Leadership- Team STEPPS/Conflict/Delegation Flashcards
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.
Delegation
The guidance by an RN for the accomplishment of a function or activity.
Supervision
Individuals not licensed to perform nursing tasks that are employed to assist in the delivery of client care.
Unlicensed Assistive Personnel (UAP)
What does TeamSTEPPS stand for?
Team Strategies and Tools to Enhance Performance and Patient Safety
Identification of the components of a multi-team system that must work together effectively to ensure pt. safety.
Team Structure
Structured process by which info is clearly and accurately exchanged among team members.
Communication
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.
Leadership
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
Situation Monitoring
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)
Mutual support
What does SBAR stand for?
Situation
Background
Assessment
Recommendation/Requests
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.
Call-Out
Name this communication strategy: closes the loop of communication to be sure the communication conveyed by the sender is understood by the receiver.
Check Back
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.
Handoff- I PASS the BATON
Name this leadership strategy: short session prior to start to share the plan and assign roles.
Brief
Name this leadership strategy: Ad hoc meeting to re-establish situational awareness and assess need to change the plan.
Huddle
Name this leadership strategy: informal info exchange to improve team performance.
Debrief
What does STEP stand for in situational monitoring?
Status of the pt
Team members (workload/competency)
Environment (Resources)
Progress towards the goal (is plan still appropriate)
Name this situational monitoring strategy: a harm error reduction strategy- ensuring that mistakes are caught quickly/easily. (watching each others back)
Cross monitoring
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?
Illness Medications Stress Alcohol/drugs Fatigue Eating/eliminating
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.
Task assistance
Name this mutual support strategy: timely, respectful, specific, directed towards improvement and to be considerate.
Feedback
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)
Advocacy and assertion
Name this mutual support strategy: voice concern at least 2 times to provide opportunity to eliminate error.
Two-Challenge Rule
What does the two-challenge rule pneumonic CUS stand for?
I am Concerned
I am Uncomfortable
This is a Safety issue
Explain SBAR?
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
A conflict w/in an individual.
Intrapersonal
A conflict b/t 2 or more people.
Interpersonal
A conflict b/t teams.
Intergroup
A conflict b/t 2 organizations w/in 1 market.
Intraorganizational
A conflict that is addressed openly.
Overt conflict
A conflict that is not discussed, instead is shown through behaviors, avoidance, etc.
Covert conflict
Name this response to conflict: when 1 person gives more than another. (win/loose situation)
Accommodation
Name this response to conflict: when 1 group wins and another looses.
Competition
Malicious, repeated, harmful mistreatment of an individual w/ whom 1 works.
Workplace bullying
Aggressive acts committed against a nurse by 1 or more nursing colleagues.
Horizontal violence (HV) or Lateral violence (LV)
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.
Vertical violence
What are RN’s not allowed to delegate?
Assessment, initial education and any part of care planning
What are the 5 rights of delegation?
Right person Right circumstance Right task Right direction/communication Right supervision/evaluation
What can an RN delegate to a UAP/CNA/PCT?
Anything w/ a predictable outcome and ADLs
What defines the scope of practice?
Nurse Practice Act
Who regulates CNAs in DE?
Division of long term care
How can you verify that someone is a CNA in good standing?
On the division of long term care website
What obstacles interfere w/ delegation?
Lack of communication, not enough staff, inadequate/inexperienced staff, lack of trust and fear of making a mistake
The state of being accountable, answerable or legally liable for actions and decisions including supervision.
Accountability
