HESI Leadership and Management Study Guide|

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 anywa? 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. What kind of style does effective leadership require? Assertive communication=democratic/participative. Does not require passive=laissez faire/permissive or aggressive= authoritative/autocratic. What are characteristics of nursing manager? 1) Authority 2) accountability 3) responsibility 4) leadership 5) commitment to quality. What are the skills of nursing manager? 1) Communication- act as liaison between clients and others. Engage in conflict resolution 2) Organization- review management outcomes and plan overall strategies to address client problems. 3) Delegation- identify role/responsibilities of health care members of the team. 4) Supervision- supervise care provided by others. 5) Critical thinking- serve as resource person to other staff When delegating to the right person, what qualities should the nurse be aware of of the delegetee? documented Appropriate: 1) education 2) training 3) skills 4) experience 5) demonstrated and competence Do UAPS generally perform invasive or sterile procedures? No RN is accountable to adhering to the 3 basic aspects of supervision when delegating to other health care personnel such as LPN's, graduate nurses, inexperienced nurses, student nurses, UAP's. What are 3 aspects of supervision? 1) Direction and guidance 2) Evaluation/monitoring 3) Follow up. Nurse process: Assessment, analysis, diagnosis, planning, evaluation, and any activity requiring nursing judgement- may not be delegated to UAP. Where do delegated activities of the nursing process fall under for a UAP? Under the implementation phase of nursing process.