leadership other
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| nurse must have good leadership skills | team
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| called when off duty | primary
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| lvn and RN are given specific Tasks | functional
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| JCAHCOs stance on nursing | care about the quality
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| case managers are... | bachelor's prepared
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| initial assessments are done by who? | the RN
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| LVN cannot insert an NG tube can do what? | THE FEEDING
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| na CAN OBTAIN WHAT? | STERILE URINE
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| when nurses provide all care,,,bedside etc... | total care
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| 5 rts of delegation | rt person, task, circumstance, direction/supervision, evaluation
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| hospice, home health & LT care | primary
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| found in ICU & nursing students--> burnout | total care
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| found in med-surg, in/out pt | team nursing--> RN assigns duties but may not have leadership skills
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| modular nursing | team nursing in smaller chunks
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| leadership | The act of guiding/influencing people to achieve desired outcomes
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| management | Coordination of resources time, people & supplies to achieve outcomes; involves problem-solving & decision-making
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| leadership trait theory | People are BORN leaders
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| transactional theory | Focus on day-to day operations reward staff for work monitor weak performance
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| transformational | Identify & clearly communicate vision & direction empower work group to accomplish goals admired and provide mentoring
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| situational theory | Explores impact of the situation of the leader suggests leader may vary in relation to the situation
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| organizational theories-- | chaos, situational & beaurocracy
Looking at how groups interact w/in an organization
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| bureaucracy theory | Focused on rules rather than the individual favors competency over favoritism, fails to recognize the human condition
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| 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
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| 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.)
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| autocratic mngt | Determines policy & makes all the decisions dictates work & much of the control. Gives little feedback or recognition good in an emergency situation
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| democratic | encourages staff participation decisions could take a while. Effective communication works well with highly motivated people good for problem solving & growth
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| 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
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| 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
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| 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
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| standards of care | In civil cases, the legal criteria to which the nurse/physicians conduct is compared to determine if negligence/malpractice has occurred
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| pts rights proxy | agency, function, or power of a person authorized to act as the deputy or substitute for another.
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| 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
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| living will | A formal document in which a competent adult makes their wishes regarding care during terminal illness known
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| advanced directive | A statute which grants pts the rt to refuse extra tx when there’s no hope for recovery
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| Respondeat superior | LET THE MASTER SPEAK” legal doctrine which holds the employer directly responsible for negligent acts of employees
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| 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
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| 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
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| negligence | Failure to act in a way that an ordinary person would in a circumstance unintentional
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| 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
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| tort | Unintended wrong against a person negligence/malpractice
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| pt self determination act | Omnibus- medi-medi individuals express preferences regarding tx. Hospitals MUST ask pts if they have living wills
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| 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
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| violations of NPA | Practicing w/o a license, guilty of a felony (falsification of records.incorrect documentation), inappropriate behavior (medicare fraud)
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| 2 systemsa of regulations | laws & ethics
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| unfreezing stage | Unfreezing a stage change agent promotes problem identification & encourages awareness for the need for change people must believe improvement is possible
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| moving stage | Moving stage need to change is clarified alternatives explores, goals/objectivesidentified, change is planned & plan is implemented
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| 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
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| the new RN | Supervises patient care technicians, manages task assignments, & supply use for pts, meets w/the interdisciplinary team
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| organization chart | Visual pix of organization & IDs lines of communication & authority
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| 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
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