Priorities, Delegation, Choices

Question 1

What criteria are included in evaluating or weighing each completed task for process?

Answer 1

Is it life-threatening or potentially life-threatening if the task is not done? Would another patient be endangered if I do this now or leave this task for later? Is this essential to pt or staff safety? Essential to the medical or nursing plan of care?

Question 2

Levels of priority setting?

Answer 2

Airway, breathing, cardiac/circulation, vital signs (ABC’s plus V)
Mental status changes, untreated medical issues, acute pain, acute elimination problems, abnormal lab results, risks
Other health problems: long term issues in health education, rest, coping, etc.

Question 3

Maslow’s hierarchy of needs?

Answer 3

Survival needs
Safety and security
Affiliation (love, relationships)
Self-esteem
Self-actualization

Question 4

What things should be thought of when it comes to time management?

Answer 4

What is the relative importance of each task? How much time will it require? When must it be completed? How much time and energy has to be devoted to it?

Question 5

How to avoid crisis management?

Answer 5

Gather materials, cluster activités, do not ignore intuition, clarify before beginning task, stick to the schedule, limit interruptions, finding the fastest way

Question 6

Reassigning of responsibility for the performance of a job from one person to another

Answer 6

Delegation. Accountability remains with the delegator. The person to the task was delegated also has responsibility and accountability to accept the task and for their own action in carrying out the act.

Question 7

RN responsibilities that cannot be delegated?

Answer 7

Initial admission client assessment. Decisions and judgement on client outcomes. Formulation of client plan of care. Interventions requiring professional nursing judgement, decisions, and skills. Evaluation of client care decisions and judgements

Question 8

Delegation also requires what?

Answer 8

Supervision, which is the provision of guidance and direction, oversight, evaluation, and follow-up by the licensed nurse for accomplishment of a nursing task delegated to nursing assistive personnel.

Question 9

Five rights of delegation?

Answer 9

Right task
Right circumstance 
Right person
Right direction/communication
Right supervision/evaluation

Question 10

The right task if the one that in the RN’s best judgement can be what?

Answer 10

Safely delegated for this pt, given his current condition and future preferred outcomes, if there is a competent individual to perform it

Question 11

Explain right circumstances?

Answer 11

Know the rules and regulations of your practice area. Know the pt’s condition. Know the preferred pt results. Sometimes a best judgement must be made

Question 12

What must the RN know in order to fulfill the idea of the right person?

Answer 12

Must know the licensure, role and preparation of each member of the team. Job description of coworkers and scope of practice. Identify strengths and weaknesses of team members.

Question 13

What must happen with temp staff when it comes to choosing the right person?

Answer 13

Ask about previous experiences. Ask if they understand their work duties. Assign a resource person to assist them.

Question 14

Four C’s of right direction/communication?

Answer 14

Clear, concise, correct, complete

Question 15

Explain right supervision?

Answer 15

The RN is accountable for the total care of the pt throughout the shift. RN may not actually perform the task but just oversee the ongoing progress and results obtained.

Question 16

RN’s should begin the shift with what?

Answer 16

A short report to the assistive personnel outlining the day’s plan and the plan for each patient. Use update meetings during the shift to make sure that tasks are being completed. Get feedback and the end of the day.

Question 17

Standardized way of communicating with health care givers. Improves pt safety/forces communication

Answer 17

SBAR communication.

70% of preventable hospital mishaps occur because of communication problems with half of them occurring during handoffs.

Question 18

When is SBAR used?

Answer 18

Transition of care reports, shift to shift reports, charge nurse to charge nurse, physician to physician, non-clinical conversations, talking with clinical instructor

Question 19

Mix of staff that is responsible for providing care to a group of assigned patients during the shift

Answer 19

Team nursing

Question 20

Assembly line style of management that focuses on division of labor and tasks that need to be completed

Answer 20

Functional nursing

Question 21

An RN is responsible for the care of the pt for 24hrs a day for the pt’s entire hospital satay with the aid of associate nurses and other staff members

Answer 21

Primary care nursing