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A concise overview of key concepts in nursing leadership and management, including management functions, leadership styles, ethical principles, and delegation guidelines. It covers essential topics such as conflict resolution, quality improvement processes, and patient safety measures. The material is presented in a question-and-answer format, making it useful for exam preparation and quick review. It also includes information on legal and ethical considerations, such as informed consent and patient rights, providing a comprehensive resource for nursing students and professionals. Designed to help nurses understand their roles in ensuring quality patient care and effective team management. It also covers important topics such as sterile technique, normal lab values, and various precautions for infectious diseases.
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Management Process of planning, organizing, directing, and coordinating the work within an organization. Leadership The ability to inspire others to achieve a desired outcome. Authoritative Leadership Makes decisions for the group. Motivates by coercion. Communication occurs down the chain of command.
Effective for employees with little or no formal education. Democratic Leadership Includes group for decisions. Motivates by supporting staff. Communication works up and down chain of command. Laissez-Faire Leadership Makes few decisions. Motivation is responsibility of staff members. Effective with professional employees.
Reinforce treating Trach care Suctioning Checking NG tube patency Enteral feedings Inserting catheter Giving medications Appropriate Delegation: AP Feeding (WITHOUT swallowing precautions) Specimen collection I/O Vital signs (stable patients) Ethical Principle:
Utility The good of many will outweigh the needs of an individual client. Ethical Principle: Fidelity Being loyal and keeping a promise made to the client. Ethical Principle: Justice All clients are treated equally regardless of gender, sexual orientation, religion, ethnicity, disease, or social class. Orientation plan for new Nurses Skill proficiency Assignment to preceptor
Situation Background Assessment Recommendation Focus on immediate circumstance to promote clinical decision making. Root Cause Analysis Used during quality control process to determine why a standard is not being met. Incident Reporting Error reporting and quality improvement. Critical Pathway Cost-effective strategy to guide care for clients with specific medical diagnosis or undergoing a specific procedure.
Nurse Manager Role To ensure that standards are met and that care is provided according to policy. Potassium Level 3.5-5 mEq/L If a physician is not answering a page... Notify the nursing supervisor. Informed consent is required for... Receiving sedation/anesthesia If an infusion pump has a malfunction... Report it to the maintenance department.
Quality Improvement Process FIRST STEP? Establish best practice guidelines How should the nurse ensure the AP is qualified to perform a task? Review the AP's skills competency checklist. Important Factors to Include in Shift Report Change Pain reassessment If a client is uncertain about a procedure... Discuss the client's feelings about the procedure. What should be done after applying mechanical restraints? The provider must evaluate the client within 1 hour of initiation.
Mechanical Restraints Nursing Interventions -Assess constantly. -Document q15 minutes for RoM, circulation, and psych status. Face-to-Face Communication Recommended by nurse manager to resolve conflict between 2 staff members. Time Management Skills Grouping tasks in the same location. Wheel Chair Safety -Raise footplates when transfering. -Back w/c into elevator. -Lock both breaks when transfering.
Conflict Resolution: Cooperation Giving up own desires for desires of of other staff nurse. Conflict Resolution: Compromise Giving up a demand while asking the staff nurse to also give up a demand. Stem Cell Transplant Requirements Positive-Pressure Airflow Room HEPA Filter Airflow of 12 air per hour
Purpose of N95 Respirator Mask Protect the nurse from inhaling contaminated droplet nuclie Quality Improvement How to evaluate effectiveness? Compare data from client records to established criteria. Sterile Technique Open the top flap away from her. INTERpersonal Conflict Conflict with a client or Conflict with Manager
Negotiation/ Mediation/ Collaboration/ Conflict resolution stratergy Advocacy Promoting and protecting safety of staff and clients. Safe Blood Sugar Range Normal Potassium Range 3.5-5.0 mEq/L Normal Sodium Range Occupational Therapy
Assists client with exercises to complete tasks. Social Services Helps with financial and domestic issues. How is cost effective client care measured? Length of client's stay. What role can ONLY RN's do? ASSESSMENT! Can Mental Health patient's refuse their medication? YES, then can refuse. Asymmetrical Thoracic Movement may be... A pneumothorax
5 Rights of Delegation Right Task Right Expectation Right Time frame When to report back to RN What is used to clean up blood? Bleach solution What disease is nationally notifiable infectious disease? Chlamydia trachomatis Pt's with a fracture can develop a deep venous thrombosis which can lead to... Pulmonary embolisms How can you ensure the AP is qualified to perform a task?
Review the AP's skills competency checklist! First Step in Quality Improvement Process? Establish best practice guidelines! How should you auscultate vascular bruits? With the bell of the stethoscope! What position should the pt be in for an abdominal assessment? Dorsal recumbent or Supine Agency of Healthcare Research and Quality (AHRQ) Supports research designed to improve outcomes and quality of healthcare.
