lead 5 (my notes) Flashcards
3 National Pt Safety Goals
Improve Staff Communication
Use Alarms Safely
Identify Pt risks
Explain the Pt Safety goal: Improve Staff Communication
Get important test results to the right staff person quickly
Explain the Pt Safety goal: Has to do with labeling…
Before a procedure, label medicines that are unlabeled. for example meds that are in a syringe
Explain the Pt Safety goal: Use Alarms Safely
Make sure that alarms are responded to
Explain the Pt Safety goal: Identify Pt risks
figure out who is a suicide risk
Negligence
Carelessness or deviating from the reasonable standard of care
Often involves Non-professionals
Malpractice is aka
professional negligence
Malpractice
failure of a person with professional training to act reasonably
Trait theory (my definition)
you have the traits of a leader (can be taught or innate)
Style theory (my definition)
Has to do with forming relationships
Situational-contingency theory (my definition)
Lead according to the situation while you’re adapting to it
Two factor theory (my definition)
It’s similar to Maslow’s but more simple, it’s binary between high and low
Element of Malpractice: Duty owed to the patient example
for example not monitoring the patient’s response to treatment
Element of Malpractice: Breach of the duty owed example
You didn’t report to the provider that the patient’s status changed
Element of Malpractice: Foreseeability example
You didn’t make sure the minimum standards are met
Element of Malpractice: Causation example
Failure to provide adequate patient education
Element of Malpractice: Injury
Physical harm to the patient
Element of Malpractice: damages
because of your actions, the patient has to stay in the hospital longer, pay more medical bills, etc
Personal liability
Your responsibility in what happened
Vicarious liability/respondent superior
Means that employers can be responsible for the employee’s actions
Indemnification
if the institution gets sued, they can turn around and sue the nurse because they’re saying Hey we just got sued because of you
Corporate responsibility includes having a lack of ___ staff
lack of qualified staff
Failure to warn
A nurse manager is accountable if they didn’t warn other employers/the state about the actions of the employee
Qualified privilege
IF the employee lists you on their application, you can disclose negative info about them
Apparent Agency
this means that the organization is responsible for contracted employers (whereas in the past the staffing agency was responsible)
Privacy vs Confidentiality
Privacy means you don’t get in people’s business for no reason, confidentiality means you don’t SHARE their business
Autonomy
You have the right to make your own choices
Beneficence
Your actions should promote goodness
Nonmaleficence
Do no harm
Justice
Treat everyone equally
Paternalism
someone making decisions for someone else (it’s a bad thing usually)
Fidelity
Keeping promises
Respect for others
Basically same thing as autonomy
Moral distress
When 2 ethical principals compete
Malpractice: the nurse’s duty (in part) is determined by the
institutional standards
Malpractice: the 2nd step is
showing that the duty owed was not given
Malpractice: foreseeability means
you could’ve seen it coming
Malpractice: causation means
the harm was DIRECTLY caused by the nurse’s action
6 steps in QI
Identify what the consumer needs Put together a multi-dis team Collect data about how services are CURRENTLY given Set goals and measurements Design a plan and start the plan Evaluate using data
In the data collection phase of QI, if the data is really complicated you may need a
statistician
In the 4th step of QI, you need to establish goals. The goals should be either
patient care outcomes or nurse sensitive outcomes
One of the biggest challenges of management is
keeping people enthusiastic while doing rote tasks
In management there’s less ____; the desired outcomes are known
ambiguity
Followers should engage in ___ ___ and ___ ___
identifying problems and providing feedback
