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5 rights of delegation
- answer-Right task, Right circumstances, Right person, Right communication,
Right supervision
Accommodating
- answer-It is fine we can just do it your way. This is okay if someone is the expert.
Not usually the best way to come to the best conclusion.
AMA patients
- answer-Try to convince the patient to stay, doctor should try to pull it together
and get them what they need. If they continue to refuse they must sign a paper so
the hospital isn't liable. Must take out IV before they leave.
Appropriate communication
- answer-straight forward and to the point, includes all pertinent information, both
the sender and the receiver are engaged.
goes both ways, open dialogue. Calm, pleasant tone.
Assessment
- answer-Presenting chief complaint, vitals, and symptoms and diagnosis
Assult
- answer-Threaten to harm another
Authoritative leadership
- answer-makes decisions for groups, motivated by coercion, communication goes
down the chain of command, work output is high, good style for crisis situations.
,Autonomy
- answer-Right of self-determination, independence and freedom. Ability to make
health care decisions for oneself, without controlling influences.
Avoiding
- answer-Most of the time in nursing conflicts should not be avoided. Could cause
workplace hatred or doubt.
Background
- answer-co-morbidities, previous episodes, current medications, family history
Battery
- answer-Physical contact without consent
Body mechanics
- answer-Use your center of gravity
Use lifts when possible
Lift with your knees not your back
Ask for help
Objects close to body for more support
Raise the bed
Case based billing/DRG
- answer-Medicare, 80-90% of hospital income, hospitals must be joint
commission certified to be able to accept medicare. Picks a set rate for whatever
procedure you need.
Characteristics of an effective manager
- answer-networking, conflict negotiation and resolution, coaching, employee
development, clinical expertise, decision making skills, and business sense.
, Code status
- answer-separate from advance directives. It is a hospital policy. Must resuscitate
any patient without a DNR and they should be communicated with all staff
members.
Collaborating
- answer-Working together, best option. downside is that it may not happen in one
day
Compromising
- answer-Meeting in the middle, doesn't always work, meeting in the middle might
not make anyone happy.
Culture of safety
- answer-Blame free environment. When something goes wrong, we look at
everything that happens. Just because you make a mistake doesn't mean you are
fired. Promotes trust, honesty, openness, transparency, teamwork.
Decisional roles
- answer-Employee evaluation, hiring and firing, decisions regarding what needs to
be done, how it will be done, and who is going to do it. budgeting and staffing.
Keeps adequate staff ratios.
Democratic Leadership
- answer-includes the group when decisions are made, motivated by supporting
staff achievements, communication goes up and down chain of command, work
output is of good quality
Discharge summary
- answer-Type of discharge. Date and time and who accompanied the client and
how were they transported. Summary of client condition at discharge and any
unresolved issues with plans to follow up. Disposition of belongings, medications