Managing Client Care Flashcards
Unit 1
What is the nurse’s role when providing and managing client care?
teamwork, time management, organizational skills, client assignments, discharge planning, delegation, care supervision, and managing a group of clients.
What is a time management matrix?
A tool that divides activities into four quadrants: important, not important, urgent, not urgent.
What issues must nurses address when managing client care?
Abuse, Chemical impairment, Nonadhereance
What are some formats you can use when improving organization skills?
SMART: Specific, Measureable, Attainable, Realistic, and Timely
SBAR: Situation, Background, Assessment, and Recommendation
SOAP: Subjective, Objective, Assessment, and Plan
What is client assignments?
Process of dividing responsibility for care of multiple clients among the nursing staff.
What is acuity level?
The requirement of nursing services and the amount of nursing time to meet those requirements. Complexity of a client’s condition.
What is discharge planning?
This process prepares clients and their caregivers for the transition from the current health care facility (e.g., a hospital) to a different level of care (e.g., the client’s home).
When discharge planning use IDEAL
I: Include the client and caregivers.
D: Discuss the five key areas—medications, home life, warning signs, test results, and follow-up.
E: Educate the client on the condition, the discharge process, and next steps.
A: Assess the effectiveness of the education.
L: Listen to the client’s goals and preferences.
What is teach back?
A technique to determine the client’s level of understanding by having the client explain back to the nurse the information that was taught.
What is a delegatee?
A person whom a task is entrusted to.
What are the five rights of delegation?
right task, right circumstance, right person, right directions and communication, and right supervision and evaluation.
What is a delegator?
A person who entrusts a task to another.
The right task means
the delegated activity is a part of the delegatee’s role and competency. The right task does not require critical thinking skills or decision making based on experience, as those items cannot be delegated.
The right circumstance means
the appropriateness of the delegated task, such as that the client is stable and the medical condition has not changed. The right person should be paired with the right task.
The right person
is delegated the task must be competent to safely complete it. This can mean that special education is needed before a new type of task can be performed if it remains in the delegatee’s scope of practice.
