Exam 1 Flashcards
What and who does Assignments?
Charge Nurse
- Allocation of tasks that each staff member is already authorized to perform. ( w/in “ own level of practice”)
What to consider when RN is delegating
- task must be uncomplicated and routine
- RN’s are resp. for EDU. the team member about the task (show, watch, and evaluate on task)
- RN legally accountable
- Power to delegate is limited to prof. who are licensed and governed by statutory practice acts
Delegation on NCLEX
- Know the person’s SKILL LVL and EDU.
- Know the JOB DESCRIPTION
- Evaluate the client’s status
> Acute(NO) vs. Chronic(YES)
> Unstable(NO) vs. Stable(YES)
NCLEX: What can a LPN NOT do (X7)
can NOT
1. admission assessment
2. give IV push meds
3. write nursing dx
4. do most teaching
5. do complex tasks
6. take care of pt. w/ acute cond.
7. take care of unstable pt.
NCLEX: What to look for when delegating to a UAP (X4)
for UAP’s, CNA’s, and Aides
1. Lowest level of skill required for task
2. Most uncomplicated Task
3. Most stable pt.
4. Pt. w/ the Chronic Illness
State Board of Nursing
- State-Specific lic. and reg. body that does…
1. Set standards for a safe Nursing care
2. Decides scope of practice for Nurses w/in juristriction
3. Issues Lic. to qualified candidates
State Boards of Nursing
Mission
Protect the public by assuring that only competent and safe nursing care is being provided by Lic. Nurses
Boards of Nursing 4X Focus points
- Education = Nursing school curriculum, CEU regulation
- Practice = clear def. standards of how nurses perform care, manage delegation, and overall scope of prac.
- Licensure = verify you grad./verify you pass NCLEX/Background check
- Discipline = Protects public from harm from nurses in the form of reasonable law; approp. lvl of des, up to and including termination of lic.
What to REPORT to the BON (board of Nursing)…X5
- Gross negligence or incompetence
- Unprofessional Conduct
- License Fraud
- Substance Abuse
- Mental Illness
5 Rights of delegation
RIGHT task
RIGHT Person
RIGHT Direction or Communication
RIGHT supervision or Feedback
RIGHT Circumstances = are the tasks being delegated possible w/out indepent. nursing judgement?
Laissez-Faire Characteristics
- permissive, non-directive, or passive
- lil planning, min. dec. making, and lack of involvment
-Works best when members of group have the same edu. as the leader and the leader performs the same tasks as the group leaders - OFTEN frustrating
What are the 3 types of Leadership styles
- Laissez-Faire
- Democratic
- Authoritarian
Democratic Leadership Style
- Supportive, participative, and Transformational
-PRIMARY OBJECT: GET THE JOB DONE
-PRIMARY MOTIVATION: involv. and engagement of ppl
-HALLMARKS: trust, collaboration, confidence, and Autonomy (Leader can fxn w/out ppl)
- Final decision made by leader based on what is best to achieve goal
Authoritarian/ Autocratic Leadership style
»Great for ER or Critical Care Units
»Extreme version is considered a Dictator= no regard for feelings or needs of others in group
- Controlling, Directive, Autocratic
-PRIMARY OBJECTIVE: GET THE JOB DONE
-PRIMARY MOTIVATION: POWER AND CONTROL - Strict or Dictatorial= “My way or the highway”
- Benevolent= kind and caring but “If I give you something, you OWE me”
-ULTIMATELY leader makes all the decisions
fxn of NURSING MANAGER
ALL ABOUT PRODUCTIVITY
-develop a realistic Budget for unit
-Justify the # of nursing hours used by unit
-conduct orientation to new staff; evaluate staff; fire staff w/ unsatisfactory work performance; DEVELOP time schedules that cover the unit safely
Leadership vs. Management
formal and informal
2 types of AUTHORITY
-formal: the organization power that comes w/ the posit. hold
> Manager: Budget and Staffing unit
-Informal: the personal influential power that comes as a result of others voluntarily granting their support
A PERSON WHO HAS GOOD LEADERSHIP SKILLS MAY NOT HAVE GOOD MANAGEMENT SKILLS
Atelectasis
Alveolar Collapse
Bronchoscopy
The insertion of a tube in the airways as far as the secondary bronchi to view airway structures and obtain tissue samples to diagnose and manage pulmonary diseases.
Crepitus
Air trapped in and under the skin (subcutaneous emphysema) felt as a crackling sensation beneath the fingertips
Fremitus
Vibration of the chest wall felt on the surface by palpation when the patient speaks (tactile or vocal fremitus)
Gas Exchange
Oxygen transport to the cells and carbon dioxide transport away from cells through ventilation and diffusion.
Hemoptysis
Blood in sputum
Mediastinal Shift
A shift of central (midline) thoracic structures toward one side.
Methemoglobinemia
>could be caused by use of Bronzocaine spray (numbing spray for oropharynx
>s/s=cyanosis, unresponsive to 02 therapy, brown blood
The conversion of normal hemoglobin to methemoglobin, which is an altered iron state that does not carry oxygen, resulting in tissue hypoxia.
