Final Flashcards
What is Maslow’s Hierarchy of Needs (first to last) ?
- physiological (ABCs, food, water, sleep)
- safety (security of body, resources, family)
- love/belonging (friendship, family)
- esteem (confidence, respect of others and by others)
- self actualization (mortality, creativity, acceptance of facts): reaching your full potential
What is the priority framework ABC stand for ?
- airway
- breathing
- circulation
account for severity of symptoms
The most stable patient ?
- is assigned to the new nurse, float nurse, or less experienced nurse
- would be seen last after unstable pt’s seen
- could be considered for transfer or discharge
- may have VS taken/appropriate tasks completed by UAP
The most unstable or at-risk patient ?
- assigned to most experiences nurse
- would be seen first before the stable patients seen
- could not be considered for transfer or discharge
- may have VS taken or tasks completed by the RN
What are factors to consider prior to delegation ?
- potential for harm
- complexity of the nursing activity
- extent of problem solving and innovation required
- predictability of outcome
- extent of interaction with the pt
What is the licensed nurse responsibilities for delegation ?
- determine pt needs and when to delegate
- ensure availability to delegatee
- evaluate outcomes of and maintain accountability for delegated responsibility
- be available for guidance to delegatee
- provide feedback about delegation process
What is the responsibilities of the delegatee ?
- accept activities based on own competence level
- maintain competence for delegated responsibility
- maintain accountability for delegated activity (correct and timely)
What are the 5 rights of delegation ?
- right task
- right circumstance (pt health status not critical)
- right person (within scope of practice of team member)
- right direction/communication (clear communication, concise statements, correct communication, & complete communication)
- right supervision/evaluation
What are responsibilities RNs can’t delegate ?
- decisions and judgements about pt outcomes
- decisions and judgements necessary for evaluation of pt care
Ex.) assessment, IV meds, blood admin, planning and evaluating care, teaching (primary), verifying health care provider orders
What responsibilities can RNs delegate to LPNs ?
- collecting info/monitoring (input to RN assessment)
- REINFORCE pt teaching
- perform tracheostomy care
- suctioning
- admin of enteral feedings
- insertion of urinary catheter
- admin of meds
What is informatics ?
the discipline concerned with the study of information and manipulation of information via computer-based tools
What does informatics center around ?
- data
- information
- knowledge
- wisdowm
What is the Clinical Information Systems (CIS) ?
computer based system that is designed for collecting, storing, manipulating and making available clinical information important to the health care delivery process
What is Clinical Data Repository (CDR) ?
a database that collect pt information from various clinical sources and presents that information in a single document
What is Clinical Decision Support System ?
active knowledge systems which use 2 or more items of pt data to generate case-specific advice
- Ex.) braden scale
What are leaders ?
often do not have delegated authority but obtain power through other means
- empower others
- maximize workforce effectiveness
- needed to implement the planned change that is part of system improvement
What are managers ?
an assigned formal administrative position with related accountability and authority
- guide, direct, and motivate others
- intervene when goals are threatened
- emphasize control
What is a transactional leader ?
focuses on management tasks
- uses contingency reward
- uses trade offs to meet goals
- does not identify shared values
What is a transformational leader ?
- is a caretaker
- identifies common values
- inspires others with vision
- empowers others
What is strength-based leadership ?
focuses on development or empowerment of strengths as opposed to weaknesses or areas of needed growth
What is Jim Collin’s level 5 leadership ?
- Level 1: highly capable individual
- Level 2: contributing team member
- Level 3: competent manager
- Level 4: effective leader
- Level 5: great leader
What is Greenleaf’s servant leadership ?
putting others including employees, customers, and the community as the number one priority
- fosters collaboration, teamwork, and collective activism
What is though leadership ?
any situation where one individual convinces another to consider a new idea, product, or way or looking at things
What is quantum leadership ?
environment and context in which people work is complex and dynamic and this has a direct impact on organizational productivity
What is authentic leadership ?
in order to lead, the leader must be true to themselves and their values and act accordingly
What does contingency leadership suggest ?
no one leadership style is ideal for every situation
What did the report from the Institute of Medicine (IOM) say about reporting errors ?
- facilities should have a non-punitive system to report and analyze errors
- safety program should be initiated using well established safety research
- teamwork can improve pt safety
What are active failure/sharp end ?
errors that happen at the sharp end are noticed first because they are committed by the person closest to the pt
- made by healthcare personnel at point of care
- Ex.) RN giving wrong dose of heparin to 6 babies
What are latent failures/blunt end ?
the facility, equipment, and processes that contribute to active failures and allow them to happen
- originate in the healthcare setting
- arise because of lack of standardization of equipment and processes
What are high reliability organizations ?
organization in high-risk/high-complexity environments that consistently manage many unexpected events in order to avoid catastrophic failures
- despite the risks they are resolute that no harm is acceptable
- Ex.) nuclear power plants, space flight, aircraft carriers
What is a adverse event ?
an event that causes unintended harm to a pt though omission (not doing the right thing) or commission (doing the wrong thing)
What is a near miss ?
serious harm did not occur due to chance
What is a sentinel event ?
an unexpected event involving death or serious harm requiring immediate response
What are serious safety events ?
types of events often resulting from deviations from best practice care and leading to patient harm
- Ex.) wrong site/side surgery or procedure
- med or blood product error
- falls with injury
- hospital acquired infections
What is ARCC ?
a measured way to voice safety concerns to help our team prevent a safety event
- Ask a question
- make a Request
- voice a Concern
- if no success……… use Chain of command
What is SBAR ?
- situation: what is the situation, pt or project ?
- background: what is the important info, problems and precautions ?
- assessment: what is your read of the situation, problems and precautions ?
- recommendation: what is your recommendation, request or plan ?
What are the five P’s ?
- Patient or Project
- Plan
- Purpose (of the plan)
- Problems
- Precautions
What does STAR stand for ?
- stop: pause to focus attention on the task at hand
- think: understand what is to be done, plan your actions
- act: carry out the planned task
- review: verify you get the expected/desired results
