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43 Cards in this Set
- Front
- Back
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What are the four functions of a manager?
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Planning
Organizing Directing Evaluating |
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What does directing involve in regard to management?
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supervision and delegation
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What are the requirements for effective management?
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Ability to problem solve
Ability to communicate Ability to manage change |
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Most care in healthcare is given by....
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CNA's 93%. Most hands on care given by unlicensed personnel
RN 9% LPN 9% CNA 39% Food Service Workers 12% Housekeepers 8% |
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Most facilities require an MD to do what?
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be on facility staff, but are required to visit q 30 for first 90 days. Then q 60 days. Most facilities have standing physician orders
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What is important regarding the MD standing orders?
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They must be signed. Either directly signed or somewhere in the chart something is signed that says they are valid and apply to that patient
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Who monitors intake?
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RN - not a nutritionalist
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Who monitors nutritional status?
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nutritionist, but the RN does intake
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Who coordinates care between MD, nutritionalist, therapists and nursing staff?
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RN
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Who is person who deals with ADLS and adaptive devices with the patient/resident?
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Occupational Therapist OT
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Who is the person who works with exercise?
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PT
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Who is the person that does the swallow test and swallowing issues?
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speech therapist
they also do comprehension and expression work and techniques for the dysphagic pt |
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Who directs the fun stuff?
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Recreational Therapist
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Who provides couseling to pt and family and links them with community resources?
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social worker
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When doing a PMH, what is important to remember when gathering the data?
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Keep the patient in the center of the discussion, do not leave them out and just talk to the family
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What are the bazillion responsibilities of an RN?
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assessment
planning implementation evaluation reporting recording collaboration teaching/counseling managing administering nursing services |
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What does adminstering nursing services include?
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ID of standards of management of licensed and unlicensed personnel
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How can an LPN be involved in the assessment phase of the nursing process?
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If they have had a course in assessments, they can assess.
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How can an LPN be involved in planning phase of the nursing process?
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They can ID nursing interventions for review by RN
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How can LPN be involved in implementation phase of nursing process?
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RN plans and delegated to LPN
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When can a LPN be a charge nurse? **
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When there is a STABLE client population and when RN SUPERVISOR is accessible
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How can LPN be involved in evaluation phase of nursing process?
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They can PROPOSE modifications for review by RN
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In regard to reporting, collaborating and teaching, how can an LPN be involved in the nursing process?
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When delegated, planned or initated by RN
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What is the key phrase of CNA responsibilities in the workplace?
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They have to be repetitive tasks which recur in the daily care of a client or group of clients which DO NOT require the professional judgment of a licensed nurse.
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What are the most invasive tasks a CNA1 can perform?
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douches/enemas plus 4 more CNAII tasks with BON approval
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What type of tasks can a CNA2 be involved with?
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more invasive and sterile tasks than a CNA1
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When a LPN wants to change or modifiy a plan, what needs to happen?
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RN must sign off on them
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Who decides what the responsibilites of a RN, LPN and CNA are?
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State BON
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As a manager, the RN must be familiar with the _________ _________ of other members of the nursing team as to insure that all members stay within __________ __________ of their practice.
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Legal Parameters
Legal Parameters |
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What are the three essential steps of time management?
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Formulating goals
Setting Priorities Delegating tasks |
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When formulating goals, what do the goals need to be?
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realistic, acceptable, clear, concise, and measurable.
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What are short term goals?
What are long term goals? |
short term goals are day to week
long term goals are week to month |
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What factors help an RN set priorities?
(what can be used to guide priorities?) |
Maslow's hierarchy
schedules, policies, procedures, time to complete task, health status of resident and resident preferences |
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When delegating a task, what must be certain?
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That the personnel is qualified to accept responsibility ACCORDING TO CERTIFICATION
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What validates that nursing care activities have been performed as delegated?
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supervision
RN is ultimately responsible |
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What is critical to success with delegation?
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communication
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What are the four rights to delegation? **
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Right TASK
Right PERSON Right COMMUNICATION Right FEEDBACK TPCF |
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When delegating, what must an RN do to assure they have delegated to RIGHT PERSON?
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Validate competencies of personnel. Orientation and on-going performance expectations
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When delegating, what must an RN do to assure they have delegated the RIGHT TASK?
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Assess client's health status and complexity of nursing care requirements
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An RN must plan care based on two things when delegating.
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Complexity of care needs
Qualifications of personnel |
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This legislation helped elders get supplements for housing.
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Older Americans Act
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This legislation intended to help with supplemental income, but has become the most common source of income for elders.
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Social Security Act
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This legislation included created MDSs and self medicating rights.
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OBRA
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