Delegation & Multidisciplinary Team Flashcards
Review delegation principles and about the multidisciplinary team members.
What is a multidisciplinary team?
All the health care staff that is directly involved in the client’s care.
Examples are the nurse, doctor, occupational therapist, physical therapist, respiratory therapist, pharmacist, speech therapist, social worker, and case manager.
What is an interdisciplinary conference?
A meeting where all the health care staff discusses the client’s plan of care.
Family can also attend.
What is a respiratory therapist?
Trained to help clients with respiratory conditions such as giving breathing treatments, adjusting ventilator settings and applying oxygen.
What is an occupational therapist?
Trained to help clients with activities of daily living such as bathing, dressing, and eating.
What is a physical therapist?
Trained to help clients with muscle strength such as walking or going up and down stairs.
What is a speech therapist?
Trained to help clients with speech or swallowing problems.
What is a pharmacist?
An expert in medications.
What is a case manager?
Works with complex clients by organizing their care and resources regarding their medical care.
Example: setting up oxygen or wound supplies for care at home.
What is a social worker?
Helps a client with non-medical needs.
Example: setting up food delivery or help with getting rides to medical appointments.
What type of client does a Registered Nurse (RN) get?
- complex
- unstable
- requires assessment, evaluation and/or teaching
What type of client does a new graduate RN get?
- stable
- needs assessment or evaluation as long as the client is stable
- needs teaching
What type of client does a float nurse get?
Those they would be familiar with depending on what floor the float nurse came from.
Float nurses do NOT get clients that are extremely specific to the floor they have floated to or very unstable clients.
What type of client do Licensed Practical Nurses (LPN) or Licensed Vocational Nurses (LVN) get?
RPN is a practical nurse in Canada which is similar to an LVN/LPN in the United States.
- stable
- needs reteaching
LPNs collect data and report abnormalities/complications to the RN.
What type of tasks does an LPN/LVN do?
- many basic skills such as dressing changes or inserting a foley
- administering meds
- NO IV meds
- NO blood products
- NO TPN or CVAD
LPN/LVN does NOT do the task if the client is unstable.
What is an unlicensed assistive personnel (UAP)?
Someone who assists the nurse in caring for the client.
. They are also known as a:
- nurse aide
- tech
- CNA (certified nursing assistant)
What tasks does a UAP do?
- vital signs
- ambulating
- documenting intake and output
- emptying a foley
- activities of daily living (ADLs) such as bathing, hygiene, and feeding
Do NOT give the task to the UAP if the client is unstable.
What is the function of leaders and managers?
Plan, organize, direct and control.
Define:
Authoritarian Leadership
Is very controlling and only one person makes the final decision.
Define:
Democratic/Participative Leadership
When every group member gives input and one person makes the best decision.
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Define:
Laissez-faire Leadership
When the decision making is left to the group.
Define:
Situational Leadership
Uses a combination of styles depending on the situation.
Define:
Bureaucratic Leadership
When the leader depends on policies and procedures for decision making.
Define:
Transformational Leadership
When the leader motivates others through a mission, vision, and praising.
Define:
Servant Leadership
When the leader develops skills in each individual.
What is the RN’s responsibility when providing post mortem care?
- confirm that the HCP has certified the death and document the time of death
- check if an autopsy was orderd
- check client if they are an organ donor
- respect any cultural practices
- identify the client
- ask family if they would like to help and say goodbye
- give vaulables to the family member
- document
What is a conflict in relation to the nurse with other coworkers?
A problem that occurs beween coworkers or from a policy at work.
Try to resolve the conflict before going up the chain of command.
Define:
Avoidance Conflict
Ignoring there is a problem.
Example: the nurse knows that the UAP is performing a task at a low level but ignores the problem because the UAP is difficult to communicate with.
Define:
Accommodation Conflict
Helping others but then feeling resentful.
Example: the nurse doesn’t take a break because they are too busy helping other nurses, even though the other nurses do take their breaks on time.
Define:
Competition Conflict
Only caring about yourself or how you do things.
Example: a travel nurse does dressing changes differently (based on other hospital protocols) even though the policy is different at the hosptial they are currenly at - their way is “best”.
Define:
Compromise and Collaborate Conflict
This is the preferred method of conflict resolution. It’s when two or more people work creatively to figure out a solution to a problem.
Example: the same few nurses keep working weekends; in order to make it fair, a system is devised to rotate weekends for all the nurses.
What is the easiest way to quickly master Management of Care for the NCLEX-RN, including delegation and patient prioritization?
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