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Environmental Safety
Time Management
Escalation Process
Supervision
100
Rounding
What is one way you promote a safe environment while at work?
100
1. Ongoing advocacy, assessment, and interventions. 2. Patient safety 3. Patient satisfaction 4. Quality Patient Care and Outcomes
What is the Charge Nurse accountability to the patient, staff and organization?
100
1. Communication with Patient ( or family) 2. Communication with the team 3. Escalation process to the PCM, Director.. First year resident, 2nd year, Chief, Attending Physician.
What steps would you take to ensure that patients are always safe?
100
1. Supervision to all Nurses, PCTs, UAs and the direct management/ input of of patient care 2. Collaboration with the Interdisciplinary Team 3. Communication, openness and trust working with the team, Patient Care Managers, Educators, Directors and Nursing Leaders. 4. Constant awareness of what is taking place on the unit while on unit.
What is the level of supervision and observation that a Charge Nurse needs to provide?
200
1. Patient Safety 2. Any environmental hazards 3. Noise levels 4. Alarm Systems 5. Faulty Equipment
What are some things you would consider relevant to assess while rounding?
200
1. Assignment of the nurses/resources on hand 2. Census report 3. Beds availability and readiness to accept patients 4. Communication methods to the PCM, staff, and nursing office
You have arrived on the unit and was told that you have five patients to be admitted from the ER. What actions would you take?
200
1. Review process that is in place 2. Supportive role, listening techniques 3. Try to assist to resolve the issue 4. Communicate with PCM, assigned doctor, Chief Resident, Attending Physician.
How do you assist new nurses and nurses who float to your unit in recognizing BLHC escalation process?
300
1. PCTs and Nurses 2. Rounding forms to be done ( RNs and LPNs, PCTs)
Who is responsible to do rounding? What documentation system is in place and how often do you document?
300
1. Check for available resources via the nursing office 2. Check acuity level of patients before doing the assignment 3. Assign one of the trained preceptor to shadow the new nurse. Explain to the new nurse that she can assist the preceptor. 4. Communicate with staff, PCM and reinforce team work.
You have a new nurse on your unit for the first time and two of the seasoned nurses called out sick on your shift, what actions would you take?
300
1. Reinforce steps for advocacy 2. Ensure that this patient receives his/her pain meds 3. Review with nurse patient satisfaction 4. Review steps to have these issues resolved and sustained 5. Discuss mechanisms to improve systems for the hospital.
You are working and a nurse discussed that a patient is not receiving any pain medications after an abdominal resection. The nurse informed that she is afraid to talk to the doctor as he is always rushing off the unit. What steps would you take?
400
1. Follow the downtime procedure 2. Instruct all staff regarding the process 3. Make sure that proper process is followed 4. Communicate with the Patient Care Manager
You have arrived on the unit and KBC is on down time what will you do?
400
1. Coverage 2. Hand- off process 3. Function of the unit 4. Communication with PCMs
As the Charge Nurse you were summoned to attend and present at a two hour Performance Improvent meeting. You also have to schedule the nurses to attend a Nursing Grand Rounds for that day at 1pm? What action plans would you put in place?
500
1. Adhere to policy and procedure 2. Communication on all levels 3. Assignment of patients
How do you create and sustain a culture of safety and vigilance for avoiding errors?
500
1. Complete assignment from the previous shift 2. Check census and have overview of patients 3. Communicate with prior shift PCMs, ANCC/Charge Nurse if any changes or outstanding issues. 2. Avoid distractors 3. Delegate responsibilities
How do you ensure that assignment is distributed on time to all the nursing staff on your unit?
500
1. Listen to the patient and reassure that you will take care of this matter. Make sure issues are resolved. 2. Discuss with the assigned nurse the compliant that was made. Find out from the nurse what exactly happened. Talk with the covering nurse. 3. Check KBC for charting and EMAR. 4. Notify Nurse Manager 5. Notify the doctor
You are getting ready to leave your shift when a patient reports that since the start of the shift he did not receive any medications or care. What actions would you take?