Fundamentals Of Nursing Ch 21

Front 1

accountability

Back 1

individuals being answerable for their actions

Front 2

authority

Back 2

legitimate power to give commands and make final decisions specific to a position

Front 3

autonomy

Back 3

freedom of choice and responsibility for choices

Front 4

case management

Back 4

RN maintains responsibility for client care from admission to discharge

Front 5

decentralized management

Back 5

responsibility moved to the level of staff

Front 6

delegation

Back 6

transferring responibility for the perfomance of an activity or task while retaining accoutability for the outcome

Front 7

primary nursing

Back 7

RN asumes a caseload of client during their entire stay

Front 8

responsibility

Back 8

duties and activities that an individual is employed to perform

Front 9

shared governance

Back 9

charied by senior clinical staff, these groups maintain and establish care standards for the nursing practice on their work unit.

Front 10

team nursing

Back 10

team members provide care under the supervision of an RN

Front 11

total patient care

Back 11

the RN works directly with client to provide all of the care

Front 12

Contrast types of nursing delivery care models.

Back 12

Team Nursing

Front 13

Discuss the principles to follow in appropriate delegation of patient care activities

Back 13

Right Task - repetitive, require little intervention, relatively non-invasive, predictable results, minimal risk.
Right circumstances
Right person - qualified and skilled to do task
Right direction
Right supervision

Front 14

Discuss the key elements in decentralized decision making

Back 14

Autonomy, authority, and accoutability are key elements in decentralized decision making - see key terms

Front 15

List ways of ensuring staff involvement in decentralized decision making

Back 15

1. Establishment of nursing practice or problem-solving committees or professional.
2. Nurse/physician collaborative practice
3. Interdisciplinary collaboration
4. Staff communication
5. Staff education

Front 16

Discuss the use of leadership skills by student nurses.

Back 16

Clinical decisions - focused and complete assesment are necessary to make accurate clinical decisions
Priority setting - set priorities by determining client needs
Organizational skills - implementing care plans requires you to be effective and efficient
Use of resources - resources include members of the health care team
Time management - how, when, & where to use your time
Evaluation - ongoing process