Leadership & Management
This type of leader empowers and inspires followers to achieve a common, tong-term vision.
Transformational leader
This is the mental process when analyzing the elements of a clinical situation and using analysis to make a decision. Due to this type of mental process, decisions change based upon the client's presentation.
Requires knowledge of the nursing process, problem-solving, and decision making.
Clinical Reasoning
Facilitates multiple service needs of the client. Works with outside resources to meet the health care and community service resource needs for the client
Case management
Serves to avoid fragmentation of care, control costs, collaboration with interprofessional healthcare team.
Failure to exercise care toward others that a reasonable person would do is
Negligence
This type of culture promotes openness and error reporting resulting in a lower number of adverse events
Culture of Safety
*Risk management helps identify and prevent adverse events, hazards, & tracks incidents.
Defined as the process of coordination and integration of resources through activities of planning, organizing, directing, and controlling to accomplish specific institutional goals
Management
Place in priority order the following decisions for the client.
A. Steps in a client procedure are completed.
B. Clients are seen
C. Components of client care are completed
D. Assessments are completed.
E. Interventions are provided.
B --> D --> E --> A --> C
Change is the only constant in health care. This strategy that a manager uses is one when the manager provides factual information to support the change and when there is minimal resistance.
* Rational - Empirical
* Normative-reeducative
*Power-coercive
* Rational - Empirical
Normative-reeducative = the focus is on interpersonal relationships to promote change
Power-coercive = uses rewards to promote change and used when individuals are highly resistant to change.
Defined as gradual resolution of a potentially violent or aggressive situation through the use of verbal and physical expressions of empathy, and non-confrontational limit setting
Descalation
This is the most severe event in which a client developed a complication d/t the nurse's inability to recognize the cues or does not intervene.
Failure to rescue
List 3 skills that a nurse must develop to effectively manage client care
Leadership, Management
Critical thinking, Clinical reasoning, Clinical judgment
Prioritization, Time management
Assigning, delegating, supervising
Staff education, peer review
Quality improvement, performance appraisal, disciplinary action, conflict resolution,
cost-effective care
Which client is top priority?
A. Client who is at risk for blood clot
B. Family member who is concerned on taking their loved one home after a stroke.
C. A client's who Glasgow Coma Scale went from 10 to 13.
D. Client whose blood sugar is 69.
E. Client whose NIH Stroke Scale score went from 10 to 5.
D. Client whose blood sugar is 69.
Prioritize: Systemic before Local; Acute before Chronic. Actual problems before potentials (risks or future). Listen carefully to client's and their family.
Know which direction is appropriate for the different scales that are utilized.
First step in planned change
Identifying the need for change (unfreezing)
Change/movement: identifying and implementing strategies to change and not just focus on the restraining forces.
Refreezing: change is integrating and re-stabilized.
The person who is legally responsible to give consent for an emancipated minor
The emancipated minor
This emergency occurs in the facility and may result in loss of electrical power or potable water.
Facility readiness for this emergency includes: safety & hazardous materials protocol and infection control policies and practices.
Internal emergency
The ability to read one's own emotional state and be aware of one's own mood and how this affects staff relationships is
Emotional Intelligence
Which of the following client's requires immediate priority care?
A. Client whose blood pressure trend went from 120/88 to 100/78.
B. Client who has 5 second episodes of apnea every 3-4 breaths.
C. Client who has been punched in the face experiencing stridor.
D. Client with 3rd degree burns of the arms.
C. Client who has been punched in the face experiencing stridor.
Airway = top priority. Stridor or Obstruction indicates airway concern. Breathing, Circulation, Disability, and Exposure take a back seat when air cannot even reach the lungs.
A sentinel event has occurred, an incident report has been completed, and risk management begins to completes this critical assessment of all factors that influenced the issue.
Root Cause Analysis
This person is legally responsible for informing the client of the performed procedure, along with the risks, benefits, outcomes, and alternative interventions.
Physician, Surgeon, or Advanced Practitioner who is performing the procedure.
This type of triage is based on doing the greatest good for the greatest number of people. However, it is a very stressful time because the clients who are not expected to survive are cared for last.
Mass Casualty Triage for a mass casualty event.
Leadership is best defined as
Inspiring people to accomplish goals through support and confidence building
State two interventions of time management and self care
Take time for oneself
Schedule time for breaks and meals
Take physical and mental breaks
This is the threat to planned change since it contains resistance such as fear and anxiety or other self-identified causes.
Resistance or Restraining forces
State two situations in which a client cannot give informed consent.
* Minor, not emancipated.
* Taken medications that cause alterations to cognitive thought process (opioids, hypnotics, benzo's, etc).
* Intoxicated or under the influence of drugs / alcohol
* Unable to communicate d/t language barrier or hearing impairment in which there is not a trained medical interpreter.
Alteration of a core aspect of an organization's operation