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Contemporary nrs 1-3
| Question | Answer |
|---|---|
| delegation to the RN | assessment, dx, nursing care plan, eval, counseling, teaching, IVPB, IVP, chemo, initiate onsults, phone orders, d/c process |
| delegation to lvn | collecting data, PO meds, accu check, insulin injection, wound care, colect specimen(blood if IV certified), v/s, monitor I/O, enema, phone order |
| delegation to NA/CNA?UAP | assist w/ADL, collecting, reporting, documenting, v/s, I/O, housekeeping, transporting, maintaining supplies |
| effective delegation | know the pt, staff member, task to be delegated, explain tsak & expected outcomes, responsible action from delegate, assess & supervise job performance, evaluate & follow up, understand high-risk delegation |
| patient acuity | amt of complexity of care for particular pt |
| acuity level is determined by | age & fx ability, communication skills, cultural/linguistic diversities, severity/urgency of admitting condition, scheduled procedure, ability to meet health requisites, social support, specific needs |
| primary care nursing model (think you're the primary nurse throughout stay) | 24-hr responsibility for planning/directing/evaluating from admission-d/c for one pt. Total pt care & may delegate.off duty, there's associate nurse. Found in hospice, home health, LT care. Main responsibility: communication between health care team |
| primary care nursing model pros/cons | pros- direct pt care, 1-1 relationship w/pt, autonomy, feeling challenged & rewarded; cons- implementation may be difficult & high responsibility |
| TEAM CARE MODEL | RN fx as team leader of 4-5 for sm group pts. Must know condition of all pts & plan care. Plans care, assigns duties, assists team members, direct pt care, pt teaching & activities. Found in Med surg (In/Out pt) |
| pros/cons team care model | pros- each team member contributes skills & problem solving (and there's a team); cons- continuity may suffer as daily assignments may vary, leader may not have leadership skills, not enough time for care planning |
| Functional care nursing model | staff completes certain tasks for a group of pts. Ie; nurse gives all IV meds & assessments, LVN does all PO meds etx. Found in ORs |
| Functional care pros/cons | pros- economic, done quickly; cons- care is fragmented, pt needs may be overlooked d/t focus being task-oriented |
| total care nursing model (totally for a shift) | nurses plan, organize & perform all care, including hygiene, meds, tx, emotional support, and education required for their assigned group for shift. Found in ICU & recoovery |
| total care pros/cons | pt recieves total unfragmented care by one nurse per shift, autonomy, responsibility/acountability are clear; cons- # of RNs required to do this are not available, $, shortage, could be done by a caretaker for less $ |
| case manager framework comonents (5 parts) | assessment, planning, implementation, evaluation, INTERACTION |
| 3 basic organizational needs that are significantly affected by staffing are: | financial resources, licensing regulations (Joint commission standards), and customer satisfaction |
| primary considerations when it comes to staffing: | # of pts, intensity of care, staff experience |
| what is a SMART goal? | specific, measurable, achievable, reasonable, and time-based |
Created by:
arsho
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