Prioritization & Delegation

Question 1

Placing problems in order of importance determined by the theoretical framework you use but does not mean you must resolve one problem before attending another.

Answer 1

Prioritization

Question 2

What is Problem Urgency prioritization? What is high, medium, and low priority ranking?

Answer 2

Ranking problems according to degree of threat to patients life or requirement of immediate treatment.
HIGH = life-threatening (ABCs)
MEDIUM = don’t pose threat to life but may result in physical/emotional change
LOW = require minimal supporting nursing interventions

Question 3

Prioritizing problems that may not be life-threatening, or the patient doesn’t see as a priority, treated as a high priority because they may result in future harmful consequences.

Answer 3

Future Consequences

Question 4

Preventative action to reduce stress by using tools, techniques, and principles to control time spent on low-priority needs & ensure time is invested in high-priority goals.

Answer 4

Time Management

Question 5

Pieces of significant information that direct nurse toward potential clinical concern or change in condition, used in conjunction with prioritization framework to help holistically understand patient current status and where nursing interventions should be directed.

Answer 5

Data Cues

Question 6

What are examples of data cues?

Answer 6

Acute v. Chronic conditions, Actual v. Potential/Risk problems, Unexpected v. Expected problems, etc.

Question 7

What does CSPL stand for?

Answer 7

1. CRITICAL Life-Threatening conditions
2. Activities essential to SAFETY needs
3. Activities essential to patient PLAN OF CARE
4. Activities that can be implemented LATER

Question 8

Complex cognitive process using formal and informal thinking strategies to gather and analyze patient information, evaluate the significance, and weight alternative actions.

Answer 8

Clinical Reasoning

Question 9

Organizing and reorganizing activities according to changes and priorities throughout the shift.

Answer 9

Cognitive Stacking

Question 10

Development of previously successful habits that have become a repeated and integrated approach to routine situations.

Answer 10

Routinization

Question 11

The transfer of responsibility for the performance of a selected nursing task in a selected situation from one individual to another while retaining accountability for the outcome.

Answer 11

Delegation

Question 12

The routine care, activities, and procedures that are within the authorized scope of practice of the RN or LPN or part of the routine functions of the UAP.

Answer 12

Assignment

Question 13

Legal liability for one’s own actions as a nurse and being answerable for the overall nursing care.

Answer 13

Accountability

Question 14

Involves reliability, dependability, and obligation to accomplish work.

Answer 14

Responsibility

Question 15

Official power from the agency to delegate.

Answer 15

Authority

Question 16

Initial direction and periodic evaluation of a person performing as assigned task to ensure that he or she is meeting standards of care. Required until the individual is COMPETENT.

Answer 16

Supervision

Question 17

What are the 5 Rights of Delegation?

Answer 17

Right TASK
Right CIRCUMSTANCE
Right PERSON
Right DIRECTION/COMMUNICATION
Right SUPERVISION/EVALUATION

Question 18

What are the 3 major sources that impact resistance to change?

Answer 18

1. Technical concerns
2. Psychosocial Needs
3. Threat to person’s position, safety, & power

Question 19

Aggressive actions or our right refusal, negative communications to demand an idea or person who suggested it. (i.e. quoting existing rules to be difficult, organizing resistance to change)

Answer 19

Active Resistance

Question 20

Avoidance, being “too busy”, agreeing to change but citing numerous barriers to it, etc.

Answer 20

Passive Resistance

Question 21

A disagreement in values or beliefs within oneself or between people that causes harm or has potential to cause harm.

Answer 21

Conflict