
Assigning high-acuity unfamiliar patient to float nurse is this.
What is inappropriate assignment?
Sudden mental status change represents this type of finding.
What is acute change (unexpected)?
Posting about patient event on social media (no identifiers) may violate this.
What is professional boundaries/confidentiality?
Addressing safety concern while staying professional =
What is CUS communication?
Staff resist new workflow → best leadership approach.
What is engage staff, pilot, evaluate outcomes?
Most effective way to ensure education meets patient needs.
What is conduct a needs assessment?