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Exam 3 aka Final

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Term
Definition
QA/QI? discover/correct errors   QA  
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QA/QI? prevent errors   QI  
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QA/QI? inspection of nurse activities & chart audits   QA  
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QA/QI? review nurse activities, innovation, & staff development   QI  
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QA/QI? QA or department personnel   QA  
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QA/QI? multidisciplinary team   QI  
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QA/QI? set by a team with input from staff   QA  
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QA/QI? set by a team with input from staff & patients   QI  
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QI process steps   1. ID needs 2. Assemble multidisciplinary team 3. Collect data 4. Establish outcomes & quality indicators 5. Select & implement plan 6. Evaluate  
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In ID Nee what is #1 importance?   improved patient outcome  
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outcomes   improve the greater quality or quantity  
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process   nursing care, assessments, nursing interventions  
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structure   number of nurses  
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Risk Management Process steps   1. Define a high-risk situation 2. Determine frequency 3. Intervene & investigate 4. Identify opportunities to improve care  
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near misses   no injury but highlights need of action  
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failure mode & effects analysis (FEMA)   method to analyze reliability problems proactively to avoid negative outcomes  
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Malpractice elements   duty, dereliction, damage, direct cause  
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duty   nurse has responsibility to patient  
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dereliction   nurse did not carry out duty  
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damage   patient was injured  
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direct cause   injury secondary to the nurse's failure to carry out duties  
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consumer relationships   encounters between the consumer and healthcare system representatives  
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the multiple parts of healthcare make it difficult to do what?   develop trust  
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nurses responsibilities in consumer relationships   service, advocacy, teaching, leadership  
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service orientation   focuses on the needs of the customer. also includes nursing care quality, nurse-patient relationships, and caring atmosphere  
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advocate   empowers and promotes self-determination, promotes autonomy, ensures respect, equality, and dignity for others, defends & promotes rights of others  
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3 P's for consumer education   philosophy, priority, performance  
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keys to successful nurse advocate   - developing networking systems - being involved in associations - acquiring knowledge needed to access systems - learning about community resources & support networks - developing skill in referring & engaging patients  
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conflict   disagreement in values or beliefs within oneself or between people that causes harm or the potential to cause harm  
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types of conflict   intrapersonal or organizational or interpersonal  
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intrapersonal conflict   confronted with something that you wouldn't see yourself doing ie. grad school or changing schedule  
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organizational conflict   don't agree with code of conduct or policies & procedures  
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stress =   poor patient outcomes  
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compromise is used to   avoid dealing with the conflict  
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interpersonal conflict   differing opinion ie. family, nurse, doctor  
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conflict process   1. frustration 2. conceptualization 3. action 4. outcomes  
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frustration   perception that your goals may be blocked resulting in emotions  
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conceptualization   what's important to people and what should happen next  
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action   seek clarification about about others view point, collect additional info that informs the issue, engage in dialog about issu then take actions to resolve conflict  
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successful resolution   identifying a common goal that unites the two  
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outcomes   assess what happened & whether anything happened with the relationship  
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constructive conflict results in resolution leading to   growth, problems resolved, groups unified, productivity increased, and commitment increased  
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bullying   real or perceived power differential between the instigator and recipient must be present in bullying  
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lateral voilence   aggressive and destructive behavior or psychological harassment of nurses against each other  
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STAMP assessment   Staring Tone & volume of voice Anxiety Mumbling Pacing  
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delegation   achieving performance of care outcomes for which you are accountable & responsible for by sharing activities with other individuals who have the appropriate authority to accomplish the work  
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key in delegation   communication  
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why delegate   cost-effective  
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Rights in delegation   task, circumstances, person, direction/communication, supervision  
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absenteeism is linked to   role stress & strain thus need to clarify role  
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recognition of chemical dependency   absent a lot, changed good nurse to making lots of mistakes, nurse wants to take of patient with pain meds  
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priority if chemical dependency is suspected   intervene to ensure patient safety  
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emotional problems manifestations   poor judgement, increased errors, increased absenteeism, decreased productivity, and negative attitude  
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steps to clarify role   1. oral reminder 2. written & oral reminders 3. day of decision(day off without pay) 4. termination  
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steps in progressive discipline   1. counsel 2. reprimand 3. suspend 4. work with stipulations 5. termination  
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who plays a key role in role transitions?   organizations  
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ROLES   Responsibilities Opportunities Lines of communication Expectations Support  
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what is the heart of leadership?   communication  
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mentor benefits   stimulate new ideas, development, self-awareness, enlarging colleague pool, new relationships  
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mentee benefits   one-to-one relationship, advice on career development, enlarged network, self-confidence, insight into organization  
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phases of role transistion   1. preview 2. acceptance 3. exploration 4. discrepancy 5. development 6. internalization  
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preview phase   dating  
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acceptance phase   commitment to decision  
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exploration phase   honeymoon  
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discrepancy phase   honeymoon phase over  
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development phase   comes from expectation s and performance  
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internalization phase   know role and expectation & it becomes 2nd nature  
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resume or CV? quality   resume  
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resume or CV? quanitity   CV  
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resume or CV? doesn't list everything   resume  
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resume or CV? used for a specific position or role   resume  
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resume or CV? everything you have ever done   CV  
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addiction signs   irritable, restless, discontent  
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impaired professionals look at   attendance, performance, behavior, physical sings, & narcotics discrepancies  
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reporting avenues for impaired nursing   Board of Nursing or TPAP  
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Board of nursing process for impaired nursing   formal investigation, findings reviewed, sanctions may occur  
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TPAP process for impaired nursing   confidential reporting or referral by Board of nursing, evaluation, contract if treatment required, avoids sanctions  
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Key to chapter 20 on Quality Management   practice more efficiently and decrease malpractice  
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who defines quality?   customers  
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risk management   looks to decrease losses after something happnens  
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losses   length of stay, negative public opinion, employee dissatisfaction  
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some examples of a sentinel events   wrong site surgery, suicide, med error, fire, abduction, transfusion error, uninteded retention of foreign body  
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