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NURS 3004: Leadership > WEEK 6 > Flashcards

WEEK 6 Flashcards

1
Q

Explain Full Scope of Practice

A
  • Outer limits of practice one is educated and authorized to perform.
  • Is influenced by setting, patient needs, and individual nurse.
  • Influenced by regulation, legislation, organizational characteristics, individual nurse competence
  • Reflected in the knowledge base of the profession
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2
Q

Name the 3 Outer Limits of RN Professional Scope of Practice

A
  1. Health Professions or Nursing Legislation
  2. Registered Nurses Professional Regulation
  3. Professional Guidelines and Standards
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3
Q

Name the 3 Attributes for Scope of Practice of an Individual Nurse

A
  1. Organizational policies and attributes
  2. Individual nurse competence
  3. Client needs
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4
Q

Name the 5 Controlled Acts for Nurses

A
  1. Performing a prescribed procedure below the dermis or a mucous membrane
  2. Administering substance by injection or inhalation
  3. Putting an instrument hand or finger: beyond the external ear canal, beyond the point in the nasal passage where they narrow, beyond the larynx, beyond the opening of the urethra, beyond the anal verge, or into an artificial opening
  4. Dispensing a drug
  5. Treating an individuals serious disorder of thought, cognition, mood, emotional regulation,, perception or memory by means of psychotherapy
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5
Q

Name the three authorizing mechanisms

A
  1. Order
  2. Initiation
  3. Delegation
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6
Q

Define Delegation

A

A formal process through which a regulated health professional who has authority/competence to perform a procedure under one of the controlled acts delegates the performance of that procedure to another individual

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7
Q

Limits to Delegation

A
  1. Have to have authority first
  2. Cannot delegate an act delegated to you (subdelegation)
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8
Q

Employer/Nurse Leader Responsibilities in Delegation

5

A
  1. Identifying a nurse leader
  2. Determining nursing responsibilities that can be delegated, to whom, and under what circumstances
  3. Develop delegation policies and procedures
  4. Periodically evaluate delegation process
  5. Promote positive culture and work environment
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9
Q

Delegatee Responsibilities

3

A
  • Accept activities based on own competence level
  • Maintain competence for delegated responsibility
  • Maintain accountability for delegted activity
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10
Q

Licenced Nurse Responsibilities in Delegation

3

A
  • Determine patient needs and when to delegate
  • Ensure availability to delegatee
  • Evaluate outcomes of and maintain accountability for delegated responsibility
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11
Q

Delegation is not required if it is an activity required for routine activity of living and there is:

A
  1. Need for the procedure
  2. Predictable response to the procedure
  3. Predictable outcome for the procedure
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12
Q

Name the 5 Rights of Delegation

A
  1. Right task
  2. Right Circumstance
  3. Right person
  4. Right directions and communications
  5. Right supervision and evaluation
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13
Q

Explain the “Right Task”

2 points

A
  • the activity falls within the delegatee’s job description or is included as part of the established policies and procedures of the practice setting
  • policies and procedures describe the expectations and limits of the activity and provide any necessary competency training
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14
Q

Explain the “Right Circumstance”

2 points

A
  1. The health condition of the person must be stable
  2. If the patient’s condition changes, the delegatee must communicate to the delegator and they must reassess the situation and appropriateness of delegation
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15
Q

Explain “Right Person”

2 points

A
  • delegatee possesses appropriate skill and knowledge to perform activity
  • nurse along with the employer and delegatee is responsible for ensuring that the delegatee possesses the appropriate skills and knowledge to perform the activity
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16
Q

Explain “Right Directions and Communication”

4 points

A
  • delegation task should be specific to patient, nurse, and delegatee
  • communicate specific instructions for performing the activity - delegatee should clarify any questions
  • delegatee must understand terms of delegation and agree to accept the activity
  • delegatee understands they cannot make any decisions or modifications in the activity without first consulting licensed delegator
17
Q

Explain “Right Supervision and Evaluation”

3 points

A
  • Licenced nurse is responsible for monitoring delegated activity, following up with delegatee at completion, and evaluating patient outcomes
  • Delegatee is responsible for communicating patient information to licenced nurse during delegation. Nurse should be ready to intervene as necessary
  • Licenced nurse should ensure appropriate documentation of the activity
18
Q

Review and recognize CNO requirements for delegating

10

A
  1. Authority
  2. Competence
  3. Nurse-Client Relationship
  4. Appropriateness
  5. Safeguards and Resources
  6. Condition
  7. Knowledge of Delegates
  8. Competence of the delegate
  9. Stopping if delegate is not competent
  10. Documentation
19
Q

List the 5 Competences of Interprofessional Collaboration in Healthcare

A
  1. Role clarity
  2. Trust and Confidence
  3. Overcoming Adversity
  4. Collective Leadership
  5. Overcoming Personal Differences
20
Q

Explain Role Clairity

A
  • understanding different roles of the team
  • each member is relied on to execute his/her unique roll
  • individual contributions should be valued, yet the focus must be on team success
21
Q

Explain Trust and Confidence

A

Members must be able to be confident in their own abilities and ability to develop team trust

22
Q

Explain Overcoming Adversity

A

Challenges require every member to remain committted to the collective goal despite setbacks

23
Q

Explain Collective Leadership

A

A philosophy that takes pressure off any one individual and disperses it throughout the group

24
Q

Explain Overcoming Personal Differences

A

Members must be able to overcome personal differences even if they do not always get along

NURS 3004: Leadership (9 decks)

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