Can an LPN hang electrolytes? - ANSWER NO- requires assessment
Can an LPN hang TPN? - ANSWER No
Can an LPN hang NS with K? - ANSWER Yes - diluted
Can an LPN hang blood? - ANSWER No
Can an LPN hang a bolus? - ANSWER No
Can an LPN do an IV push? - ANSWER No
UAP assignments - ANSWER stable patients with chronic conditions
Who should UAP's not work with? - ANSWER -no vitals on: acute cardiac, new patient -
depending on status, post-op (not stable patients), if RN is in room, UAP can help but RN needs
to be in room
reactive planning - ANSWER occurs after a problem exists, goal is just to get back to
normal
inactivism - ANSWER another type of conventional planning, seeks the status quo, not
going to do anything, prevent change from occurring, standing firm, slow incremental change
preactivism - ANSWER utilize technology to accelerate change and are future oriented.
*Unsatisfied with the past or present, preactivists do not value experience and believe that the
future is always preferable to the present.*
1
,interactive or proactive planning - ANSWER Planners who fall into this category consider
the past, present, and future and attempt to plan the future of their organization rather than
react to it. Because the organizational setting changes often, adaptability is a key requirement
for proactive planning. Proactive planning occurs, then, in anticipation of changing needs or to
promote growth within an organization and is required of all leader-managers so that personal
as well as organizational needs and objectives are met.
Forecasting - ANSWER involves trying to estimate how a condition will be in the future.
SWOT analysis - ANSWER identifying internal strengths (S) and weaknesses (W) and also
examining external opportunities (O) and threats (T)
-need to have an objective first
-subjective in nature
Strengths - ANSWER internal attributes that help an organization achieve its objectives
Weaknesses - ANSWER internal attributes resources that work against a successful
outcome
Opportuninities - ANSWER external and positive, national focused, evidence based
practice
Threats - ANSWER external and negative
Planning Hierarchy - ANSWER 1) Mission
2) Philosophy
3) Goals
4) Objectives
5) Policies
2
,6) Procedures
7) Rules
Vision statement - ANSWER expresses what the organization should become, where it
wants to go strategically, future oriented
MIssion statement - ANSWER a statement of the organization's purpose - what it wants
to accomplish in the larger environment, the reason why the organization exists
Philosophy - ANSWER comes out of vision and mission, about values and beliefs
-organizational philosophy
-nursing service philosophy
Goal - ANSWER a desired end toward which efforts are directed, the aim of a philosophy
-SMART
Objectives - ANSWER -more specific and measurable
-gets you towards the goal
process objectives - ANSWER written in terms of the method to be used
ex: 100% of staff nurses will orient new patients to the call-light system, within 30 minutes of
their admission, by first demonstrating its appropriate use and then asking the patient to
repeat said demonstration.
results-focused objective - ANSWER specify the desired outcome
ex: 95% postoperative patients will perceive a decrease in their pain levels following the
administration of parenteral pain medication.
3
, Policies - ANSWER plans reduced to statements, direct organizations in their decision
making
-limit setting, boundary setting
Implied policies - ANSWER neither written nor expressed verbally, have usually
developed over time and follow a precedent.
Expressed policies - ANSWER delineated verbally or in writing
Procedures - ANSWER how to get things done within that policy, instruct you how to do
things
Rules - ANSWER -define actions
-form policies and procedures
-allow only once choice of action
strategic planning - ANSWER Long-term planning that provides broad goals and
directions for the entire business.
Contemporary Adaptation of Lewins Model - Stages of Change MOdel - ANSWER Stage 1:
Pre-contemplation: no current intention to change
Stage 2: Contemplation: individual considers making a change
Stage 3: Preparation: there is intent to make a change in the near future
Stage 4: Action: individual modifies behavior
Stage 5: Maintenance: change in maintained and relapse is avoided
Rational Empirical Strategy - ANSWER -using evidence, research, hard evidence
-ex: smoking causes lung cancer, why they need to do the change
4
Can an LPN hang TPN? - ANSWER No
Can an LPN hang NS with K? - ANSWER Yes - diluted
Can an LPN hang blood? - ANSWER No
Can an LPN hang a bolus? - ANSWER No
Can an LPN do an IV push? - ANSWER No
UAP assignments - ANSWER stable patients with chronic conditions
Who should UAP's not work with? - ANSWER -no vitals on: acute cardiac, new patient -
depending on status, post-op (not stable patients), if RN is in room, UAP can help but RN needs
to be in room
reactive planning - ANSWER occurs after a problem exists, goal is just to get back to
normal
inactivism - ANSWER another type of conventional planning, seeks the status quo, not
going to do anything, prevent change from occurring, standing firm, slow incremental change
preactivism - ANSWER utilize technology to accelerate change and are future oriented.
*Unsatisfied with the past or present, preactivists do not value experience and believe that the
future is always preferable to the present.*
1
,interactive or proactive planning - ANSWER Planners who fall into this category consider
the past, present, and future and attempt to plan the future of their organization rather than
react to it. Because the organizational setting changes often, adaptability is a key requirement
for proactive planning. Proactive planning occurs, then, in anticipation of changing needs or to
promote growth within an organization and is required of all leader-managers so that personal
as well as organizational needs and objectives are met.
Forecasting - ANSWER involves trying to estimate how a condition will be in the future.
SWOT analysis - ANSWER identifying internal strengths (S) and weaknesses (W) and also
examining external opportunities (O) and threats (T)
-need to have an objective first
-subjective in nature
Strengths - ANSWER internal attributes that help an organization achieve its objectives
Weaknesses - ANSWER internal attributes resources that work against a successful
outcome
Opportuninities - ANSWER external and positive, national focused, evidence based
practice
Threats - ANSWER external and negative
Planning Hierarchy - ANSWER 1) Mission
2) Philosophy
3) Goals
4) Objectives
5) Policies
2
,6) Procedures
7) Rules
Vision statement - ANSWER expresses what the organization should become, where it
wants to go strategically, future oriented
MIssion statement - ANSWER a statement of the organization's purpose - what it wants
to accomplish in the larger environment, the reason why the organization exists
Philosophy - ANSWER comes out of vision and mission, about values and beliefs
-organizational philosophy
-nursing service philosophy
Goal - ANSWER a desired end toward which efforts are directed, the aim of a philosophy
-SMART
Objectives - ANSWER -more specific and measurable
-gets you towards the goal
process objectives - ANSWER written in terms of the method to be used
ex: 100% of staff nurses will orient new patients to the call-light system, within 30 minutes of
their admission, by first demonstrating its appropriate use and then asking the patient to
repeat said demonstration.
results-focused objective - ANSWER specify the desired outcome
ex: 95% postoperative patients will perceive a decrease in their pain levels following the
administration of parenteral pain medication.
3
, Policies - ANSWER plans reduced to statements, direct organizations in their decision
making
-limit setting, boundary setting
Implied policies - ANSWER neither written nor expressed verbally, have usually
developed over time and follow a precedent.
Expressed policies - ANSWER delineated verbally or in writing
Procedures - ANSWER how to get things done within that policy, instruct you how to do
things
Rules - ANSWER -define actions
-form policies and procedures
-allow only once choice of action
strategic planning - ANSWER Long-term planning that provides broad goals and
directions for the entire business.
Contemporary Adaptation of Lewins Model - Stages of Change MOdel - ANSWER Stage 1:
Pre-contemplation: no current intention to change
Stage 2: Contemplation: individual considers making a change
Stage 3: Preparation: there is intent to make a change in the near future
Stage 4: Action: individual modifies behavior
Stage 5: Maintenance: change in maintained and relapse is avoided
Rational Empirical Strategy - ANSWER -using evidence, research, hard evidence
-ex: smoking causes lung cancer, why they need to do the change
4
