Ch.1: Medical-Surgical Nursing

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management

focuses on the day-to-day operations of the team

leadership

-broader, more future orientated -develops vision -creates mission for team

roles of LPN/LVN medical-surgical nurse

-caregiver -care coordinator -case manager -administrator/manager -staff educator

characteristics of effective leaders...

-communicates effectively -proactive and flexible -delegates work appropriately -knowledgeable and competent in delivery of care

example of negligence that could result in lawsuit against hospital and nurse...

-failure to document -failure to monitor -failure to ensure patient safety, particularly for those at risk for injury -failure to respond to or carry out orders

example of negligence that could result in lawsuit against hospital and nurse...

-failure to ensure patient safety, particularly for those at risk for injury

example of negligence that could result in lawsuit against hospital and nurse...

-failure to respond to or carry out orders

management

-local focus -task-oriented -focuses on day-to-day operations

types of knowledge required to guide nursing assessments...

-related pathophysiology -complications -nursing interventions -expected patient responses

why are ethical dilemmas complicated?

-situations may conflict with a nurse's moral beliefs -ethics are a formal process to explore proper conduct -ethics do not provide a single correct answer to a dilemma -individuals involved in the dilemma usually hold strong opinions

LPN/LVN roles are determined by...

-specified by each states nurse practice act -education, setting, specialized training, and/or certification -NAPNES standards of practice and educational competencies of graduates of practical/vocational nursing programs

delegating work to team members...

-whether the state nurse practice act allows LPN/LVN to delegate authority -knowledge of capability required for delegated tasks -outcome documentation

leadership

creates a vision, which along with unifying goals, sets a mission for the team to work towards

nonmaleficence

do no harm

tort

a civil wrong against a person or property

benefience

act in the patients best interest

bioethics

addresses ethical questions related to health care

veracity

be truthful, honest

ethnocentrism

belief that one's culture and values are superior to others

justice

consider fairness, equity, appropriateness

malpractice

professional negligence that result in injury or death of patient

confidentiality

protect patient privacy

autonomy

respect individual rights


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