Management of Care Flashcards
As a new nurse, if you don’t know how to manage, assign, supervise, and prioritize care, you cannot provide ____ ____ your clients.
SAFE CARE
General Info
• Judgements in management situations are based on ____ knowledge
- If you don’t understand disease processes, you cannot set ____ of care or determine which staff member would be best to take of the client
- you MUST know your ____ CONTENT, and then you can move on to management decisions
- med-surg knowledge
- priorities
- CORE CONTENT
Assignment
• sharing of what?
• assigned tasks are part of?
- The sharing of ROUTINE care, activities, procedures that each staff member (RN, LPN/LVN, UAP) is responsible for during a given shift or work period
- Assigned tasks are part of course work taught in the basic educational program of staff member
Delegation
• allowing a specific task to be performed that is not ____?
• to do this, the staff member who is delegated a task should have received what?
- not routinely performed and is beyond the traditional role of staff member
- received ADDITIONAL TRAINING/EDUCATION
As an RN:
You can delegate _____ of task, but not the ultimate ____
- Can delegate RESPONSIBILITY
- CANNOT delegate ACCOUNTABILITY – RN is accountable for all aspects of nursing care provided including choices made about who is competent to perform each task
5 Rights of Delegation
- Right task
- Right circumstances
- Right person
- Right direction or communication
- Right supervision and evaluation or feedback
Right task
• role of UAP? type of clients can they provide care for? what tasks can they perform?
UAP
• supportive nursing role;
• stable clients in uncomplicated situations
• routine, simple, repetitive, common activities (hygiene, feeding, I&O, routine VS, ambulation–EVERYDAY THINGS!
Examples of tasks:
- total bed bath and dress the client
- serve meals, assist w/ eating
- turn client q2h, provide skin care
- assist to the bathroom w/ walker
- answer client’s call light
- clean and sanitize the client room
- change linen on a totally bedridden client
- provide mouth care and denture cleansing
Can a UAP take VS on a client receiving IV Dopamine?
no
Right task
• role of LPN/LVN? type of clients can they provide care for? what tasks can they perform?
LPN/LVN
• assist RN with data collect/monitor/observe
• STABLE clients; stable and complex at the same time
• Update client data and Do basic standardized teaching or reinforce teaching from RN’s care plan; Treatment; Med Administration
Examples of tasks:
- Finger sticks (bg monitor)
- Administer IVPB meds
- Monitor transfusion of blood products
- Administer meds and nutrition via NG tube, G-tube or button, J-tube
- Insert, maintain and remove urinary catheters
- Maintain and remove peripheral IV catheters
- Calculate and monitor IV flow rate
What tasks are not within scope of practice of UAP?
- Cannot perform sterile/invasive procedures (ex: obtain a urine specimen from a catheter)
- Cannot do medicated enemas (ex: perform a fleet enema)
What tasks are not within scope of practice of LPN/LVN?
- CANNOT ASSESS, EVALUATION, TEACHING
- Cannot evaluate the client to determine if a goal has been met
- Cannot devise a teaching plan for a NEWLY diagnosed diabetic
- Cannot Administer IVP pain meds, Cannot initiate transfusion of blood products
If an LPN collects the admission data for you, NEVER sign off on the form until you have ____ the data
VALIDATED
Always consider a new admit ____
UNSTABLE
The RN should assess the newly admitted client first. The new admission is your responsibility or ____
PRIORITY
Stable/Unstable
- Diabetic w/ low blood sugar
- Client returning from an invasive procedure
- Client w/ neurological problems, stable VS, no change in LOC/neuro checks
- Client w/ Acid-Base imbalance and respiratory distress w/ unstable VS
- Client w/ chronic HTN, hx of angina controlled w/ meds and lives alone
- Clients w/ HIV+, med compliance and works full time
STABLE
3, 5, 6
UNSTABLE
1, 2, 4
