Exam 5 Flashcards
(26 cards)
attributes for a strong nursing leader
ability to teach
active listener
articulate
assertive
calm
considerate
consistent
decisive
excellent clinical skills
excellent problem solver
fair
flexible
good role model
good sense of humor
objective
open minded
organized
responsible
sensitive
strong character
tactful
Briefing
used when there is new info to be shared
included in a briefing
who is in charge
lines of communication
member responsibilities and expected behaviors
call-out
a strategy for communicating important info during an urgent or emergent patient situation to keep everyone informed about what is happening
check-back
used to make sure info was received correctly
included in check-back
sender communicates a message
receiver acknowledges that message was received and states it back
sender verifies that the message was received correctly
huddle
an impromptu meeting held when the need arises
debrief
An informal meeting held after a situation or event to discuss the event
included in debrief
what went well
what didn’t work
how the situation might be handled differently next time
what does a team leader do
coordinates and makes assignments for other personnel
assists with patient care
helps resolve conflicts
assists in writing policies and procedures
contributes info for evaluation of UAPs
collaborates with physicians and other health team members
What does a charge nurse do
must have training and experience in nursing admin and supervision plus additional prep in a specialized area in many states
minimum of 1 year staff nurse experience is often required
responsible for the total nursing care of the patients on the unit during the shift
HMOs
organizations that provide most outpatient care at organization clinics
must authorize the use of outside services
what is included in discharge patient education
of primary care provider; date and time of follow-up appt
diet instructions
activity restrictions and exercise instructions
meds and schedule for admin
over-the-counter meds not to take while on current prescriptions
instructions about bathing and hygiene
dressing change instructions
instructions for any new prosthesis or brace
signs and symptoms to report to the primary care provider
any requirements for follow-up lab work
keys to effective leadership
collaboration
effective communication
clinical competence and confidence
organization
delegation
effective communication
communicating in direct, concise terms in tactful, friendly, nonthreatening way
be specific about what is to be done, how it is to be done, when task is to be completed
treat others in manner you prefer to be treated
routine admissions
schedule in advance
physician and patient agreed to the admission
patient has had a short time in which to make the arrangements
emergency admissions
one for which there was no planning
occur when sudden illness, injury, or abrupt worsening of an existing condition requires immediate treatment
stressful for patient, close family, and friends
what is included in the admission process
admission criteria must be met for patients to be admitted to hospital
routine-must be met in advance
authorization for admission- usually handled by physician’s office
may also include lab tests or x-rays
what is authorization for admission
Third-party payers require prior authorization for hospital admission
payment programs and plans have criteria that define the services covered
most plans do no cover procedures that are regarded as purely cosmetic
admitting department funciton
responsible for making sure that all admission criteria are met
collect personal and insurance info and verify the authorization for admission
may be responsible for making payment arrangements on insurance deductibles and copays
what is included in the admission assessment
LOC
VS
resp effort/difficulty
ability to communicate
vision and hearing abilities or difficulties
condition of skin
prosthetic devices
other health concerns
initiating medical records
correct, concise, complete
what is plan of care
basis of all care you will provide to them
done by nurse with input from all members of the health care team
transferring patient
must notify the physician
must call report to nurse that will be accepting
