The Actual Midterm Flashcards

1
Q

5 rights of delegation

A
Right task
Circumstance
Person
Direction/communication
Supervision
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2
Q

Obstacles to delegation

A
Resistance to giving up aspects of care
Lack of training for nurses on how to delegate
Characteristics of the delegator 
..of the delegate
..of the situation or environment.
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3
Q

Levels of clinical experience

A
Novice
Advanced beginner
Competent
Proficient
Expert
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4
Q

What are the three scenarios of determining the type of delegation?

A

Unit based scenarios
-assistive personnel, task list. Minimal direction

Pairing
-RN works with LPN and tech for shift.
Not intentionally scheduled together

Partnering
-RN and LPN/NA consistently schedule together

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5
Q

Be SMART: goals are?

A
Specific
Measurable
Attainable
Relevant
Time bound
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6
Q

Advocacy: who?

A
Patients
Public
Ourselves
Coworkers
Family
Profession
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7
Q

Advocacy: what?

A
Safety
Well being
Care-quality
Culture/beliefs
Equality
Accessibility
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8
Q

Advocacy: where?

A
Hospital
Home
Public places/community
Legislature/govt 
At meetings
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9
Q

Advocacy when?

A

Imminent: immediate action

Future:teaching and planning

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10
Q

Advocacy why?

A

Ethical mandate.

Give voice to those who cant.

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11
Q

Advocacy how/who

A

Resources, educate, respect their rights.
Outreach programs. Health fair.

VOTE! Write a letter.

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12
Q

CUS words

A

I am concerned
I am uncomfortable
This is a safety issue

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13
Q

What is the assertive statement?

5 step process

A
Open the discussion
State the concern
State the problem- real or perceived
Offer a solution
Obtain an agreement.
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14
Q

When is the two challenge rule invoked?

A

When an initial assertion is ignored.
RN responsibility to voice concern at least two times.
The member being challenged must acknowledge.
If outcome is not acceptable than take a stronger course of action, use chain of command.

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15
Q

When do you advocate for the patient?

A

When team members viewpoints dont coincide with the decision maker.
Assert a corrective action in a firm and respectful manner

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16
Q

What are Six ways to advocate for patients

A
Ensure safety
Give patients a voice
Educate
Protect pt rights
Double check for errors
Connect pt to resources
17
Q

When would advocacy become compromised?

A

Short staffed
Tired
Safe pt load.
Environment