What are the rights of delegation?
Person, task, circumstance, communications, supervision
You should always assume what when delegating tasks?
Always assume minimal competence for certification and/or license
What are some reasons someone would under delegate?
- Overburdens manager
- Lack of trust in others
- Feelings of decreased control
- Not enough time to delegate
- Lack of experience
- False assumption of incompetence
What are some reasons someone would over delegate?
- Over burdens subordinates
- Inadequate time management
- Insecurity over own ability
What does incivility mean?
An umbrella term for mistreatment with a range of behaviors. (From eye-rolling to physical abuse)
How does upward communication work?
Subordinate send the message to the manager/leader
How does downward communication work?
Manager/leader send the message to the subordinate
What is constructive discipline?
Training or molding to appropriate behavior. Manager/leader should assist employee growth.
What is destructive discipline?
Punishment- An undesirable event that follows unacceptable behavior
Where should all discipline occur?
What are the three most commonly abused drugs by nurses?
- Opioids- oxys
- Stimulants- adderral + ritalin
- Depressants- Ativan + Diazepam
Employees that are impaired will show what personality traits?
- Elaborate excuses
- rapid & extreme mood swings
- Social isolations
- Increased defensiveness
- Increased interest in med cart
What will an impaired employees job performance look like?
- Decreased timeliness
- Illogical or sloppy charting
- Increase frequency in med errors
- Sleeping at work
- Increase number of patients complaining and pt uncontrolled pain
What will an impaired employees attendance & use of time look like?
- Increased absences
- Long lunches
- Being early & leaving late
What are the stages of group process?
- Forming- testing boundaries
- Storming- Polarize & conflict
- Norming- Consensus & cohesion
- Performing- Task completion
What tasks can be delegated to a UAP?
What tasks can be delegated to an LPN?
- Monitor findings
- NG Patency
- Insert Foleys
What is a reactive planner?
Occurs after problem arises, makes quick decisions. Leads to mistakes
What is an inactive planner?
Wants to preserve status quo. Change is feared.
What is a preactive planner?
Predict the use of technology to speed changes to prepare for future
What is a proactive planner?
Design the future. Increase adaptability leading to frequent changes
What is an autocratic leader like?
Directive, controlling, authority
What are positives of an autocratic leader?
Immediate action, routine, effective, great for emergency situations
What are negatives of an autocratic leader?
Downward communication, there is a command and it must be obeyed, power is retained by the manager
What is a democratic leader like?
Participative, collaborative, and the team works together
What are positives of a democratic leader?
Empowers staff, utilizes others experiences, increase moral
What are negatives of a democratic leader?
Time consuming and growth for only assertive people to speak up not shy people
What is a laissez faire leader?
Staff directed, hands off leader, independence
What are negatives of a laissez faire leader?
Little to no direction, decreased feedback, no common goal
How to avoid malpractice?
- Know scope of practice
- Observe policy
- Honesty about competence
- Always continue to learn
Consent includes understanding what?
1. risks involved
2. expected complications/ side effects
3. expected desired outcome
4. exact procedure to be performed
5. other treatment options
What is titel VII?
Civil rights act of 1964- protection for discrimination
What is the good samaritan law?
Any person who renders aid either emergency or at a public gathering or scene is not liable for ordinary negligence as long as the care is not malicious or willfully sub therapeutic
What is the self determination act?
Healthcare institutions must offer advance directive information upon admission
What is implied consent?
Pt is unable to make decisions & care is urgent. Requires 2 physicians to sign off
What is negligence?
Failure to provide the minimum standard of care
What is malpractice?
- Failure to meet standard
- Foreseeability of harm
- Injury occured
(Given med, needs naloxone)
What is a near miss?
Something happened or could have happened but no harm
What is a sentinal event?
Serious physical, psychological, harm or death
What is a never event?
A type of mistake or problem that should NEVER occur
Patient has the right to make healthcare decisions (Respecting the patients values and decisions)
Doing right for the patient and acting for result of good
Keeping promises (Staying loyal and faithful in actions of care)
Fairness and equality delivered to all patients
Do no harm
Being honest with the patient at all times
Making decisions for another
The greatest good
Maintaining appropriate secrets
Duty and obligation. Doing what is right regardless of consequence
Greatest good for the greatest number
Making someone fearful
Wrongful physical contact