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Nur 211- Exam 1 > Leadership- Team STEPPS/Conflict/Delegation > Flashcards

Leadership- Team STEPPS/Conflict/Delegation Flashcards

1
Q

Entrusting the performance of selected nursing duties to individuals qualified, competent and legally able to perform such duties while retaining the accountability for such act.

A

Delegation

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2
Q

The guidance by an RN for the accomplishment of a function or activity.

A

Supervision

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3
Q

Individuals not licensed to perform nursing tasks that are employed to assist in the delivery of client care.

A

Unlicensed Assistive Personnel (UAP)

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4
Q

What does TeamSTEPPS stand for?

A 
Team
Strategies and
Tools to
Enhance
Performance and 
Patient
Safety
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5
Q

Identification of the components of a multi-team system that must work together effectively to ensure pt. safety.

A

Team Structure

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6
Q

Structured process by which info is clearly and accurately exchanged among team members.

A

Communication

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7
Q

Ability to maximize the activities of team members by ensuring that team actions are understood, changes in info are shared, and team members have the necessary resources.

A

Leadership

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8
Q

Process of actively scanning and assessing situational elements to gain info or understanding or to maintain awareness to support team functioning. (knowing what’s going on around you and having all team members on the same page) Ex: Observing nurses take off their PPD after providing care to someone w/ ebola

A

Situation Monitoring

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9
Q

Ability to anticipate and support team members’ needs through accurate knowledge about their responsibilities and workload. (helping others w/ tasks to build a strong team)

A

Mutual support

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10
Q

What does SBAR stand for?

A

Situation
Background
Assessment
Recommendation/Requests

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11
Q

Name this communication strategy: informs team members of the pt’s status simultaneously during an ER situation and helps all team members anticipate next step.

A

Call-Out

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12
Q

Name this communication strategy: closes the loop of communication to be sure the communication conveyed by the sender is understood by the receiver.

A

Check Back

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13
Q 
Name this communication strategy: 
Introduce self and role. 
Pt. identifiers/location. 
Assessment. 
Situation. 
Safety concerns. 
Background info: med hx and meds. 
Actions required. 
Timing: prioritizing. 
Ownership: who's responsible. 
Next: what will happen next.
A

Handoff- I PASS the BATON

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14
Q

Name this leadership strategy: short session prior to start to share the plan and assign roles.

A

Brief

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15
Q

Name this leadership strategy: Ad hoc meeting to re-establish situational awareness and assess need to change the plan.

A

Huddle

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16
Q

Name this leadership strategy: informal info exchange to improve team performance.

A

Debrief

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17
Q

What does STEP stand for in situational monitoring?

A

Status of the pt
Team members (workload/competency)
Environment (Resources)
Progress towards the goal (is plan still appropriate)

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18
Q

Name this situational monitoring strategy: a harm error reduction strategy- ensuring that mistakes are caught quickly/easily. (watching each others back)

A

Cross monitoring

19
Q

Name this situational monitoring strategy: each team member is responsible for assessing their own safety status to be capable to work. What does the pneumonic stand for?

A 
Illness
Medications
Stress
Alcohol/drugs
Fatigue
Eating/eliminating
20
Q

Name this mutual support strategy: work overload situation; request for assistance is in the context of pt safety; foster a climate where it’s expected that assistance will be actively sought and offered.

A

Task assistance

21
Q

Name this mutual support strategy: timely, respectful, specific, directed towards improvement and to be considerate.

A

Feedback

22
Q

Name this mutual support strategy: if viewpoints don’t coincide w/ the decision maker, it’s important to assert a corrective action. (state the concern, state thr prob, offer solution, each agree on next step)

A

Advocacy and assertion

23
Q

Name this mutual support strategy: voice concern at least 2 times to provide opportunity to eliminate error.

A

Two-Challenge Rule

24
Q

What does the two-challenge rule pneumonic CUS stand for?

A

I am Concerned
I am Uncomfortable
This is a Safety issue

25
Q

Explain SBAR?

A

Situation: chief complaints, diagnosis, pt’s wants and needs
Background: List of meds, lab results, how pt presents, VS, mental/code status
Assessment: what the provider believes the problem is and are safety concerns
Recommend/Request: what’s needed from the doc

26
Q

A conflict w/in an individual.

A

Intrapersonal

27
Q

A conflict b/t 2 or more people.

A

Interpersonal

28
Q

A conflict b/t teams.

A

Intergroup

29
Q

A conflict b/t 2 organizations w/in 1 market.

A

Intraorganizational

30
Q

A conflict that is addressed openly.

A

Overt conflict

31
Q

A conflict that is not discussed, instead is shown through behaviors, avoidance, etc.

A

Covert conflict

32
Q

Name this response to conflict: when 1 person gives more than another. (win/loose situation)

A

Accommodation

33
Q

Name this response to conflict: when 1 group wins and another looses.

A

Competition

34
Q

Malicious, repeated, harmful mistreatment of an individual w/ whom 1 works.

A

Workplace bullying

35
Q

Aggressive acts committed against a nurse by 1 or more nursing colleagues.

A

Horizontal violence (HV) or Lateral violence (LV)

36
Q

Violence b/t individuals @ diff power levels on the nursing hierarchy and may be directed upward or downward. Abuse of legitimate authority or abuse of informal power.

A

Vertical violence

37
Q

What are RN’s not allowed to delegate?

A

Assessment, initial education and any part of care planning

38
Q

What are the 5 rights of delegation?

A 
Right person
Right circumstance
Right task
Right direction/communication
Right supervision/evaluation
39
Q

What can an RN delegate to a UAP/CNA/PCT?

A

Anything w/ a predictable outcome and ADLs

40
Q

What defines the scope of practice?

A

Nurse Practice Act

41
Q

Who regulates CNAs in DE?

A

Division of long term care

42
Q

How can you verify that someone is a CNA in good standing?

A

On the division of long term care website

43
Q

What obstacles interfere w/ delegation?

A

Lack of communication, not enough staff, inadequate/inexperienced staff, lack of trust and fear of making a mistake

44
Q

The state of being accountable, answerable or legally liable for actions and decisions including supervision.

A

Accountability

Nur 211- Exam 1 (5 decks)

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