Time Management
A set of related principles that help you use your time wisely
What is time-management?
Classifying goals, tasks, and responsibilities from the most important to the least important.
What is prioritizing?
What are these things an example of
-Answer a call light
-Assist a patient to the restroom
-Check a blood glucose
What are things you may delegate to a PCT
What are these an example of
-Patient acuity
-Unit disruption
-interruptions
What is obstacles?
Interruptions from unscheduled guest, phone calls, failure to delegate routine tasks, inability to say no
What is time management obstacles?
Which patient has the highest priority? 1. Myocardial Infarction 2. Atrial fibrillation 3. Angina Pectoris 4. Congestive Heart Failure
What is answer 1.) MI
1. Assess and get organized
2. Plans the delegation
3. Determines most appropriate person for task
4. Delegate operational responsibility and authority for the activity
5. Establish controls
6. Evaluate outcomes
What are the steps of delegation?
Critical
Urgent
Routine Responsibilities
Extras
What is Christine Olson's CURE mnemonic?
Related to the quality of care, patient safety, and job performance
Raises the individual's performance
Leads to efficient nurses
What is the importance of time management in nursing?
Method used to prioritize tasks based on importance or time
What is the ABC Method?
The transfer of responsibility for the performance of an activity from one individual to another while retaining accountability
What is Delegation?
Right task
Right person
Right Circumstance
Right communication
Right supervision, feedback
What is the 5 Rights of Delegation?
Coming in 10 minutes early prior to the start of your shift to get organized
What is a time management strategy?
What is the patient the will nurse see First
1. COPD
2. CHF
3. Appendicitis
4. Two-hour post-op cholecystitis
5. Three-day post-op CABBAGE
What is answer 4.) Two-hour post-op cholecystitis
(fresh post-op within 12 hours is most acute)
An Organization that is responsible for Nurse Practice Acts, Scopes of Practice, and clear regulations for delegation.
What is State Boards of Nursing
What are the 6 steps of delegation?
What is:
1) Assess and get organized
2) Plan delegation
3) Determine most appropriate task to delegate to right person
4) Delegate task/activity
5) Establish control
6) Evaluate Outcome
States that 20% of focused efforts results in 80 % of outcome results
What is Pareto Principle?
Highest priority:
A. 23 yr old male with CHF with a potassium of 6.6 and no ECG changes.
B. Chronic Renal Failure with a creatinine of 20.7 and pink, frothy sputum.
C. Acute hepatitis with jaundice and increased ammonia level, who you cannot arouse.
What is answer C.) Acute hepatitis with jaundice and increased ammonia level, who you cannot arouse.
(cannot rouse modifying factor)
What are these an example of
-Unstable patients
-Activities requiring assessment, problem-solving, judgment, evaluation
-Where outcome is unpredictable
-Sterile technique, med administration, IV therapy, invasive therapy
What can not be delegated?
What is the highest priority patient
1. 16 yr-old female with meningitis who has had a temp of 103.8 since admission 3 days ago
2. 67 yr-old male with IBS who spiked a temp of 100.3 this afternoon
What is answer 2.) 67 yr-old male with IBS who spiked a temp of 100.3 this afternoon
BECAUSE...A patient with Meningitis is expected to have a fever. A patient with IBS who recently developed a fever is an unexpected and new symptom.