Nursing Transition Quiz #3
Licensure Examination: Endorsement/Reciprocity
-recognition of the license of a health practitioner in one state by another state -must meet the state's licensing requirements -if the nurse travels with a patient from one state to the other or to Canada, the license the nurse has in her or her possession is valid for the length of the state in the other state or Canada
Leadership and Management: Transcribing Providers' Orders- Written
-recorded on the chart by the provider -NEVER guess -if in doubt, get a second opinion -if it is a little different than "usual", clarify it with the provider -if you still believe the orders to be inappropriate, contact your supervisor and document why the orders are not being carried out -nurses are responsible for their own actions
Leadership and Management: Autocratic Style
-retains all authority and responsibility -concerned primarily with tasks and goal accomplishment -assigns clearly defined tasks -establishes one-way communication with the group -excels in times of crisis (cardiac arrest) and in situation of disorder (natural disasters)
Leadership and Management: Situational Leadership
-takes into account the style of the leader, the maturity of the group, and the situation at hand to form a comprehensive approach -four typical styles: -directing -coaching -supporting -delegating
Leadership and Management: Transcribing Providers' Orders- Verbal or via Telephone
-they may only b taken from a physician or a nurse -they are more subject to error -clarify the order by repeating it to the person giving it -ask them to repeat it more slowly if necessary -write it down immediately -be careful about medications that sound alike
Leadership and Management: Time Management
-using time to good advantage will be of great value -learn effective time management skills, and practice them frequently until they become fully developed -these skills will help you manage not only at work, but also in daily living
Which type of leadership is a people-centered approach that allows employees more control and individual participation in the decision-making process?
A- autocratic style B- Laissez-faire style C- democratic style D- situational leadership C-democratic style
Which would not be a step to a successful interview?
A- be well groomed B- arrive 10 minutes before the scheduled time C- be cheerful and polite D- avoid eye contact D- avoid eye contact
Which of these is not a symptom of burnout?
A- irritability B- negative outlook C- increased energy D- loss of commitment C- increased energy
Leadership and Management: Burnout S/S
physical: -fatigue -changes in sleeping and eating -lack of energy -loss of interest in sex psychologic: -irritability -hypersensitivity -frustration -negative outlook -forgetting spiritual: -loss of commitment, meaning, and integrity
Leadership and Management: Democratic Style
-people-centered approach -allows employees more control and participation in decision-making process -emphasis is on team-building and collaboration -works best with mature employees who work well together as groups
Leadership and Management: Burnout
-physical, emotional, and spiritual exhaustion -nurses are at high risk because they care -occurs more often in people who have excessively high expectations of themselves -high risk areas: -intensive care -hospice -oncology -emergency department
Nurse Practice Act Administrative Code
-qualifications -license renewal -license or practice privilege denial, revocation, or suspension
Leadership and Management: Laissez-Faire Style
-"free-run style" or permissive leadership -relinquishes control completely -chooses to avoid responsibility by delegating all decision-making to the group -wants everyone to feel free to "do their own thing" -may work well with highly motivate professional groups
Transition from Student to Graduate: Know your role
-LPN/LVN is responsible to the RN or health care provider -role of LPN/LVN is constantly changing -cannot assume charge nurse responsibility unless RN is available on the premises -may not be over licensed nurses -be careful not to lose sight of your principal concern, the patient, a human being
Licensure Examination
-National Council of State Boards of Nursing -computerized adaptive testing (CAT) was adopted in 1994 -CAT exam taken by sitting at a computer and answering questions on the screen -NCLEX-PN has 85 to 205 questions -can only take it 6 times in 2 years -if you exceed this, you will have to either go to RN school or go to another state and take NCLEX, and then transfer your license back to MS -candidate's application is approved by the board of nursing in the jurisdiction where the NCLEX is to be taken -on successful completion of the examination, you can practice as an LPN/LVN when approved by the appropriate board of nursing
Transition from Student to Graduate: Role of the LPN/LVN in the community
-participates in activities that promote a positive attitude toward health care -promotes a better understanding of the health services available to the general public -participates in community health projects and other health-oriented activities
Practice of Nursing: Rule 2.3
-Provision of Care -the LPN performs the following functions in any area of the health care setting: -assist the RN in the planning, implementation, and evaluation of nursing care by: A. respecting the rights of the patient which includes but is not limited to: 1. conducting practice without discrimination on the basis of age, race, religion, sex, sexual preference, national origin, disability or disease 2. respecting the dignity and rights of patients regardless of social or economic status, personal attributes or nature of health problems 3. respecting the patient's right to privacy by protecting confidential information unless obligated by law to disclose the information 4. respecting the rights of patients by protecting the patient from abuse, inflicted by self or others, neglect, or exploitation 5. respecting the property of patients, family, significant others, and the employer B. providing for the emotional and physical comfort of patients C. observing, recording, and reporting to the appropriate person the signs and symptoms which may be indicative of change in the patient's condition and/or responses to nursing interventions D. conducting focused nursing assessments, which is an appraisal of the patient's status and situation at hand that contributes to ongoing data collection and the comprehensive assessment by the RN E. performing nursing procedures and activities for which the LPN has the necessary degree of knowledge, skill and judgment
Practice of Nursing: Rule 2.2
-Responsibility -the LPN shall be responsible and accountable for: A. knowledge of and compliance with the laws and regulations governing the practice of nursing in the State of Mississippi B. practicing within the scope of practice as established by the Board and according to generally accepted standards of practice C. accepting responsibility for individual nursing actions, competence, decisions and behavior in the course of nursing practice
Transition from Student to Graduate: Confidentiality
-all information the patient gives is confidential -information may be exchanged with the health care team only in the performance of your duties -releasing any information to anyone other than the health care team without the consent of the patient is a violation of the right to privacy
Leadership and Management: Anger Management
-anger gives you a cue that something is wrong -justified: -helps you get your needs met by stimulating you to action -unjustified or displayed inappropriately: -can get you and others in trouble
Leadership and Management: Team Leading
-assisting and guiding the nursing team in providing care for a select group of patients -duties: -receive reports on assigned patients -make assignments for team members -make rounds and assess all assigned patients -assist in administering medications and treatments -confer with team members on priority patients
Leadership and Management: Strategies for Burnout Prevention
-awareness -balance -choice -detachment -altruistic egoism -focus -goals -hope -integrity
Licensure Examination: Nurse Licensing Compact/Mutual Recognition
-based on the primary state or residence -a declared, fixed, permanent, and principal home for legal purposes -may practice in a compact state using the license from the primary state of residency -MS is not to exceed thirty days -check with the board you are moving to -state boards of nursing differ, so you should contact the board of nursing in the state where you are seeking licensing for the specific requirements
Transition from Student to Graduate: Certification Opportunities
-certifications: -managed care (CMCN) -pharmacology -long-term care (CLTC) -addiction (CALPN) -further education
4 Typical Styles of Situational Leadership
-directing -coaching -supporting -delegating
Transition from Student to Graduate: There are many opportunities for nurses to learn new nursing skills
-facilities offer employees continuing education -internet -some states require CEUs before you can renew nursing licenses
Leadership
-getting others to want to do something you are convinced should be done
Transition from Student to Graduate: Professional Organizations
-gives you a voice in your profession -some provide continuing education -two national organizations are designed to support and meet the needs of the LPN: -National Associate for Practical Nurse Education and Service (NAPNES) -National Association of Licensed Practical Nurses (NALPN) -National League for Nursing (NLN) -involved with all types and levels of nursing
Management
-handles the day-to-day operations to achieve a desired outcome
Career Opportunities
-hospitals -long-term care facilities -home health -clinics -mental health -insurance companies -temporary agencies -travel opportunities -responsibilities of LPN -pharmaceutical sales -other medical sales -outpatient hotels -the military -adult daycare -schools -public health -outpatient surgery -private duty -government -industrial -rehabilitation -psychiatric -hospice
Transition from Student to Graduate: Continuing Education
-it is critical to keep current on nursing trends and issues -changes occur constantly in nursing and you must stay up to date on latest evidence based practices -career success is dependent upon staying up to date on latest EBP -keep records
Disciplinary Hearings
-just like a court room -always be represented by a lawyer -have documentation for everything!! -if you don't answer their summons, they will put it in the paper for 3 consecutive weeks -subpoena witness -subpoena documents/statements from work, etc
Nurse Practice Act
-licensing law -defines the title and regulations governing the practice of nursing -assists the nurse in staying within the legal scope of nursing practice in each state -defines the regulations for practical nursing and includes requirements for an approved school of nursing -defines requirements for licensure and conditions for which a license may be revoked or suspended
