Leadership
Management
Management
consideration
empathy
respect
ethical and moral value
accountability
commitment to lifelong learning
honesty
communicating effectively and courteously within the work environment
7 professional behaviors
the unjust treatment of people and groups based on characteristics they possess, or groups or classes to which they belong
discrimination
Slander is ________________where libel is ______________
slander = spoken word
libel = written word
establishes and enforces workplace safety standards with the goal to prevent injuries and illness and save the lives of employees across the United States. Employers must comply with their regulations.
OSHA
When considering whether to delegate a task, the nurse needs to assess the patient and:
how complex the delegated action is
deciding which needs or problems require immediate action and which ones could be delayed until a later time because they are not urgent
prioritization defined
hostile, aggressive, and harmful behavior by a nurse or a group of nurses toward a co-worker or group of nurses via attitudes, actions, words, and other behaviors
horizontal violence
no harm be done either deliberately or unintentionally
Nonmaleficence
Identifying opportunities for quality improvement is the job of
everyone
The mode of delivery where each nurse is assigned a small group of patients for their shift and will be responsible for all aspects of patient care
Total patient care
self-reflection. Ability to recognize your own limitations and biases when interacting with people who have different values, beliefs, and behaviors.
cultural humility
assault is _____________where battery is ____________
assault is threatening to do harm
battery is touching another person without that person's consent.
Investigate health problems, conduct research, implement prevention strategies, and promote safe and healthy environments. Recommend precautions for specific patient populations.
CDC
A delegated task to the LPN can be redelegated to the PCT by the LPN. True/False
False
ABCs plus V and L
airway, breathing, circulation, vital signs, laboratory values
the organization who provides the formal statement of the code of ethics for nurses
American Nurses Association (ANA) Code of Ethics for Nurses with Interpretive Statments
things that occur which would be considered unexpected or abnormal in healthcare
incidents
involves promoting your team and manager positively
managing up
Nurse Jordan attaches her to a digital blood pressure monitor. The monitor repeatedly displays inconsistent readings, switching between error codes and low BP. She immediately switches to manual blood pressure. What is the appropriate step regarding the BP machine?
enter an equipment malfunction or facilities request. Tag the equipment as faulty.
confining individuals against their will by either physical (restraining) or verbal (detaining) means
false imprisonment
provides up-to-date information on workplace advocacy and safety for all nurses. its Commission on Workplace Advocacy covered topics such as: staffing ratios, conflict management, delegation, ethical issues, compensation, needlestick safety, compensation
ANA
the central priority that guides the delegation process?
Prioritizing public protection
Mr. Johnson, is admitted with severe pneumonia. He has SOB, fever, and is anxious. During the nurse's initial assessment, Mr. Johnson expresses concerns about not being able to see his family during his hospital stay. The nurse must prioritize Mr. Johnson’s care needs based on Maslow's Hierarchy of Needs. What is the first priority?
David, a newly hired RN, works under the supervision of Laura, the unit manager. Laura frequently comments on David’s appearance and once said, “I could put in a good word for you if you spend time with me after work." David feels uncomfortable and believes this is inappropriate. What is his 1st action?
Confront - Indicate immediately and clearly to the harasser that the attention is unwanted. In a unionized facility, ask the nursing representative to accompany you.
values that are related to sustaining life, such as food and water
intrinsic values
extrinsic values you hold as a means to some other end. extrinsic values are not done just to do them. You do them because you would feel guilty if you didn't or because you got something else in return.
___________ includes: identifying areas of concern, identifying areas of concern, analyzing and evaluating the data, implementing needed changes
Quality Improvement
the capacity to be aware of, control, and express one's emotions, and to handle interpersonal relationships judiciously and empathetically.
emotional intelligence
A nurse feels emotionally detached and exhausted after weeks of caring for critically ill patients. During a shift, they notice themselves avoiding conversations with patients and families. ---- Is a description of
compassion fatigue
POLST stands for
Physician Order for Life Sustaining Treatment (this replaces the previous DNR form and allows for more autonomy on end of life interventions)
accredits hospitals and health-care organizations on behalf of the U.S. Department of Health and Human Services (HHS) and Center for Medicare and Medicaid (CMS)
The Joint Commission (TJC)
Right Task.
Right Circumstances.
Right Person.
Right Direction/Communication.
Right Supervision/Evaluation.
5 rights of delegation
what patient will you assess first?
Complaining of chest pain that started 30 minutes ago and radiates to his left arm.
Admitted for dehydration due to severe diarrhea.
Post-operative day 2 from knee surgery. pain 8/10
Requires assistance with toileting and has been waiting for 15 minutes.
ABC's
Complaining of chest pain that started 30 minutes ago and radiates to his left arm.
(1) the work the organization does consists of high-risk activities and rugged determination to maintain consistently safe operations
(2) Errors and near misses are reported without reprisal.
(3) Interdepartmental and interprofessional collaboration are used to find solutions to safety problems.
(4) The organization prioritizes and commits resources to address safety issues
4 principles of the culture of safety
The nursing process can be used as a foundation for finding solutions to ethical dilemmas. What are the steps
Assessment
Diagnose
Planning
Implementation
Evaluation
specific, formal documents that outline how a procedure or intervention should be conducted
protocols
Careful, deliberate use of reasoned analysis to reach a decision about what to believe or do
critical thinking
A patient becomes agitated and verbally abusive toward a nurse, escalating to threatening behavior. What is the most appropriate initial response by the nurse?
Remain calm
Maintain a safe distance
Attempt to de-escalate the situation
legal document in all 50 states and is critical to both ethical and legal principles considering a patient’s understanding of a procedure or treatment, and respect for their autonomy
informed consent
exist for each state and govern the legal practice of nursing, including standard of care, delegation, and supervision.
nurse practice acts
Delegating requires clear and skillful _____ to avoid liability.
communication
_____occurs when the nurse knows the action they need to take, but for some reason find themselves unable to act.
moral distress