core measures
hospitalized patients are started on SCDs and anticoagulants to prevent blood clots.
What is VTE prophylaxis?
This leadership style is characterized by giving orders and making decisions without staff input.
What is authoritarian/autocratic leadership?
Name the 5 rights of delegation
What is right task, right circumstance, right person, right direction/communication, right supervision
This ethical principle involves doing good and acting in the best interest of the patient.
What is beneficence?
Advocacy requires the nurse to act in this person’s best interest at all times
Who is the patient
Give 2 examples of core measures for pneumonia?
must have blood cultures within 24hrs of admission
have an appropriate antibiotic prescribed
screened for these 2 preventive vaccines.
influenza and pneumococcal
smoking cessation
This leadership style promotes complete freedom for the group and minimal leader participation.
What is laissez-faire leadership?
A CNA can take vital signs but cannot perform this nursing process step.
What is assessment?
This principle requires nurses to avoid causing harm, whether intentional or unintentional.
What is nonmaleficence?
This process involves assessing, planning, facilitating, coordinating care options, and promoting cost effective outcomes.
What is case management
what is door-to-balloon time
what is 90 min
This leadership style encourages discussion and shared decision-making.
What is democratic leadership?
The RN must evaluate whether a task is too complex or requires problem-solving. These are part of what framework?
What are the five factors in delegation decisions?
(Potential for harm, complexity, problem-solving, innovation, level of interaction)
This ethical concept refers to a patient’s right to make their own healthcare decisions even if the nurse disagrees.
What is autonomy?
Part of advocating for safety and quality and quality includes encouraging this type of communication among all healthcare team members
What is open and collaborative communication
4 core measures for stroke
Antithrombotic therapy at discharge
Anticoagulation at discharge for A-fib/A-flutter
Antithrombotic therapy by day 2
Statin at discharge
Stroke education given before discharge
Rehab assessment completed
Dysphagia screen before anything PO
Leaders must possess these four traits.
What are vision, trust, communication skills, and motivation?
This is an example of what: The RN is asking a CNA to evaluate a patient's response to IV pain meds.
What is improper delegation?
A nurse tells a patient, “I’ll come back in 10 minutes to help you with your pain and reposition you,” but the unit gets busy and the nurse considers skipping it because “the patient probably fell asleep anyway.”
What is infidelity?
This patient-centered care principle recognizes the patient as the full partner in decisions regarding their healthcare.
What is QSEN competency of patient-centered care
What are 6 core measures for SCIP?
beta blocker perioperatively
perioperative temperature management
Antibiotic given within 1 hour before incision
glucose management
urinary catheter removed
Correct antibiotic selection for the surgery type
Antibiotic discontinued within 24 hours after surgery
No razor use appropriate hair removal with clippers
Leadership focuses on these, whereas management focuses on tasks/policies.
What are interpersonal relationships and people?
When delegating, nurses are accountable for the following
What is the state nurse practice act, American nurses association standards of practice, policies and procedures of health care organization in which they work, the institution where the nurse works as well as the nurse is liable for negligence or malpractice.
Two patients need pain medication at the same time:
• one is polite and calm
• the other is demanding and rude A nurse feels tempted to medicate the polite patient first, even though both requested pain relief simultaneously and have the same priority level.
What is justice?
Case managers advocate by performing early detection, interdisciplinary collaboration, and facilitating disease management programs-what is the ultimate goal of these programs
What is maximizing efficiency and improving outcomes for chronic illness