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N478 > Week 4: Resume; Delegation; Charge Nurse > Flashcards

Week 4: Resume; Delegation; Charge Nurse Flashcards

1
Q

Historically, when the economy approves, what happens to nursing?

A

nursing shortages occur

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2
Q

When the economy declines, what happens?

A

nursing vacancy rates decline as well as unemployed nurses return to the workforce and some part-time nurses return to full-time

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3
Q

U.S. Health Resources and Services Administration (HRSA) suggests nursing projected to grow by…

A

8% by 2029

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4
Q

Workforce Survey, released indicates X% of surveyed nurses planned to retire between 2012 and 2022. (Over 550,000!!!)

A

55%

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5
Q

Average age of a PhD-prepared nurse educator in U.S.:

A

54 years

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6
Q

Average retirement age of a nurse educator:

A

62.5 years

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7
Q

What are some examples of factors that affect recruitment?

A
  1. competitive salaries
  2. the organization’s reputation
  3. the locations’ desirability
  4. the status of the national and local economy
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8
Q

What should a cover letter express?

A
  1. Why you are good at what you do
  2. How you will help the organization
  3. Your enthusiasm for the job!
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9
Q

What should a resume maximize? Minimize?

A
  1. strong points

2. weaknesses

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10
Q

What are 4 things recruiters are looking for in an interview?

A
  1. In Demand skills
  2. Flexibility
  3. Polished Professionalism
  4. Desire to Grow
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11
Q

What is weighted more heavily in an interview?

A

Negative information about the applicant

is weighed more heavily than positive information.

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12
Q

Most decisions about an applicatant are made in the first how many seconds?

A

60 seconds

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13
Q

What often contributes substantially to an interviewer’s opinion of an applicant?

A

Physical appearance

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14
Q

In terms of clothes, what do you want to avoid for an interview? WOMEN

A

Avoid intimidating colors ,solids are preferable to stripes, polka dots, and plaids.

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15
Q

In terms of clothes, what do you want to wear for an interview? WOMEN

A

Wear a suit with a skirt/slacks, blouse, and jacket, a dress with a matching jacket.

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16
Q

In terms of clothes, what do you want to keep in check for an interview? WOMEN

A

Keep hair clean and casual

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17
Q

In terms of appearance, what do you want to not use in an interview? WOMEN

A

Use little or no perfume. Keep Jewlrey to a minimum

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18
Q

In terms of clothes, what do you want to wear for an interview? MEN

A

Wear a suit if you have one; otherwise, wear a vest or shirt, and tie.

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19
Q

In terms of clothes, what do you want to wear color wise for an interview? MEN

A

Wear colors such as dark gray, blue, brown, black, or a pinstripe pattern

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20
Q

In terms of clothes, what do you want to wear little or no of for an interview? MEN

A

wear little or no shaving lotion/cologne

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21
Q

What is the goal of an interview?

A

make a good impression

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22
Q

What re some good tips about an interview?

A
  • Be on time.
  • Smile, shake hands, and maintain eye contact.
  • Stand until the interviewer invites you to sit
  • Place personal belongings beside you on the floor.
  • Don’t slouch or fidget
  • Don’t chew gum
  • Bring a paper and pencil to make notes
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23
Q

What is the major defect of the interview?

A

subjectivity

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24
Q

What are common mistakes of applicants in an interview

A
  1. Saying too much
  2. Wearing intimidating colors or Patterns
  3. Addressing the interviewer by his or her first name
  4. Asking about salary, vacation, or promotions too early in the interview
  5. Desperate, nervousness, fidgeting
  6. Bad-mouthing or revealing info about a former or current employer
  7. Not having any questions
  8. overstating your accomplishments
  9. Having a “what can you do for me?” attitude
  10. Being vague, rambling, or evasive, all of which show poor communication skills
  11. Lacking clear direction regarding what you want in your career
  12. Showing apathy or lack of motivation
  13. eye contact
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25
Q

What are 4 tips for the interview?

A
  1. Do your homework about the organization you are applying to.
  2. Practice the interview and rehearse answers to foreseeable questions about your education and experience.
  3. Be prompt on the day of the interview. Dry run?
  4. Look your best for the interview. Dress conservatively, professionally, and make sure you are neatly groomed.
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26
Q

How to prep for an interview?

A
  1. Consider visiting area, Manager
  2. Obtain / review job description
  3. List what you bring to the position
  4. How would you address weaknesses if asked ?
  5. Anticipate questions & rehearse
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27
Q

What are illegal interview inquiries?

A

age, marital status, children, race, sexual preference, financial or credit status, national origin, religion.

28
Q

What 3 things should happen at the end of an interview?

A
  1. Send
  2. Critique
  3. Review
29
Q

What do you want to send after an interview?

A

a thank you note

30
Q

What do you want to critique after an interview?

A

want to personally critique the interview experience

31
Q

What do you want to review in your mind after an interview?

A

review in your mind what you did well and what you would do differently the next time

32
Q

What is the transferring to a competent individual the authority to perform a selected nursing task in a designated situation in which the nurse making the delegation retains accountability for the delegation?

A

delegation

33
Q

What is the RN responsible for?

A

The nursing care directly provided by the nurse and the care provided by others who are under the professional nurse’s supervision.”

34
Q

What is the chain of command from lowest to highest?

A
  1. Unit RN – front line care provider
  2. Charge Nurse/Clinical Nurse Leader
  3. Nurse Manager – total management of their unit/s
  4. Clinical Supervisor – oversees hospital for patients, family, nurses,
  5. Specialty Director
  6. VP Patient Care Services/ Chief Nursing Officer(CNO)
35
Q

What does the charge nurse do on a unit? (delegation PPT)

A

supervises unit, patients & management responsibilities

36
Q

What does a nurse manager do?

A

total management of their unit/s

37
Q

What does a clinical supervisor do?

A

oversees hospital for patients, family, nurses, doctors

38
Q

What does a specialty director do?

A

oversees their area e.g. Peds/med-surg etc.

39
Q

What does the VP Patient Care Services/ Chief Nursing Officer(CNO) do?

A

oversees the Hospital for patients/ Nursing department-over

40
Q

What is the delegation model?

A
  1. Assessment
  2. Delegation
  3. Monitoring
  4. Evaluation
41
Q

When doing an assessment what do you want to consider?

A

the 5 R’s

42
Q

What questions do you want to ask when considering the 5 R’s?

A
  1. Can this be delegated safely?
  2. Is there anything about the pt. or environment that would preclude the UAP to do the task?
  3. Is the task within their scope of practice?
  4. Have I communicated it clearly?
  5. Will I be available / accessible to supervise?
43
Q

What are 3 assessment red flags?

A
  1. Complex nursing activity
  2. Unidentified clients needs
  3. Insufficient time to train, monitor or supervise
44
Q

What are the 3 components of delegating?

A
  1. Complex nursing activity
  2. Unidentified clients needs
  3. Insufficient time to train, monitor or supervise
45
Q

What 5 factors must be considered when delegating?

A
  1. Who will do it
  2. What will be done
  3. When will it be done
  4. How & Where will it be done
  5. Why it will be done
46
Q

What are the 5 Rights of delegation?

A
  1. Right task
  2. Right circumstance
  3. Right person
  4. Right direction/ communication
  5. Right supervision
47
Q

What are the 4 delegation red flags?

A
  1. Refusal to accept delegation
  2. Incomplete directions
  3. Failure to confirm expectations
  4. Failure to communicate
48
Q

What is involved in monitoring and supervising?

A
  • Frequent check-ins
  • Give appropriate feedback- neg/positive criticism
  • Direction and periodic consultation
  • Strategies to assure adequate supervision
  • Set time lines how a task is being accomplished
  • Be a role Model and provide guidance
  • Know who you are supervising and their scope of practice
  • UAP’s( unlicensed assistive personnel) PCT (patient care technician) LPN ( License practical Nurse)
49
Q

What is involved in evaluation?

A
  • Must follow up
  • Give feedback
  • Areas to focus on for improvement
  • What went wrong- areas to implement the proper task
  • Ask the person you delegated to what they could have done differently e.g. task emptying the Foley
  • Reward the accomplishment- recognition of the team members involved – free ice cream/pop, daisy award
50
Q

What is a lack of ability, false assumption, trying to do it all , not willing to share the task, lack of experience with the employee, control/ being perfectionist?

A

under delegating

51
Q

What is when the employee is insecure, wanting to control others, some are just too lazy?

A

over delegating

52
Q

what is delegating at the wrong time, to the wrong person, or wrong reason, beyond the capability of the person, less expertise, and inadequate information?

A

improper delegating

53
Q 
The Nurse is working with a LPN to care for a group of patients/clients. Which Nursing task should not be delegated/assigned?
a. Vasoactive IV Drips/IV antibiotics
b. Bed baths/oral care
c. Transporting a patient to xray
D. Routine po medications
54
Q

The Nurse and UAP enter the patients room and discover the patient unresponsive. Which action should the nurse assign to the UAP first?

A. Ask the UAP to check the patients pulse
B. Tell the UAP to perform CPR
C. Instruct the UAP to get the crash cart
D. Request the UAP to call the Dr. and give her assessment.

55
Q

The charge nurse supervises who?

A

staff on unit

56
Q

The charge nurse identifies and evaluates what?

A

patient needs on the unit

57
Q

The charge nurse assigns what to who?

A

duties to Nurses, PCTs, and ancillary staff

58
Q

The charge nurse oversee what?

59
Q

The charge nurse maintains

A

inventory standards for supplies/equipment/medications etc.

60
Q

The charge nurse is a bridge between which two people?

A

physicians and staff

61
Q

What are the essential functions of a charge nurse?

A
  • Provide leadership during the shift to all staff
  • Plans, directs and implements care to patients in accordance with Orders, Polices & Procedures
  • Identifies patients priority needs and uses nursing judgement to determine appropriate course of action
  • Coordinates care by applying analytical reasoning, evidence base practice, and clinical judgement
  • Works closely with the Manager, Director, support services, Materials Management, House Supervisor and Physicians
    Provides a Leadership for their staff and sets the stage of the unit
62
Q

What are the qualifications needed to be charge?

A
  • Nurse Graduation from a nationally –accredited nursing program
  • Two years of related experience, preferred 5 years of specialty in an acute care setting
  • AZ RN License, CPR, ACLS
  • Knowledge, Skills, & Abilities of that particular unit -Excellent Communication Skills
63
Q

What kind of competencies does the nurse need to be while in their role?

A 
 Clinical/Technical Competencies
 Critical Thinking Competencies
 Organizational Competencies
 Human Resource Competencies 
- Personal traits or attributes
 Role Model
64
Q

What critical care thinking is needed for the charge nurse role position?

A 
-Anticipate patient and staff needs
• Manage crisis situations
• Assess/evaluate clinical and operational information
• Utilization of resources
• Scope of Practice for every staff member on the unit
• Be “politically” aware
• Respond quickly to issues/concerns
• Be available to all staff
• Managing Conflict
65
Q

What organizational competencies are needed for a charge nurse?

A

 Coordinatemultipletasks
 Deal with interruptions throughout your shift  DefineandPrioritizeworkload
 Prepare for change: codes, bed meetings  Working with other Charge Nurses/units
 Represent manager in administrative duties  Create a positive work environment
 Be a Change agent

66
Q

The charge nurse notices a nurse recapping a needle in a patient’s room. Which action should the charge nurse take first?

  • Tell the nurse not to recap the needle
  • Quietly ask the nurse to step into the hall
  • Reprimand the nurse for not following procedure
  • Notify the house supervisor of the nurse’s behavior
A

Quietly ask the nurse to step into the hall

67
Q

they are short staff on the unit. Which patient would be appropriate for the charge to take?
• The patient with POD 1 Mitral Valve repair
• The patient with symptomatic bradycardia
• The patient with POD 4 MI and ready for discharge
• The patient with CAD s/p stent 2 days ago

A

• The patient with CAD s/p stent 2 days ago

N478 (15 decks)

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