Leading & Managing Care
Prioritization principles in client care
Systemic before local (life over limb)
Acute before chronic
Actual problems before potential
Listen carefully don't assume
Respond to trends vs. transient findings
Recognize medical emergencies vs. expected findings
Apply clinical knowledge to procedural standards to determine priority of action
The nurse's role in supporting clients by ensuring that they are properly informed, that their rights are respected, and that they are receiving the proper level of care.
What is advocacy?
What are the elements necessary to prove negligence?
Providing care with a level of cultural humility demonstrated by incorporating self-evaluation throughout one's life of personal vias, addressing inequities in healthcare, and developing partnerships that work with communities in a mutually beneficial way to support defined populations.
What is culturally congruent care?
Fire, oxygen, smoking, carbon monoxide, food poisoning, and disasters.
What are home safety risks that may require additional education to be provided by the nurse?
The process of transferring the authority and responsibility to another team member to complete a task, while retaining accountability.
What is delegation
The nurse's role is to witness the client's signature and be sure this has been appropriately obtained.
What is informed consent?
Assault, battery, & false imprisonment
What are intentional torts?
The use of current knowledge from research and other credible sources, on which to base clinical judgment and clinical care.
What is evidence-based practice?
Contact, droplet, standard, airborne
What are the types of precautions?
The accumulation of skills and knowledge over time that leads to clinical decision making
What is clinical reasoning?
Consistency of care provided as clients move through the health care system.
What is continuity of care?
Act that governs nursing practice in each state
What is the Nurse Practice Act?
Factors in an objects design that contribute to comfort, safety, efficiency, and ease of use.
What are ergonomics?
Implemented by a health care facility in the event of a disaster.
What is an Emergency Operating Plan?
Some examples are ADLs, bathing, grooming, ambulating, dressing, toileting, and feeding.
What are things a nurse can delegate to assistive personnel?
The purpose is to communicate a client's wishes regarding end-of-life care should the client become unable to do so.
What are advanced directives?
Regulated by federal and state laws, health care facilities have policies and procedures in place to guide health care workers involved with this, it may also be stipulated in a will.
What is organ donation?
Avoiding/withdrawing
Smoothing
Competing/Coercing
Cooperating/Accommodating
Compromising/Negotiating
Collaborating
What are conflict resolution strategies?
An unexpected death, major physical or psychological injury, or situation where there was a direct risk of either of these.
What is a sentinel event?
Knowledge and skill level of team member, amount of supervision necessary, staffing mix, nurse-to-client ratio, experience with similar clients, familiarity of staff member with the unit
What are health care team factors to consider when making patient assignments?
Rational-empirical, normative-reeducative, power-coercive
What are behavioral change strategies?
In certain situations, health providers have a legal obligation to report their findings in accordance with state law.
What is mandatory reporting?
Aspiration, water safety, suffocation, poisoning, falls, motor vehicle injury, burns
What are areas for risk of injury for infants and toddler?
RACE and PASS
What are acronyms for fire response and extinguishing?