Holistic- Delegation and leadership
CNA/ UAP (unlicensed assistive personal)
ADLs Vital signs, I & O, weight Specimen collection Feeding Baths Ambulation/Positioning Blood glucose checks
Task to never delegate
Assessments Nursing diagnoses and care planning Care of invasive lines Interpreting data Evaluating treatment effectiveness Giving medications Inserting NG tubes Patient education
Conflict management styles
Competing: Conflict is viewed as a challenging and exciting experience. The individual believes in the correctness of their position and actively pursues those beliefs in a competitive fashion. Accommodating: Conflict situations are handled by agreeing with the other party. Maintaining friendly relationships with other people is the primary goal. Avoiding: Conflict is not addressed, and withdrawal is the dominant behavior. The retreater does not pursue their or anyone's concerns. Compromising: Conflict is seen as an opportunity to negotiate, using the idea that "half a loaf is better than none." Compromising involves the willingness to give up something if the other side will also give up something. Collaborating: Conflict is perceived as mutual problem solving through which the needs and interests of all parties are equally considered. The goal is to achieve a solution where all can agree.
Democratic leader ship style
in which supreme power is vested in the people and exercised by them directly or indirectly through a system of representation
Quantum leadership style
informational age, have a vision, formulatinf many scenarios
Transformational leadership style
is defined as a leadership approach that causes change in individuals and social systems. In its ideal form, it creates valuable and positive change in the followers with the end goal of developing followers into leaders
LPN
Medications Foleys Trach care and suctioning (for chronic trachs) Wound Care Enteral feedings Monitoring patients
PEARLA
Presence Empathy Acknowledgment Reflect or reframe Listen openly Ask questions
Five rights to delegation
Right Task Right Circumstance Right Person Right Direction and Communication Right Supervision and Evaluation
Servant leadership style
Servant leadership is a leadership philosophy built on the belief that the most effective leaders strive to serve others, rather than accrue power or take control
Which of these statements reflects the expected functioning at a hospital that has achieved Magnet status? There is a decreased rate of retention among the nursing staff. Staff nurses are developing innovative solutions to problems. Nursing administration is in control of all decision-making. Most client outcomes have improved but are not at target range.
Staff nurses are developing innovative solutions to problems.
UAP are
Techs Nursing assistants CNA Monitor techs Phlebotomists X-ray techs
Tasks to delegate
Vital signs, intake & output, weighing Patient transfer and ambulation Bathing and postmortem care Feeding Simple dressing changes CPR
Autocratic leader ship style
absolute power
Transactional Leadership Style
characteristic of leaders who focus on supervision and organizational goals achieved through a system of rewards and punishments; maintenance of the organizational status quo
The nurse is having difficulty managing time while caring for a group of clients with complex needs. Medications are several hours behind schedule and several nursing procedures have not be performed. How should the nurse resolve the time management issue? Place the following steps in order. Identify which nursing interventions are priority. Establish a timeline to get the nursing interventions completed. Identify which nursing interventions can be delegated to other members of the health care team. Evaluate the potential to successfully complete the nursing interventions.
correct response: Identify which nursing interventions are priority. Evaluate the potential to successfully complete the nursing interventions. Identify which nursing interventions can be delegated to other members of the health care team. Establish a timeline to get the nursing interventions completed.
laissez-faire leadership style
have an attitude of trust and reliance on their employees. They don't micromanage or get too involved, they don't give too much instruction or guidance.
