ATI Leadership Proctored

ATI Leadership Proctored ABCDE principle for prioritization Airway Breathing Circulation Disability Exposure True/False: Rarely will you ever prioritize giving pain medications True rules for prioritization - assess before taking action (calling the dr) - prioritize unstable over stable patients - prioritize acute over chronic conditions - prioritize systemic over local issues - pick least invasive procedure first examples of efficient nursing practice - take time at the beginning of your shift to plan and prioritize your day - chart interventions/nursing care as soon as you complete them - group tasks together for a single patient - complete time consuming or challenging tasks earlier in your shift - wait to perform non-essential tasks for later in the day 5 rights of delegation - right task - right circumstance - right person - right direction/communication - right supervision and evaluation what can be delegated to LPN's medications enteral feeding foley insertions suctioning trach care wound care reinforce teaching what can be delegated to CNA's bathing dressing the patient ambulation toileting oral feeding if no swallowing precautions positioning I&Os collecting specimens VS basic CPR RN's role patient education patient assessment blood transfusions any tasks that involve nursing judgement right task should be repetitive, noninvasive, and should not require a lot of supervision right circumstance do not delegate tasks for unstable patients. we want to monitor and assess the patients ourselves right person make sure the delegate is working within their scope of practice and is competent to provide the care we are delegating right direction/communication provide a timeline and how you expect them to report back to you what is quality improvement? · Process we use to improve the quality of care on a particular unit or team. It is also used to correct performance deficiencies that may be present. components of performance review - data collection over the course of a year - allow employee to turn in self assessment - peer review - performance checklist and compare to standards not other RNs - discuss employees goals - if employee doesn't agree with their evaluation, they can write comments on their evaluation intrapersonal conflict internal conflict or struggle interpersonal conflict conflict between 2 or more people stages of conflict latent perceived felt manifest conflict aftermath latent conflict no conflict yet but there's a high likelihood it can occur perceived conflict · individual believes a conflict exists, but the other party is unaware of the problem felt conflict emotional response to a conflict manifest conflict · both parties are aware of conflict and action is taken to resolve the conflict conflict aftermath conflict is resolved with either positive or negative results avoiding or withdrawing strategy both parties within a conflict refuse to acknowledge or work on resolution to the conflict. Conflict is ignored. smoothing strategy one party to attempts to keep the peace by complimenting the other party and conflict remains unresolved competing or coercing strategy win/ loose solution. One party gets their solution at the expense of the other party compromising strategy · both parties give up something they want to come to a compromise cooperating/accomodating strategy loose/win situation. One person gave in and allowed the other party to get their desired solution. collaborating strategy · win/win solution. Both parties put aside their individual desires and work together on a mutually agreeable solution. Something new that works for both parties. autonomy ability of client to make personal decisions, even when those decisions may not be in the client's best interest beneficence the care that is in the best interest of the client