Organizational Decision Making and Shared Governance
A collaborative relationship that links health care providers and patients along all points in the system.
What is a partnership?
A report whose purpose is to exchange information that is necessary for future patient care and to discuss the present status of the patient.
What is a Change-of-shift report?
The ability of an individual to perceive and manage the emotions of self and others.
What is Emotional Intelligence?
A legal process by which a client provides written permission for a procedure or treatment to be performed.
What is Informed Consent?
The process used to prevent cross-contamination of communicable organisms and health care-associated infections.
What is Infection Control?
The first step in participation in shared governance.
What is membership in a unit-based council?
An Ad hoc team planning event that reestablishes situation awareness; reinforces plans already in place; and assesses the need to adjust the plan.
What is a Huddle?
The mental processed used when analyzing the elements of a clinical situation and making decisions.
What is Clinical Reasoning?
The use of computers to systematically resolve issues in nursing.
What is Informatics?
Complications related to immobility (e.g. pressure injuries, urinary and fecal incontinence, and pneumonia) are risks associated with this form of injury prevention.
What is Restraints?
A willingness to invest in decision making and express ownership in those decisions.
What is Accountability?
A communication mechanism that is useful for framing any conversation, especially those requiring a rapid response from a clinician.
What is a SBAR report?
A foundation for clinical decision making that includes analyzing client issues and problems.
What is Critical Thinking?
Responsible for documenting reinforcement of information originally given by the provider and questions the patient had during evaluation for informed consent that were forwarded to the provider.
Who is the Nurse?
The fire safety acronym used to help staff recall the appropriate sequence of action in the event of a fire.
Rescue
Activate alarm
Confine the fire
Extinguish the fire if possible
In 1859, this famous nurse represented a shared governance model with the following quote, "The key provider at point of service, the staff nurse, moves from the bottom to the center of the organization. Nurses are the primary employees who do the work and connect the organization to the recipient of its service..."
Who is Florence Nightingale?
The aspect of the SBAR conveyed when reporting "Leak test was negative. Her incision site looks great. Bowel sounds are active. Her temperature is normal at 36.8 C; however, her blood pressure, respiration, and heart rate are all elevated and trending up."
What is the Assessment?
A decision made regarding a course of action based on a critical analysis of data.
What is Clinical Judgement?
Examples include mediating on a patient's behalf when the actions of others are not in the client's best interest and questioning a prescription if it could harm a patient.
What is Nursing's Role in Advocacy?
The frequency that is not permitted for use in patient restraint orders.
What is PRN?
"unlike participatory management environments, ____ structures ensure that the practicing nurse has not only the right but the power to make practice decisions."
What is Shared Governance?
Key principles of this important communication method include Team Structure, Leadership, Situation Monitoring, Mutual Support, and Communication.
What is TeamSTEPPS?
Examples include systemic before local and acute before chronic.
What are Prioritization Principles?
The consistency of care provided as patients move through the health care system.
What is Continuity of Care?
The first patients to discharge or relocate during the discharge/relocation phase of an emergency.
What are ambulatory clients requiring minimal care?