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leadership other

nurse must have good leadership skills team
called when off duty primary
lvn and RN are given specific Tasks functional
JCAHCOs stance on nursing care about the quality
case managers are... bachelor's prepared
initial assessments are done by who? the RN
LVN cannot insert an NG tube can do what? THE FEEDING
when nurses provide all care,,,bedside etc... total care
5 rts of delegation rt person, task, circumstance, direction/supervision, evaluation
hospice, home health & LT care primary
found in ICU & nursing students--> burnout total care
found in med-surg, in/out pt team nursing--> RN assigns duties but may not have leadership skills
modular nursing team nursing in smaller chunks
leadership The act of guiding/influencing people to achieve desired outcomes
management Coordination of resources time, people & supplies to achieve outcomes; involves problem-solving & decision-making
leadership trait theory People are BORN leaders
transactional theory Focus on day-to day operations reward staff for work monitor weak performance
transformational Identify & clearly communicate vision & direction empower work group to accomplish goals admired and provide mentoring
situational theory Explores impact of the situation of the leader suggests leader may vary in relation to the situation
organizational theories-- chaos, situational & beaurocracy Looking at how groups interact w/in an organization
bureaucracy theory Focused on rules rather than the individual  favors competency over favoritism, fails to recognize the human condition
systems theory Interdependent parts working together as a whole & anything that affects one part affects the whole affected not only by internal but also external situations
chaos theory Attempts to account for complexity ie; people calling in sick, cultural diversity, pt census, & so they PLAN for it (have people on stand by etc.)
autocratic mngt Determines policy & makes all the decisions dictates work & much of the control. Gives little feedback or recognition good in an emergency situation
democratic encourages staff participation decisions could take a while. Effective communication works well with highly motivated people good for problem solving & growth
Laissez-faire Zero guidance and direction unable/unwilling to give direction. Initiates little change. Works well w/professional people all the power is given to the employees
liabilities put on a nurse manager Fx as a 1st responder in emergencies, triage of pts/allocation of staff equipment, delegation of pt care tasks, supervision of floats/subordinates, reporting deficits, supporting/invoking chain of command
discovery rule Fx as a 1st responder in emergencies, triage of pts/allocation of staff equipment, delegation of pt care tasks, supervision of floats/subordinates, reporting deficits, supporting/invoking chain of command
standards of care In civil cases, the legal criteria to which the nurse/physicians conduct is compared to determine if negligence/malpractice has occurred
pts rights proxy agency, function, or power of a person authorized to act as the deputy or substitute for another.
durable power of attourney A document which authorizes the pt name who will make the end of life decisions for them once they become incometent
living will A formal document in which a competent adult makes their wishes regarding care during terminal illness known
advanced directive A statute which grants pts the rt to refuse extra tx when there’s no hope for recovery
Respondeat superior LET THE MASTER SPEAK” legal doctrine which holds the employer directly responsible for negligent acts of employees
Res Ispa loquitur The thing speaks for itself an obvious mistake which wouldn’t need a nurse expert in a court--. Leaving a surgical instrument in a pt during surgery
malpractice Failure of a professional to meet the standard conduct that a reasonable prudent member of his/her profession would in a similar circumstance unintentional
negligence Failure to act in a way that an ordinary person would in a circumstance unintentional
intentional tort Direct violation of a person’s legal rts assault/battery/defamation of character/false imprisonment/invasion of privacy/ intentional infliction of emotional distress
tort Unintended wrong against a person negligence/malpractice
pt self determination act Omnibus- medi-medi individuals express preferences regarding tx. Hospitals MUST ask pts if they have living wills
NPA State laws that govern nursing practice that define scope & limitations protects public & makes nurse accountable usually defines the term RN, standards of competent performance (behaviors that are prohibited) & grounds for disciplinary action (fines/pe
violations of NPA Practicing w/o a license, guilty of a felony (falsification of records.incorrect documentation), inappropriate behavior (medicare fraud)
2 systemsa of regulations laws & ethics
unfreezing stage Unfreezing a stage change agent promotes problem identification & encourages awareness for the need for change people must believe improvement is possible
moving stage Moving stage need to change is clarified alternatives explores, goals/objectivesidentified, change is planned & plan is implemented
refreezing stage change is integrated into the organization so it becomes the “status quo.” If this stage is not completed, then people will fall back into old behaviors
the new RN Supervises patient care technicians, manages task assignments, & supply use for pts, meets w/the interdisciplinary team
organization chart Visual pix of organization & IDs lines of communication & authority
strategic planning Long range planning 3-5 years resulting from an in-depth analysis of: 1) Business/community/regulatory/political environment outside the organization 2) customer needs 3) technological changes 4) strengths/problems/weaknesses of the organization
Created by: arsho453