ATI – Leadership – Flashcards

-Monitoring client findings; -Reinforcement of client teaching; -Trach care; -Suctioning; -Checking NG tube patency; -Admin of enteral feedings; -Insertion of urinary catheter; -Med admin [excluding IV meds]

Activities of daily living [ADLs]: -Bathing, Grooming, Dressing; -Toileting, Ambulating; -Feeding [*without* swallowing precautions] -Positioning, Bed making; Specimen collection; Intake and output (I&O); Vital signs [on *stable* clients] Can document stuff like vitals

*Task* - Identify what tasks are appropriate to delegate for each specific client; *Circumstance* - Assess health status and complexity of care required by client; *Person* - Assess and verify competency of team member; Communication; Supervision

-Provide supervision, either directly or indirectly (by assigning supervision to another licensed nurse); -Provide clear directions and understandable expectations; -Monitor performance; -Provide feedback; -Intervene if necessary; -Evaluate client to determine if client outcomes met; -Identify needs for quality improvement activities and/or additional resources

Authoritative - makes decision for the group; Democratic - includes group when decisions are made; Laissez-faire - makes very few decisions and does little planning

contact the case manager first

conduct that falls below the standard of care [e.g., med errors, failure to monitor a client's condition, failure to report changes in client's condition to HCP, falls that occur as result of failure to provide safety to client, failure to check equipment for proper functioning]

failure of a person with professional training to act in a reasonable and prudent manner [i.e., using average judgment, foresight, intelligence, and skill that would be expected of a person w/similar training and experience]

-high quality of care; -protection of client privacy; -involvement in care; -help when leaving hospital (preparation for discharge); -help w/billing and filing insurance claims

-Bring assignment to attention of charge nurse and negotiate new assignment; -If no resolution is arrived at, take concern up chain of command; -If no satisfactory resolution after reporting to charge nurse, file an unsafe staffing complaint w/the appropriate personnel.

Shortness of breath

-High fever and productive cough (possibly new onset pneumonia); -possible fractured tibia

swollen and bruised ankle

-*structure audit* - evaluates the setting and resources available to provide care; -*outcome audit* - evaluates results of nursing care provided; -*root cause analysis* - indicated when a sentinel event occurs; -*retrospective audit* - conducted when client is no longer receiving care; -*process indicators* - measure nursing actions that are used to facilitate expected and desired outcomes in clients; -benchmark is set at beginning of process and then compared to the data after collection is completed

-Complete description of treatment/procedure; -Description of professionals who will be performing/participating in the treatment; -Description of potential harm, pain, and/or discomfort that might occur; -Options for other treatments; -Right to refuse treatment; -Risk involved if client chooses no treatment

Med errors; Procedure/treatment errors; Equipment-related injuries/errors; Needlestick injuries; Client falls/injuries; Visitor/volunteer injuries; Threat made to client or staff; Loss of property (dentures, jewelry, personal wheelchair); Discovery that a preop client has eaten breakfast

Should be completed as soon as possible and within 24 hr of the incident; Are are not shared with client, nor is it acknowledged to client that one was completed; -Are not placed nor mentioned in client's health care record [However, a description of the incident itself should be documented factually in client's record]; -Include an objective description of incident and actions taken to safeguard client, and assessment and treatment of any injuries sustained; Are forwarded to the risk mgmt department, possibly after being reviewed by the nurse manager

-Client's name and hospital number, and date, time, and location of incident; -Factual description of incident and injuries incurred -avoid assumptions as to cause of incident; -Names of any witnesses to incident and any client or witness comments regarding incident; -Corrective actions that were taken, including notification of HCP and any referrals; -Name and dose of any meds or ID number of any equipment involved in incident

the RN performing the task remains accountable for his actions; the charge nurse is accountable for supervision, follow-up, intervention to safeguard client, and any corrective action

Yep

1) An irreversible cessation of circulatory and respiratory functions; 2) Irreversible cessation of all functions of the entire brain, including the brain stem