Prioritization, Delegation, Supervision, & Assignment

Question 1

Deciding which needs or problems require immediate action and which ones could be delayed until a later time because they are not urgent is known as ______.

Answer 1

PRIORITIZATION

Question 2

Knowing the 4 P’s will help you navigate prioritization. The client’s ______ for his care. His current clinical ______. The result in order to ______ priorities, and the ______ played by each team member designated or assigned by the RN.

Answer 2

PURPOSE
PICTURE
PLAN
PART

Question 3

Prioritization includes evaluation and weighing each competing task or process with the following criteria. Is it ______ ______ if the task is not done? Would another client be ______ if I do this now or leave this task for later? Is this task or process essential to client or staff ______? Is the task or process ______ to the medical or nursing plan of care?

Answer 3

LIFE THREATENING

ENDANGERED

SAFETY

ESSENTIAL

Question 4

Priority setting short version.
A
B
C
P
S

Answer 4

Priority setting long version.
First level - A,B,C,VS
Second level - mental status changes, untreated medical issues, acute pain, acute elimination problems, abnormal lab results, and risks.
Third level - other health problems such as long-term issues in health education, rest, coping, etc.

Question 5

Transferring to a competent individual the authority to perform selected nursing task in a selected situation is known as ______.

Answer 5

DELEGATION

Question 6

Being answerable for the actions or omissions of self or others in the context of delegation is known as ______.

Answer 6

ACCOUNTABILITY

Question 7

Describing the distribution of work that each staff member is to accomplish any given shift or work period Is known as ______.

Answer 7

ASSIGNMENT

Question 8

Nurses are accountable FOR decision to delegate, delegated task, client outcomes. Assistive personnel are accountable FOR the decision to accept delegation, performance.

Answer 8

Nurses are accountable TO self, clients, employer, licensing board, profession. Assistive personnel are accountable TO self, delegating nurse, employer.

Question 9

The delegation process is EMDA.

Answer 9

EVALUATION
MONITORING
DELEGATION
ASSESSMENT

Question 10

The provision of guidance and direction, oversight, evaluation and follow-up by the licensed nurse for accomplishment of a nursing task delegated to nursing assistant personnel is known as ______.

Answer 10

SUPERVISION

Question 11

Name the 5 rights of delegation.

Answer 11

RIGHT CIRCUMSTANCES
RIGHT TASK
RIGHT PERSON
RIGHT DIRECTION/COMMUNICATION
RIGHT SUPERVISION

Question 12

The LVN/LPN can’t perform not only with the NA can perform but certain ______ tasks such as dressing changes, suctioning, urinary catheterization, and medication administration. They can’t perform steps of the nursing ______.

Answer 12

INVASIVE

PROCESS (ADPIE)

Question 13

Assessment red flags include c_____ nursing activity, unidentified client n_____, requisite knowledge and skills missing, insufficient opportunity to t_____, insufficient opportunity to monitor/s_____.

Answer 13

COMPLEX

NEEDS

TRAIN

SUPERVISE

Question 14

Delegation red flags include r_____ to accept delegation, incomplete d_____, failure to confirm expectation, failure to c_____.

Answer 14

REFUSAL

DIRECTIONS

COMMUNICATE

Question 15

Monitoring red flags include change in other clients condition with impact on w_____, failure of assistant to r_____ unexpected events, work completed incorrectly, work not c_____, inadequate c_____ from assistant, inadequate communication from d_____, inadequate or lack of m_____ from delegator.

Answer 15

WORKLOAD

REPORT

COMPLETED

COMMUNICATION

DELEGATOR

MONITORING

Question 16

Evaluation red flags include failure to evaluate delegation e_____, failure to evaluate the delegator/assistant r______, failure to learn from work e______.

Answer 16

EFFECTIVENESS

RELATIONSHIP

EXPERIENCE