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CH 6
Working With Others
Question | Answer |
---|---|
the benefits of working with a team include opportunities to collaborate, communicate, find mentorship? t/f | t |
when working on a team a challenge is overcoming the wide range of abilities, skills and perspectives. t/f | f; those are benefits |
better decision making, problem solving in a positive trusting atmosphere are benefits to working as a team. t/f | t |
recognizing role boundaries, being inflexible, walking away from conflict and expressing your needs and views to no one are challenges you might face in a team environment. t/f | f; recognizing role boundaries, being flexible, handling conflict and expressing your needs and views are challenges |
the two places to work in a teamwork community setting inc _______________ and _____________ | home care and community day center |
hospitals, LTC, hospice/ palliative care units and Assisted living facilities are 4 places you could work in a team environment setting in facilities. t/f | t |
accountability means you are willing to accept responsibility and explain one's actions, inactions, omissions, intentions and decisions. t/f | t |
controlled act | tasks that must be performed only by those authorized to perform them. considered harmful if performed by unqualified individuals |
Team | group of people working towards common goal |
Task | function, procedure, activity that PSW assists with or performs for client |
Delegation | process by which nurse authorizes another health care provider to perform certain tasks inc controlled acts |
Assigning | appointing someone to take on a task/ responsibility of providing care/ support that is within a persons scope of practice/ employment |
Authority | legal right to perform a task |
Support workers have the legal authority to delegate tasks. t/f | f |
what three things must a nurse feel confident in before delegation take place? | 1)PSW understands what responsibilities are when performing task 2) knows when/ who to ask for assistance 3)knows when/ how/ to whom to report the outcome of the task |
Tasks that PSW's can be delegated are ______________ with __________________ outcomes | routine, predictable |
Tasks that PSW's can be delegated require _______________________ and they can be delegated for _____________ clients only | little supervision, stable |
tasks that may be delegated include suctioning permanent tracheotomy, I&O cath, admin of glucometers, dressings, feedings and meds. t/f | t |
All nursing tasks can be delegated to make sure all tasks gets done in a timely fashion for the day t/f | f; only some can be delegated. check employee policies/ guidelines, job description, province legislation |
only a _______________ health care provider has the responsibility of _____________ tasks | regulated, delegating |
examples of a regulated health care provider include RN, PSW, LPN, RPN. t/f | f; PSW's are not a regulated health care provider body |
when making delegation decisions, the clients ______________ and ___________ must always be first priority by person delegating | health, safety |
the delegating regulated health care provider does not remain accountable for properly following all steps in delegation. t/f | f; they do remain accountable |
if being delegated to, you are not accountable to anyone, the person that delegates is. t/f | f; PSW's are accountable to the employer policies and client for your actions and ensuring task done correctly |
delegated tasks do not need to be within the legal limit of what you can do t/f | f; knowing your scope of practice is important to accepting delegated tasks |
before delegating tasks, a nurse must know your________________ and ___________________ | work experience and skills you have learned and how they were evaluated |
a nurse doesn't need to know what you were taught in your training program before delegating a task because they are there to teach and supervise the task t/f | f; knowing what was taught in your training program is information that will help the nurse decide if you should take on the delegated task |
the nurse knowing what ________________ are included in your job description and that your province allows is an important step in determining to delegate a task | tasks |
if a task is in your job description and you have done them before you have the right to always do that delegated task. t/f | f; the nurse may decide to not delegate to you regardless of experience and job description |
the five rights of delegation are? | right: task, circumstance, person, direction/ communication, supervision/ evaluation |
what four factors that effect a nurse delegating to a PSW ? | circumstance, clients needs, the task, right the support worker |
if you feel a nurse wrongly did not delegate a task you are confident in doing, you can report it to their manager t/f | f; it is the nurses responsibility and right to determine if you can do a delegated controlled act. do not take it personally. |
a ______________ is the PSW's supervisors for health care needs in community settings | nurse |
a nurse in community settings that has taught you a controlled act should provide you with ________________, ______________, __________________ | written instructions, what you need to record, and predicted outcomes |
a nurse is responsible for _____________, ___________________, and ______________ your performance when delegating tasks | teaching, supervising, monitoring |
if delegated a controlled act PSW's have the _____________ to refuse or accept task | choice |
if you have concerns about your ability to do a task, it is beyond your scope or the clients condition changes it is important to tell the person delegating the task. t/f | t |
care conference is also called a ___________________ | family |
an interdisciplinary team is also called a ___________________ | interprofessional health care team |
team functions and members vary from hospital to hospital and department to department in hospital team settings t/f | t |
in hospital team settings many departments use a __________________ team approach | interdisciplinary |
interdisciplinary team | includes health care providers from a variety of backgrounds and specialties, as/n, who work together to meet the clients needs |
in an LTC facility team; dr's, nurses, social workers, support workers, therapists, the client and there family al work together t/f | t |
in larger LTC facilities a team could include a dietician, activity director, pharmacist and other staff members t/f | t |
a nurse, dietician, therapist and client make up a team in a hospice/ palliative care setting t/f | f; nurse, support worker, dr, social worker, volunteer, dietician, client and family and potentially spiritual advisor |
hospice and palliative care units are facilities but they are also considered community based services t/f | t |
team members in a community based palliative care/ hospice care setting meet in the clients ___________ or in _____________ | home, facility |
support workers in hospices or palliative care units are usually involved in ________________ | family conferences |
family conferences in palliative care are held _____________ and whenever difficult situations _____________ | regularly, arise |
family conferences are most common in hospice and community settings and never happen in hospital settings t/f | f; rarely happen in hospital settings but can |
teams in assisted living facilities usually include a supervisor (may be nurse, social worker or qualified youth worker) and one or two support workers. t/f | t |
a team in home care setting usually includes a client, family member, case manager, family dr, nurses, support workers and supervisors t/f | t |
social workers and therapists never help in home care t/f | f; they may be included if required |
a case manager monitors and evaluates the needs of a ________________ in community setting while __________ the services of teh team | client, coordinating |
a case manager can only be a regulated health professional t/f | t; includes nurses and social workers or other profession |
team members in home care never communicate through telephone or written reposts because they are not safe modes for client confidentiality to be upheld t/f | f; phone and written reports are often used by team. when using a phone make sure you are alone in the room with no one on the line |
case managers __________ a team meeting when the need arises | schedules |
a rehab team in community day programs include supervisor (often nurse or other health care provider), other professionals and support workers t/f | t |
when support workers work in day programs they rarely get an opportunity to speak with the team because everyone focuses on their own duties t/f | f; meet regularly to talk about client progress |
CCAC | Community Care Access Point |
RHPA | Regulated Health Professions Act |
RNAO | Registered Nurses Association of Ontario |
CCO | Career Colleges Ontario |
the nursing function of procedure that can be delegated to a PSW in known as a ______________________ | nursing task |
a dr is generally a PSW's supervisor in a facility t/f | f; a nurse is |
when a nurse authorizes a PSW to perform a nursing task, they are doing what? | delegation |
having the necessary knowledge, skill and judgement to perform a task safely demonstrates__________________ | competence |
the delegating regulated health provider remains legally _______________ for the task delegated | accountable |
transfer of function | certain tasks that can be delegated, a process by which the nurse authorizes another health care provider to carry out those tasks |
a controlled act procedure may be delegated to a member of the clients household or family, a PSW or another unregulated care provider t/f | t |
team leader has over all ___________ and __________ for the clients care and the work of the other team members | responsibility, accountability |
delegation is also called___________________ | transfer of function |
a person must be ___________________ to performed a delegated controlled act | competent |
competent | having the necessary ability, knowledge or skill to perform a task safely and successfully |
accountability | responsible for ones actions and the actions of other who performed the delegated task |
in support work you must perform tasks _________ and skillfully; be well organized, punctual and ___________; and know your scope of practice and personal limits | safely, reliable |
if the clients needs and the task require the knowledge, judgement and skill of a nurse, the nurse must perform the task t/f | t |
monitoring of a delegated task may be done in a number of ways and is at the discretion of the nurse to decide which method t/f | t |
if you have a good reason for not doing a task, refusing to do it is your ___________ and your______________ | right, duty |