Leadership and Management ATI

Leadership and Management ATI management the process of: -planning (what needs to be done, who/how) -organizing (lines of authority/channels of comm.) -staffing -directing (leadership role- motivating staff to perform) -controlling (evaluation) leadership the ability to inspire others to achieve a desired outcome authoritative -makes decisions for the group -flows down the COC -motivates by coercion -good for crisis situations, for employees with little formal education democratic -includes groups in decision making -motivates by supporting achievements -communication flow up and down COC laissez-faire -few decisions, little planning -motivation responsibility of individuals -communication up/down COC and between group members transformational leaders empowers followers to assume responsibility for a communal vision -personality development is a secondary outcome transactional leaders focus on immediate problems, maintaining the status quo, and using rewards to motivate followers critical thinking interpretation, analysis, evaluation, inference, explanation -reflect/evaluate from a broader scope of view clinical reasoning the mental process used when analyzing the elements of a clinical situation and using analysis to make a decision -sorting through relevant data -using nursing knowledge to make decisions about client care clinical judgement decision made based on critical analysis of data when using knowledge is applied to a clinical situation Prioritization principles 1) Systemic local (life before limb) 2) Acute chronic 3) Actual problems potential problems 4) listen carefully to pts and don't assume 5) Trends transient findings 6) Signs of medical emergencies or complications expected findings 7) Prioritize certain meds/procedures over others (antibiotics and diabetic meds other meds) 8) unstable stable Maslow's Hierarchy 1) Physiological 2) Safety and security 3) Love and belonging 4) Self esteem 5) self actualization ABCD airway breathing circulation disability Safety/risk reduction give priority to whatever poses the greatest risk (or most imminent) to the clients physiologic well being Assessment/data collection first use nursing process to gather data prior to making a decision survival potential -used in mass casualty or disaster triage -priority to clients with reasonable chance of survival with prompt intervention least restrictive/least invasive select the intervention that is least invasive time savers -document ASAP -grouping activities to prevent unnecessary walking -estimating length of time and planning accordingly -mentally envisioning the procedure to ensure all equipment has been gathered prior to entering pts room -planning care and prioritizing -delegating -enlisting aid of other staff when team approach is needed