Prof. Char. & NM of Care
1-ability to understand the situation you want to influence
2-make changes that will close the gap between the current situation and your goal
3-communicate
A leader-
leadership competencies
Governing entity overseeing what can and cannot be delegated
State Nurse Practice Act
treat others equally regardless of gender, sexual orientation, religion, ethnicity, disease or social standing
justice
a task is delegated only to find out later in shift, the task has not been completed-what do you do?
Assess/Speak with individual involved to confirm they heard the task, understand what to do and revise plan/address behavior
verbal abuse
punishment
humiliating comments
malicious gossip
what is incivility/bullying
horizontal violence
Nurse administered wrong treatment, what is next course of action?
Notify provider
Incident report
take specimens to lab
take vital signs
assist with feeding
report abnormal findings when found
roles a CNA/UAP can perform
quasi-intentional tort r/t written word
libel
What is manage up?
When you show respect and show appreciation for others
asking another's sexual activities
making sexual innuendoes or jokes or comments
making remarks about a person's gender or body
sexual harrassment
What type of leader involves team members when planning or making decisions
Democratic leader
administer po, inhalers and SQ/IM injections
auscultate heart, lung, bowel sounds
cannot teach, admit or discharge
LPN/LVN
to be truthful
veracity
set the stage
set ground rules
clarify problem
steps in negotiation process
What ergonomic injuries are common to bedside nurses?
unexpected patient movements during transfers can cause back injuries to nurses
incorrect application of wrist restraint by UAP/CNA, patient receiving TF with HOB down, two co-workers disagreeing loudly in nurses station
examples of when a nurse should intervene immediately
Floating considerations
what task/role
floating staff credentials/competencies/experience
priority-patient & clinician safety
A visitor asks for information, on your unit, about a well known public figure in the hospital on your unit. The prudent nurse declines to release information. They are maintaining.....
nonmaleficence
Barriers to effective communication
low health literacy
cultural diversity
cultural competency of HCP
communication skills
reports that describe an unplanned event
near miss
patient fall
missing narcotic
Narcotic found lying on cabinet - what do you do now?
pick it up
report the discrepancy immediately
complete incident
Which patient do you see first:
Positive TB test
HIV+ pt with low CD4 count
Influenza with increased SOB
Zika virus with rash and joint pain
Influenza with SOB
Conduct as an ordinary reasonable and prudent professional
Expectations of Good Samaritan Law
An angry patient approaches the desk and states 'there is nothing wrong with me I am leaving'. What should the nurse do?
Notify provider
Document the patient left the facility AMA
Explain risks involved if they choose to still leave
Ask client to sign the AMA form
Rescue patient
Activate alarm
Confine fire (i.e. close doors or windows)
Extinguish fire if able or evacuate