ATI for Unit One. Flashcards
Prioritization principles
Systemic before local/life before limb
Acute before chronic
Actual problems before potential future problems
Listen carefully to clients don’t assume
Recognize and respond to trends versus transient findings
Recognize signs of medical emergencies and complications versus expected findings
Apply clinical knowledge to procedural standards to determine the priority action
Clinical judgment is used to
Analyze data and related evidence. ascertain the meaning data and evidence. Determine client outcomes desired and achieved as indicated by evidence-based practices.
Maslows hierarchy
Physiological Safety and security Love and belonging Self-esteem Self actualization
Assigning
The process of transferring the authority, accountability, and responsibility of client care to another member of the healthcare team
Delegating
Transferring the authority and responsibility to another team member to complete a task while retaining the accountability
Supervising
Process of directing, monitoring, and evaluating the performance tasks by another member of the healthcare team. An RN in is responsible for supervision of the assistive personnel, LPN, and unlicensed assistive personnel.
When a nurse receives an inappropriate assignment
Bring it to the attention of the charge nurse and negotiate a new assignment
If no resolution, take it up the chain of command
If still no resolution, an unsafe staffing complaint form of an assignment despite objection or document of practice situation should be filed with the administrator
Failure to accept the assignment without following the proper channels maybe considered abandonment
Tasks that cannot be delegated
Nursing process, client education, tasks that require clinical judgment
LPN tasks
Monitoring client findings
Reinforcement of the client teaching from a standard care plan.
Tracheostomy care and suctioning.
Checking NG tube patency.
Administration enteral feedings.
Insertion of a urinary catheter.
Medication administration. Except intravenously in some states
Tasks to an AP
Activities of daily living such as bathing, grooming, dressing, toileting, ambulating, feeding without swallowing precautions, positioning, and bedmaking
Specimen collection
Intake and output
Vital signs on stable clients
Basic dressing changes
Steps of problem-solving process
Identify the problem Discuss Possible solutions. Analyze identified solutions. Select a solution. Implement the selected solution. Evaluate the solutions ability to resolve the original problem.
Assertive communication
Select appropriate location, maintain eye contact, establish trust, be sensitive to cultural needs, use I statements, avoid you statements, state concerns using open honest and direct statements, convey empathy, focus on the behavior and the issue and not on personal attacks, conclude with a statement that describes a fair solution
Decision-making styles
Decisive: the team uses minimum amount of data and generates one option
Flexible: limited amount of data and several options
Hierarchial: large amount of data and one option
Integrative: large amount of data and several options
Strategies a manager can use to promote change
Rational/empirical: the manager provides factual information to support the change. It is used when resistance is minimal
Normative/reeducative: the manager focuses on interpersonal relationships to promote change
Power/coercive: use rewards to promote change. Used when individuals are highly resistant.
Generational differences
The veteran from the 1925 to 1942 supports the status quo, accepts authority, appreciate hierarchy, loyal
Baby boomer: 1943 to 1960: accepts authority, workaholics, struggle with new technology, loyal to employer
Generation X: 1961 to 1980: adapt easily to change, life and family are important, proficient with technology, makes frequent job changes
Generation Y: 1981 to 2000: optimistic and self-confidence, values achievement, technology is a way of life, at ease with cultural diversity
