Nursing Process & Judgement
This prioritization framework directs nurses to assess airway, breathing, and circulation in that specific order.
What is the ABC framework?
Ensuring that all new hires have equal access to training and development opportunities, and distributing onboarding materials and training that are free from discriminatory language or practices are examples of this.
What is processes that reflect the Equal Employment Opportunity (EEO) laws?
Employee wellness programs and flexible scheduling are all attempts to prevent what?
What is employee burnout?
A technique for communicating critical information requiring immediate attention and action.
What is SBAR?
This motivational theory is made up of 5 hierarchical levels describing the basic human needs.
What is Maslow's Hierarchy of Needs?
Based on "doing the greatest good for the greatest number of people," and patients are prioritized "who have a reasonable chance of survival with prompt intervention".
What follows the Mass Casualty Triage Principles?
Key components include: informing a supervisor, documenting the initial request in writing, and providing a detailed written report prior to the end of shift/before leaving the unit.
What is filing Safe Harbor?
Ensuring accountability for individual and collective decision-making and promoting autonomy by allowing influence over practice and the workplace are examples of this.
What are key principles of shared governance?
Tasks that are delegated within the right circumstances and supervision, as they are routine, predictable, and do not require nursing judgment or complex nursing process application.
What is appropriate nursing delegation to UAPs?
These include: Autonomy, Justice, Non-maleficence, and Beneficence.
What are the core ethical principles of nursing?
An interprofessional process, started by the nurse at admission, and needs to consider potential supports and resources in the community.
What is discharge planning?
To critically assess all factors influencing the issue, focusing on variables surrounding the consequences.
What is the primary focus of an RCA?
Involves the cost of staff needed for the patient census, including higher payments for overtime hours.
What is the personnel budget?
The nurse explicitly uses the "I'm concerned, I'm uncomfortable, This is a safety issue" phrasing.
What is the CUS model
Described as those who communicate expectations, develop leaders, and evolve organizations. They challenge processes and creatively think of new ways of doing things, motivate and inspire shared vision, and empower others to act. They also model change and give praise for work done.
What is Transformational Leadership Theory?
The nurse should maintain the patient's safety, assess for any type of plan, alert the charge nurse and the physician in an inpatient setting, and additionally facilitate access to confidential counseling and healthcare services when these types of statements are made by a patient.
What is when a patient expresses suicidal thoughts or ideation?
This safety strategy requires a team member to voice a concern at least twice if they feel patient safety is at risk.
What is the Two-Challenge Rule?
Main objectives include: seeking to understand the perspective of the speaker, being aware that judgments can influence how one listens, and slowing down internal processes and seeking data.
What are the components of active listening?
Assisting a stable patient with activities of daily living (ADLs), measuring vital signs for a patient awaiting discharge and transporting a patient to dialysis are examples of what?
What are examples of appropriate tasks for an RN to delegate to a UAP?
What Benner stage is demonstrated when a nurse uses analytical thinking and begins anticipating future patient needs such as psychosocial or nutritional concerns?
What is the Competent stage?
Educating patients to reduce the risk of future complications and associated healthcare costs is an example of this.
What is a preventive care strategy that promotes cost-effective outcomes?
A nurse notices a UAP is performing a task incorrectly; the following is the RNs role if this event were to occur.
What is, the supervising RN has a duty to maintain patient safety and is obligated to intervene if that RN sees something being done incorrectly by the UAP?
Prioritizing tasks by importance or urgency, grouping activities, staying organized through routines and checklists and delegating when possible.
What are strategies for effective time management?
Utilize the following techniques: nurses should "Present a calm, caring attitude" and "Avoid any behavior that may be interpreted as aggressive, e.g. moving rapidly, getting too close, touching or speaking loudly".
What is attempting to de-escalate an agitated patient or family member?
This occurs when a nurse fails to meet the standard of care and all four elements, duty, breach, causation, and harm, can be proven.
What is professional negligence or malpractice?