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leadership other
| Question | Answer |
|---|---|
| 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 |
| na CAN OBTAIN WHAT? | STERILE URINE |
| 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
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