Intro CPA 5

ABC approach for priority setting?

list all tasks and assign A to high value items, B to medium value items and C to low value items

What is the third paragraph in a cover letter?

should request an interview appointment and give a range of dates of availability.

What does a basic resume contain

1) identifying information 2) education 3) work experience, in addition optional information may include professional objectives, honors, achievements, and memberships in professional organizations.

Will nurses have a difficult time finding a job?

Will nurses have a difficult time finding a job?

What are symptoms of burn out?

fatigue, negativity in personal relationships, difficulty sleeping, excessive stress, anxiety, vulnerability to disease, depression, and alcohol or substance abuse.

Mentoring

* Is a personal relationship with a more experienced person willing to guide a novice or inexperienced person. *It is a voluntary, ongoing two- way partnership of at least 2 years. *Is an interactive, mutual, and personal experience

What is a follow up?

------ thanking the recruiter is courtesy and a reminder of the nurses interest in receiving a timely response. If the nurse does not hear from the employer within a reasonable length of time ( 1 to 2 weeks ) after the interview, it is appropriate to inquire by telephone about the status of hiring decision.

Physical energy

------- through a routine of proper eating adequate sleep and exercise, frequent breaks during long shifts ( about every 90 minutes), drinking plenty of water, focusing on one activity while collecting thoughts about what to prioritize next. Once physical capacity of your holistic self is working well, then attention can be pain to your mental, spiritual and emotional capacities.

Setting Priorities

-Prioritizing is about making choices of what to do and what not to do. -To prioritize effectively, you need to be able to recognize what is important as well as to see the difference between urgent ( must be done immediately) and important ( must be done, but there may be flexibility as to when the task can be accomplished). - A major component of planning is deciding what should be done be done first and what activities should follow sequentially.

To effectively organize or clear a work area, you should do the following?

-Remove everything from the work surface that does not directly relate to the project at hand; only things you need every day should be on your desk. -Place the telephone out of sight, but within reach. -Remove all personal items, such as calendars, clocks, or photographs, if they are distractions -Close the door to the work area when possible, but communicate to colleagues that you may be interrupted in the case of an emergency

The Stacked Desk Syndrome

A cluttered desk stacked with papers, books, and other things. Can also apply to the mind when it is cluttered with many thoughts and ideas.

What is a cover letter?

A convincing cover letter will show how this candidate is different and convey to the recruiter why he or she is the best fit for the position. The letter should also address why this institution is the applicants first choice. Everything should fit on a single page of 8.5 by 11 inches white heavyweight bond paper with ample margins on the top, bottom, and side. The letter should be addressed to a specific person The body of the letter should be single-spaced three or four block paragraphs long, with a blank line between paragraphs and organized as follows

Resume

An effective ------ should compress education and employment history into an attractive, easy to read one page summary.

How did you choose to Apply for a job here?

Any previous investigate homework done on the institution is useful and helps to form honest responses. For example " An applicant might say " This hospital has a reputation for its quality care, and I like that," or " I am interested in research and have heard you have a nursing research committee for staff nurses."

Mentor

Are experienced nurses who must be willing to commit to a relationship with novice nurses to help them recognize their weakness and strengths. Help novice nurses set and reach realistic goals by reinforcing and recommending appropriate courses of action and providing emotional support. Help novice nurses develop confidence and organizational skills, and to validate intuitive notions.

Residency programs

Are one innovative way to ease the transition from academic to practice and also may be an incentive for graduates when selecting that first job. Often provide didactic or program activities as well as one-to-one- preceptor experiences for an extended time, with 12 months being typical. All residency focus on retention and increased satisfaction of the new nurse with the added bonus of improved patient outcomes and safety.

What is the Nursing Process?

Assessment Analysis/ Diagnosis Planning Implementation Evaluation

Analysis

Assessment data classified and grouped to identify actual or potential client problems​ Includes data validation, interpretation, and identifying the need for additional data​ Nursing diagnoses determined and communicated​ Congruency required between client needs and nurse's ability to realistically meet needs

-----Each candidate is furnished with earphones and listens to an audio clip. The candidate is asked to identify specific assessment findings.

Audio

__________ is designed to enhance positive self-image and help novice nurses set realistic goals for practice. This strategy, if accepted in the workplace allows the new nurses to introduce ideas or values brought from nursing schools and integrate them into the work environment

Biculturalism

portfolio

By creating a professional ----- a professional may showcase personal and professional development, practice excellence, and clinical leadership. ------ introduces the professional nurse to recruiters, employers, admissions committees, and potential supervisors in a visual and tangible way.

-------The candidate is asked to seek additional information in a patient's chart to answer the question.

Chart Exhibit

Evaluation

Comparing what actually happened with anticipated outcomes or goals​ Data must be collected during this phase so progress can be evaluated​ Resolve the plan because the client has achieved the goal​ Continue the plan because the client is still making satisfactory progress​ Revise the plan because the client is not making satisfactory progress

The letter can end with a " written handshake" such as, I look forward to meeting with you to discuss available nursing position in your institution a cautiously optimistic note.

Cover letter

What is delegation?

Delegation 423 *Most students limited exposure to delegation *Novice nurses should familiarize themselves with policies concerning which tasks can be performed by which category or level of health care provider. *The question " who can perform this task other than myself" Should be consider. Because of the broad span of responsibility.

Scheduling activities

Determine how much time spent of specific activity Tools to aid in scheduling activities Remember to schedule activities so they coincide with your internal prime time when you concentrate best, and your external prime time when you deal best with other people. Typically the first 2.5 hours of the workday are the most productive, so plan important tasks according to your most productive time in the day.

Emotional energy

Emotional intelligence- managing emotions skillfully in the service of high positive energy and full engagement is called emotional intelligence. Self confidence, self-control and interpersonal effectiveness are all key to emotional intelligence.

What is assessment?

Establishes a database for the client (individual, group, family, community)​ Sources of data​ Client, family, significant others​ Laboratory/x-ray film reports​ Medical records​ Other caregivers​ Data classified as subjective or objective​ Includes verification and communication of data​

Writing something on paper often is the first step to accomplishing it _______ to keep people on track and focused on specific activities Revise daily or more frequently Legible and easy to access

Establishing a To-Do-list

------ The candidate is presented with a question to which the answer must be typed, instead of selecting from among a set of four options. In some cases, candidates may be asked to calculate values, such as dosages.

Fill-in-the-blank

What is the first paragraph in a cover letter?

First paragraph: should be a statement of purpose that tells the recruiter what kind of position is being sought, the writer expected date of graduation, state licensing status, and the date the writer will be ready to begin work

First paragraph of a resume?

First section of the _____: identifying information contains the applicants, name, address and home and work telephone numbers, followed by licensure information. The states of licensure and license numbers are listed. Graduation students should indicate when and where the national council of licensing examination was taken or will be taken (NCLEX).

Best way to be productive as a nurse?

Get the nurses back to work. If nurses is having a conversation tap them and ask about lab values, and specific questions ( drop in)

-------option identification: The candidate is presented with options that are either pictures or graphic images rather than text.

Graphic

Everything is just as the new graduate imagined. The new nurse is in orientation with former school friends or other new graduates who often share similarities. " Just Think; now I'll get paid for making all those beds," or " I'm so glad I chose nursing; I will be a part of changing the future of healthcare.

Honeymoon

include such acts as withholding patient information exclusion, belittling to observe, eye-rolling, and criticizing colleagues for following rules. ________ can lead to miss work days.

Horizontal Violence

-----(question based on illustrations and charts). With this type of item, the candidate is asked to identify one or more area(s) on a picture or graphic and answer using the mouse button when the cursor is over the area selected.

Hot spot

What do a portfolio include?

INcludes traditional documentations, Resume, license to practice and certifications, educational documents ( diplomas transcripts, and examples of significant professional community and student activities.

Do you want a full-time or part time position?

If there is a need or desire for a particular schedule, the nurse should be honest and ask for that schedule. If the recruiter does not have that schedule available, ask what is available so that a decision can be made. For example " I'm willing to work the evening shift posted for the medical-unit; however, i'm mostly interested into a day position in labor and delivery."

What questions do you have?

Interview ends with the interviewer asking whether there are any questions. This is an opportunity for the applicant to demonstrate initiative, and one should take advantages of it, although not to excess. In an effective interview with an experienced interview most questions regarding salary, benefits, and human resources, policies will have been addressed. If they have not been addressed, this is the time to ask.

What are the four continuums?

Intrinsic importance: very important and must be done; important and should be done; not so important and may not be necessary, but may be useful unimportant and can be eliminate entirely Urgency: very urgent and must be done now, urgent and should be done soon; no urgent and can wait. time is not a factor Delegation: Must be done by me because I am the only one who can do it; can be delegated to A or B; can be damaged because task does not need to be done or delegated Visitations and conferences: People I must see each day; people to see frequently but not daily, people to see regularly but frequently, people to see only infrequently.

What are types of question you should be asking when taking a tour?

Is the manager accessible to the staff and supportive in response to them? How are the telephone calls and other interruptions handled? HOw well do people on the unit relate to each other- nurses to physicians, nurses to families, nurses to nurses.

What is the purpose of you taking a tour?

Meet the supervisor To get an accurate feel for the unit, the applicant should pay close attention to the pace, the tone of the staff interaction, and the morale, The astute applicant can get an accurate feel for the nursing units culture and personality.

Multiple-response, multiple-choice questions: The candidate is presented with a question, followed by five or more responses. The candidate is asked to check all responses that are correct; partial credit is not given.

Multiple-response

NCLEX exam how long? minimum and maximum? how it test you?

NCLEX exam how long / maximum and minimum / How it test you?487-488 It can be taken at the candidates convenience and can be completed in 6 hours, or less, which includes examination instruction and breaks. Computerized pass-fail examination​ Uses computerized-adaptive testing (CAT)​ Determines competency on the basis of difficulty of questions answered, not on how many questions answered correctly​ Adapts to the level of knowledge, skills, and ability as questions are answered​ Tutorial is presented before examination begins to give candidate experience using the computer​ Candidates may request assistance with the use of the computer at any time​ Skipping questions and changing answers are not allowed After candidate answers a question at a particular level of difficulty, the computer than selects the next item that the candidate should have a 50% chance of answering correctly Candidates taking the examination answer a minimum of 75 questions to a minimum of 265 questions

How should a resume be constructed?

Neatly and inexpensively on a computer because a good resume will be used repeatedly with revisions and the nurse will want to be able to produce an up-to-date version without completely rewriting it. Neatly typed and reproduced using good-quality photocopying services suffices. Use serif font throughout in 11 or 12 point size. When it comes to resume appearances do count.

Who prone to burn out?

New graduates are immune to burn out they enter energized but quickly lose interest in the profession.

________is the fact that the tasks undertaken are directly related to personal goals and objectives; thus completing them will result in internal satisfaction.

No detourism

Priority setting-skills

Now consider the best way to prioritize. If it is not written down, it probably will be forgotten. Keep a notepad and pen in your pocket. Jot down reminders of things to be done, and place a number next to each indicating its importance. First you needed to consider how much time was required for each task. Example: it usually takes longer to start a new IV line than to check an existing IV site.

Why should be hire you?

Opportunity to share the special assets that the applicant would bring to the employers institution. It is important to convey pride in being a nurse and conviction that one has something special to offer.

-------"Drag and drop" (prioritize): The candidate is presented with a set of responses to a question and asked to place them in order or to prioritize.

Ordered response

Implementation

Organizing and managing care​ Actually providing care​ Overseeing and coordinating delivery of care​ Delegating actions to other workers​ Teaching or counseling​ Communicating and exchanging client-related information

Having a priority ------ list with you as you work is useful in keeping you on track to accomplish those tasks by the end of the shift or day ------- involves: Setting goals, establishing priorities, Scheduling activities, making to do lists. * MOST IMPORTANT in time management

Planning phase?

It can wear many disguises, including fear, laziness, indifference, overwork, and forgetfulness. Easily recognizable because it involves doing low-priority rather than high-priority tasks and it always welcomes interruptions?

Procrastination

What is the purpose of delegation?

Purpose of delegation 444 Is the art of giving other people tasks to be accomplished. Benefits of delegation: * Extends the results that can be accomplished from what one person can do alone to what he or she can manage through others *Frees time for more important task *Assists in developing the initiative, skills, knowledge, and competence of others *Maintains the responsibility and decision level Is often more cost-effective

Mental Energy

Realistic optimism is seeing the world as it is, but always working toward an optimal solution or goal. Ability to maintain sustained concentration on a task, move flexibly between broad and narrow issues and be internally and externally focused as needed by the situation. It includes mental preparation, visualization, positive self talk, effective time management and creativity.

Return of his or her sense of humor or desire to succeed. The novice nurse begins to understand the new culture to a certain degree thus there is less tension and anxiety and healing begins. " I'll hang that blood, and I'll bet i can infuse it before 8 hours this time.

Recovery Phase

Work expectations are more easily met and the nurse will have developed the ability to elicit change. If the nurses is able to positively work through the rejection phase, he or she grows more fully as a person and a professional nurse during the resolution phase.

Resolution Phase

REFERENCES DO NOT NEED TO BE INCLUDED IN THE______BUT SHOULD BE READY FOR PRESENTATION IN A NEATLY TYPED, PHOTOCOPIED LIST WHEN REQUESTED FROM ANY FUTURE EMPLOYER

Resume

A person who serves as an example of what constitutes a competent professional nurse

Role Model

What is the second paragraph in a cover letter?

Second Paragraph: Should emphasize the writers suitability. The implied message should be " I'm just the person for the job" without going into all the details that will be included in the resume. A sentence should be describe past work or educational experiences that relate to the agency particular needs and philosophy.

Second paragraph of a resume?

Second section should include details about education, including degrees, and diploma awarded names, and location of schools and graduation dates, starting with the most recent graduation and degree in reverse chronological order.

Planning

Setting realistic, measurable goals​ Designing strategies to meet or resolve identified needs​ Modifying goals as necessary​ Ranking nursing diagnoses​ Documenting expected outcomes​ Setting realistic target dates​ Communicating the plan of care​ Collaborating with other members of the health care team

Workplace Violence

Sexual harassment and abuse acts from patients, or coworkers that can be verbal, and emotional and lead to hostile work environment. It has been suggested that identifying workplace violence is difficult due to its subjectivity by the recipient.

The novice nurse begins work on his or her assigned unit. The nurse comes into contact with conflicting viewpoints and different ways of performing skills, but lacks the security of having an expert available to explain uncertain or gray areas. " But wait. I've only observed other nurses hanging blood. Where is my instructor?"

Shock

The nurturing, acceptance, and integration of a person into the profession of nursing the identification of a person with the profession of nursing. Caring relationship with colleagues are key to a nurse ability to transition or to just " Survive" at the clinical level

Socialization

Rutters

Some adopt the attitude that " I'll justs do what I have to do get by" or " I'm working until I can buy some new furniture. These nurses are called rutters. " They consider nursing just a job

What are your strengths and weaknesses?

Sometimes this question may be asked in less direct ways, such as, " what are some of the areas you know you need to improve? Or How have you your skills developed in your advanced nurses courses? Honesty always is best. The clearer the applicant can be in articulating specific talents and deficiencies, the more closely the recruiter will be able to match the candidate to a position suited to his or her abilities.

Being in quiet place helps us identify our vision of life-- our purpose and direction in life Having direction and purpose is the key factor in one's spiritual capacity " Personal mastery as the discipline of continually clarifying and deepening one's personal vision, focusing one's energies, developing patiency and seeing reality objectively.

Spiritual Energy

Example: I you are doing dressing change you do not need the catheter kit for your next patient in your immediate work space What is this a example of?

Stacked desk syndrome

STAMPEDAR

Staring, Tone of voice, anxiety, mumbulig, pacing, emotions, disease process, assertive/ nonassertive behavior, and resources) as a guide for assessment.

How is a portfolio constructed? 474

Start with a 3 ring binder, table of contents giver interviews a map to guide their review of the information. Dividers can separate sections each its own cover page, and plastic sleeves or pocketed pages work well to hold loose items

Evaluation Method School vs Work Environment

The School environment evaluates care from the " correct step" aspect whereas the evaluation phase in the work environment is based on whether components of care were completed according to established policies and procedures.

Tell me about your work history? Interview type of questions

The applicant can highlight the responsibilities carried out the skills acquired, and how these skills can transfer to the professional nursing role. It is the best to start with current or most recent job and proceed backward. A new graduate might discuss student clinical experiences, which clinical areas were favored and why.

NCLEX format question who do they talk to?

The hospital they will ask what are entry level nurses messing up on. Based on current nursing practice of entry-level RNs. According to the NCSBN. The NCLEX examination assess the knowledge, skills, and abilities that are essential for the nurse to use in order to meet the needs of clients requiring the promotion, maintenance or restoration of health.

What positions interest you? Interview type of questions

The interviewer needs to know whether there are positions available in the applicant area of interest and whether the applicant has the required qualifications to fit the vacant positions Answer the question with favorite clinical experiences. Applicant might share short and long terms goals and how they visualize layer the groundwork today for tomorrow's professional roles. A good response might be " Im interested in a position that will help me grow as a professional and give me opportunities to develop greated competency as a nurse. Ultimately I would like to work as critical care clinical nurse specialist"

What is the purpose of the NCLEX?

The purpose of the NCLEX-RN examinations is to Safeguard the public from unsafe practitioners Assist state boards of nursing in determining candidates capabilities for performing entry level RN positions

What would you do if...?

The recruiter probably will ask some situational questions related to decision making and critical thinking skills. The will be asked to explain how to access a particular situation, set priorities, decide what should be implemented first for a patient and what can delegated? ONe can honestly say " I've never been in that situation but i think i would... " or I was in a similar situation in which ..... Occurred and this what i did in that circumstance" When can interviewer says " Tell me about a time when.." or Give me a specific example of" You need to be prepared to respond to these questions because many employers use a behavioral interview as part of hiring process for nursing position.

Four different types of personality

The volcano- who makes personal attacks and has temper tantrums Sniper- who demonstrates passive-aggressive behavior and is prone to sabotage. Chronic complainer- who blames other but does not offer solutions Claims- simply shuts down and refuses to be a team member

Burned out

These nurses bottle up conflict until they become burned out. Nurses have the look of being chronically constipated.

Loners

These nurses create their own reality. They adopt the attitude of " Just do the job and keep quiet" These nurses may prefer night shifts, during which they often are " Left alone"

Natives

They decide they cannot fight and experienced nurses or the administration, thus adopt the ways of least resistance. Theses nurses may mimic other nurses on the unit and take shortcuts, such as administering medications without knowing their action and side effects and the associated nursing responsibilities

Third paragraph of a resume?

Third section will present the information apt to be the greatest help in obtaining a job: work experience and employment history. Many recruiters are nurses themselves, so detailed description of what a routine job entails is not needed. List accomplishments while employed, including number and type of patients cared for, any special techniques used, or any participation in the development of programs, policies, or forms pertinent to the position.

The Art of No Detourism

This requires complete concentration ono one activity or task until- with no detours- it is completed Mandates that only one activity at a time be undertaken and that it should be completed before moving to a different task.

Resume

This section closes with optional information, such as seminars attended, honors received, and memberships in professional organizations. It is not advisable to list community activities or activities from more than 5 years ago unless it can be clearly shown that they are pertinent to a nursing career.

In order to get title of RN you have?

To pass the nclex

Who is eligible to take the NCLEX?

To receive a license to practice as an RN in the United States and its territories, candidates must furnish evidence of competency to provide safe and effective nursing care by successfully completing the NCLEX-RN examination. There are three types of RN programs: (1) 2-year associate degree programs usually found in community or junior colleges, (2) hospital-based diploma programs, and (3) baccalaureate degree or higher programs found in 4-year colleges and universities or academic health centers. Graduates from all programs take the same NCLEX-RN examination. Individuals taking the examination must have graduated from approved schools of nursing.

-------Formal multiple- choice, one options: With this type of format, the candidate is presented a question, followed by four possible responses. The candidate is asked to select the one option that best answers the question.

Traditional Format

Moving from one role, setting, or level of competency in nursing to another change

Transition

Nurses who practiced cognitive rehearsal responses to horizontal violence better equipped to successfully defend against horizontal violence.

Violence Prevention

Entrance level test for hiring?

You are prepared to work at a entry level Entry-level capabilities determined by practice analysis to investigate current practice that entry-level nurses are performing in various health care settings in the United States

Reality Shock

______ occurs in novice nurses when they become aware of the inconsistency between the actual world nurse enters the new profession, reality shock begins. Culture shock occurs when people are immersed into a culture different from their own with norms that are unfamiliar and comfortable. 419 Patient centered- nursing is prioritized in nursing school. Whereas in the workforce it is the management of tasks and timelines. 419 Leads to stress and burnout which can threaten the well-being of new nurses and result in exhaustion, "irritability, detachment, and cynicism" and ultimately absenteeism and turnover. New nurses were found to experience higher levels of stress during the first 3 to 6 months after employment which were thought to be risk factors for patient safety and errors.

Compassion Fatigue

________ Is the gradual decline of compassion over time as a result of caregivers being exposed to events that have traumatized their patients Experienced nurse, who commonly have a great deal of empathy working in environments where patients suffer trauma, may develop in compassion. Exposure to traumatic

The art of physical wastebasket ( The Art of Wastebasket )

________Circular filing" ( in the trash can or with the delete key on the computer) of any documentation including email or other paperwork that has limited use or needs no response. The goal is to handle a paper or email only once then either act on it ( do it ), send it along to another appropriate person ( delegate it). Or throw it away ( dump it).

The art of mental wastebasket

_______also organizing your mind to deal with the established priorities. This requires using selective perception to attend only to those tasks at hand. It also assists in discarding useless information. Mental wastebasket is a valuable skill to perfect in relation to affecting a better use of time

Preceptors

_______during the final semester of nursing school and on entering the workforce. ________program have gained popularity as a mean to socialize the novice nurse into profession and to ease the tension of transition from student to nurse.

Magnet Hospital

a hospital that demonstrates high levels of quality of care, autonomy, primary nursing care, mentoring, professional recognition, respect, and the ability to practice nursing; hospitals awarded this status meet specific standards Magnet hospital Best of the best Orientation a year Happier in job setting No turn over One of the most successful nurse retention models focuses on standards for professional nursing practice that promote quality, excellence, and service. Factors deemed to be critical influencers of nurse job satisfaction and turnover rates in the acute care setting included quality of leadership and exemplary management style, organizational structures that support nursing autonomy and career development, and an emphasis on professional practice excellence and quality of patient care. Magnet hospital nurses have higher levels of autonomy, more control over the practice setting and better relationships with physicians Magnet status is now seen as the single most effective mechanism for providing consumers and nurses with comparative information, the gold standard for quality nursing care.