HESI Hints Leadership and Management

HESI Hints Leadership and Management Who should explain a surgical procedure to a pt? RN should make sure that the operative permit is signed and on the chart. It is NOT the RN's responsibility to explain the procedure to the client. Good Samaritan Act? Means of protecting a nurse when he or she is performing emergency care If the nurse carries out a provider's prescription that she is not prepared for and does not inform the provider about her lack of preparation? The nurse is soley responsible for any damages. If nurse informs provider of her lack of preparation in carrying out a prescription and carries out the prescription anyway? The nurse and the physician are liable for damages Can the nurse alter the prescription dosage of drug? NEVER. Nursing judgement cannot be substituted with medical judgement. If she believes the dosage is wrong, she should inform the health care provider, record the response of the provider, inform the nursing supervisor, refuse to carry out wrong prescription. What should a nurse do if she believes a provider's prescription is made with poor judgement? - i.e. she doesn't believe the pt needs a tranquilizer. Record that the health care provider was notified and that the prescription was questioned. Carry out the prescription as ordered. Nurse Practice Acts govern policies related to making assignments. Ie for a sterile dressing change: Should be done by an RN or LPN-licensed practical nurse, who has been checked off this procedure. What does assertive communication start with? "I need" rather than "you must" Motivation comes from within an individual. What can a nurse leader provide? Nurse leader can provide an environment that will promote motivation through positive feedback, respect, and seeking input. Look for responses that demonstrate these behaviors.