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Flashcards in Chapter 8 Deck (26):
1

critical pathway

clinical management care plan for providing client centered care and for planning and monitoring the client's progress within an established time fram; multidisciplinary collaboration and teamwork ensure shared decision making and quality client care
goal is to anticipate and recognize negative variance early so that appropriate action can be taken and positive client outcomes can result

2

quality improvement

also known as performance improvement, focuses on processes or systems that significantly contribute to client safety and effective client care outcomes

3

managed care

describes strategies use in the health care delivery system that reduce the costs of health care
includes: promotion of health, client education and responsible self care, early identification of disease, and the use of health care resources

4

case management

health care delivery strategy that supports managed care; it uses an interdisciplinary health care delivery approach that provides comprehensive client care throughout the client's illness using available resources to promote high quality and cost effective care

5

CareMap

model for a critical pathway
incorporates day to day expected client outcomes, and outcomes anticipated at discharge / at the end of the tx phase

6

functional nursing

involves a task approach to client care, with tasks being delegated by the charge nurse to individual members of the team
results in fragmentation of care and lack of accountability by the team member

7

team nursing

team is led by an RN who is responsible for assessing, developing nursing dxs, planning, and evaluating each client's plan of care
similar to modular nursing (modular nursing takes into account the structure of the unit; the unit is divided into modules allowing nurses to care for a group of clients who are geographically close by)

8

relationship based practice (primary nursing)

concerned with keeping a nurse at the bedside, actively involved in client care, while planning goal directed, individualized care
one nurse is responsible for managing and coordinating the client's care while in the hospital and for discharge,a dn an associate nurse cares for the client when the primary nurse is off duty

9

client focused care

aka total care / case method
a RN assumes total responsibility for planning and delivering care to a client
the client may have different nurses assigned during a 24 hr period; however, the nurse provides all necessary care needed for the assigned time period.

10

autocratic leader

leader is focused and maintains strong control and dominates the group. commands.

11

democratic (participative) leader

every group member should have input into the goals and problem solving
leader ascts primarily as a facilitator and resource

12

laissez-faire leader

leader assumes a passive, nondirective, and inactive approach
decision making is left to the group

13

situational leader

leader uses a combo of styles based on current circumstances

14

bureaucratic leader

leader believes that individuals are motivated by external forces
relies on organizational policies and procedures for decision making

15

problem solving process

identify problem and collect data about it (assessment)
determine the exact nature of the problem (analysis)
decide on a plan of action
(planning)
carry out the plan
(implementation)
evaluate the plan
(evaluation)

16

frontline manager

supervisor role
ex charge nurse, team leader
coordinate activity of all staff who provide client care

17

middle manager

ex unit manager and supervisor
supervise staff, budgets, work schedules, policies, quality of services

18

nurse executive

top level nurse manager
ex. director of nursing services
supervises numerous departments

19

3 elements for successful change

unfreezing
moving and changing
refreezing

20

unfreezing

problem identifies, gather facts and evidence

21

moving and changing phase

change is planned and implemented

22

refreezing

change becomes stabilized

23

five rights of delegation

right task
right circumstances
right person
right direction/communication
right supervision/evaluation

24

disaster management phases

mitigation
preparedness
response
recovery

25

levels of disaster

level III - minor
level II - moderate
level I - massive

26

three tier system

1. life threatening (emergent), red: victim has life threatening injuries, bu tthey are readily correctable
2. urgent, yellow: victim must be treated w/in 1-2 hours
3. delayed (nonurgent), green: victim has no injury, is noncritical, or is ambulatory