Coping with patron care
Managing patron care requires management, control talents and knowledge
Knowledge and capabilities should be evolved in lots of regions:
Leadership and control
Critical thinking, choice making, prioritization and time control
Assigning, delegating and supervising
Staff schooling
Performance development
Performance appraisal, peer evaluation, and disciplinary movement
Conflict decision
Resource control
management and management
These are ideas quintessential to successfully manipulate and encourage team of workers
and customers
Management is getting work finished through others
Leaders can also handiest have casual strength given to them via friends
One can't be a frontrunner with out followers!!
MANAGEMENT:
Effective managers usually own suitable management skills
Managers have formal positions of electricity and authority
LEADERS:
Effective leaders aren't continually in management positions
Leaders may also have only casual electricity given them by peers
leadership patterns
AUTHORITATIVE: makes choices for the institution, motivates via coercion, communicates
down the chain of command, and paintings output is excessive (this is right for
bureaucracies
DEMOCRATIC: includes the organization when choices are made, motivates by way of
helping group of workers achievements, communicates up and down chain of command,
and paintings output is ideal (wonderful whilst collaboration important)
LAISSEZ FAIRE: makes very few choices, does little planning, motivation lies on shoulders
of staff members, communicates up and down chain of command in addition to between
organization contributors, and paintings output is low
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ANY OF THESE STYLES MAY BE APPROPRIATE DEPENDING ON THE SITUATION
characteristics of leaders
Characteristics are initiative, notion, electricity, fantastic mindset, communique
competencies, recognize, and hassle fixing/essential wondering skills
Leaders have a aggregate of character and management skills
Leaders impact inclined fans to move closer to a purpose
Transformational leaders
Transactional leaders
emotional intelligence
Ability to perceive and manage the feelings of self and others
Must be able to recognize own emotions
Emotionally shrewd leader
Understand others attitude
Encourage optimistic complaint
Channel emotions in a nice course
Refrain from judgment
most important control features
PLANNING: THE DECISIONS REGARDING WHAT NEEDS TO BE DONE, HOW IT WILL
BE DONE, AND WHO IS GOING TO DO IT
ORGANIZING: THE ORGANIZATIONAL STRUCTURE DETERMINING LINES OF
AUTHORITY, CHANNELS OF COMMUNICATION, AND WHERE DECISIOINS ARE MADE
STAFFING: THE HIRING OF AND MANAGEMENT OF ADEQUATE STAFF AND STAFFING
MIX
DIRECTING: THE LEADERSHIP ROLE ASSUMED BY THE MANAGER THAT
INFLUENCES AND MOTIVATES STAFF TO PERFORM ASSIGNED ROLES
CONTROLLING: STAFF EVALUATION, EVALUATION OF UNIT GOALS TO MAKE SURE
OUTCOMES ARE MET
important questioning
Reflects on the which means of statements, looks at statistics, and uses reason to make an
informed choice
Evaluates from a broader scope of view
Must assume 'out of doors the field' to come up with answers
Best for customers, workforce, families, the organization
,CRITICAL THINKING IS MORE COMPLEX THAN DECISION MAKING AND ADDS TO
MAKING SPEEDY OR MORE COMPLEX DECISIONS INVOLVING LOTS OF ANGLES.
NURSES USE CRITICAL THINKING SKILLS WHEN MAKING DECISIONS, PRIORITIZING,
AND MANAGING THE CARE OF PATIENTS
clinical reasoning/medical judgment
Clinical reasoning is the mental method used while reading the factors of a medical state of
affairs and using evaluation to determine. The nurse maintain to apply clinical reasoning to
make choices because the patient state of affairs adjustments
Clinical judgment is the choice made regarding a direction of motion based on essential
evaluation of information.
Prioritization
Meeting the needs of multiple patients while maintaining protection
Priority placing implemented to many situations at some stage in a shift
Priorities are set based totally on data/evidence found in diverse ways
PRIORITY SETTING
THE ORDER THAT CLIENTS ARE SEEN IN
COMPLETING ASSESSMENTS
PROVIDING INTERVENTIONS
STEPS IN CLIENT PROCEDURES ARE COMPLETED
COMPONENTS OF CLIENT CARE ARE COMPLETED
DATA COLLECTION
DURING SHIFT REPORTS AND OTHER COMMUNICATION DURING SHIFT REPORT
THOROUGH CAREFUL REVIEW OF THE DOCUMENTS
CONTINUOUSLY AND ACCURATELY COLLECTING CLIENT DATA
prioritization concepts
Prioritize systemic earlier than local ("lifestyles earlier than limb")
Prioritize acute before chronic
Prioritize actual troubles before capacity problems
Listen carefully to clients, and do not assume
Recognize and respond to tendencies as opposed to brief findings
Recognize signs and symptoms of clinical emergencies and complications
Apply clinical know-how to procedural requirements, to decide priority action
SYSTEMIC OVER LOCAL: EXAMPLE IS PRIORITIZING INTERVENTIONS FOR A CLIENT
IN SHOCK, OVER A LOCAL LIMB INJURY
ACUTE BEFORE CHRONIC: EXAMPLE IS PRIORITIZING THE CARE OF A STROKE
CLIENT WITH SUDDEN MENTAL CONFUSION OVER TEACHING A STABLE STROKE PT
HOW TO USE A PICUTRE BOARD TO COMMUNICATE
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ACTUAL BEFORE POTENTIAL: EXAMPLE IS PRIORITIZING ADMINISTRATION OF A
MEDICATION TO A CLIENT EXPERIENCING ACUTE PAIN, OVER AMBULATION OF A
CLIENT AT RISK FOR A DVT.
LISTEN: EXAMPLE IS TO MAKE SURE THAT THE PAIN A POSTOP PT IS
EXPERIENCING IS ACTUALLY NOT A NEW SITE AS OPPOSED TO THE SURGICAL
SITE
RECOGNIZE/RESPOND: EXAMPLE IS TO RECOGNIZE A SLOW DETERIORIATION IN
PTS LEVEL OF CONSCIOUSNESS OR GCS
RECOGNIZE MED EMERGENCIES OR COMPLICATIONS: EXAMPLE IS TO BE ABLE TO
RECOGNIZE S/S INCREASED ICP AFTER A STROKE VERSUS NORMAL CHANGES
AFTER A STROKE
APPLY CLINICAL KNOWLEDGE: EXAMPLE IS TO RECOGNIZE THAT THE TIMING OF
ANTIDIABETIC MEDS IS MORE IMPORTANT THAN OTHER MEDS
Maslow's Hierarchy of Needs
Always remember the hierarchy of human wishes while prioritizing nursing interventions
Physiological desires
Safety and protection needs
Love and belonging needs
Self-esteem
Self-actualization
PHYSIOLOGY: ABCs, DISABILITY POTENTIAL
SAFETY AND SECURITY: SHELTER, EMPLOYMENT
LOVE: FRIENDSHIP, FAMILY, INTIMACY
SELF-ESTEEM: CONFIDENCE, ACHIEVEMENT
SELF-ACTUALIZATION: CREATIVITY, PURPOSE, INNER MEANING
airway respiration stream
Identifies the 3 primary wishes for maintaining existence, in order
Open airway is necessary for breathing
Breathing is essential for oxygenation of blood
Circulation is important for oxygenated blood to reach frame's tissues
"D" for disability is sometimes protected in this framework
"E"