Fundamentals 7 - Ch 10

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Gurnick Academy Of Medical Arts *

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VN100

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Communications

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May 2, 2024

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docx

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https://quizlet.com/905417453/10-flash-cards/?i=uw90JKJ6Bkzc&x=1jqt Ch 10 Delegation, Leadership, and Management Know your chain of command (immediate supervisor, their supervisor, etc) 7 Leadership Styles: ● Laissez-faire - Expect staff to solve problems on their own. Responsible for decisions made by staff members. Staff have freedom to solve problems on their own . (French for ‘allow to do’) ● Autocratic - Dictator. Doesn’t take group input (self decision maker) ● Democratic - Participation (cohesive) group ● Bureaucratic - Rules based ● Transformational - Establishes common mission/values (Identifies areas where change is needed) ● Transactional - Rewards for meeting goals ● Situational - Adjusts strategies based on circumstance. Focus on short term goals, remain flexible to the group, adjust quickly to different circumstances. Good problem solvers and organizers. Delegation: ● Circumstances - setting, resources, staffing ● Communication - clear explanations, outcomes, when to report back ● Person - select someone competent and qualified ● Supervision - monitor and evaluate actions, give feedback, intervene if needed. ● Follow-up - to ensure compliance , be sure to task is completed You work in a skilled nursing facility and you check with other nurses on the unit throughout the day to determine if they are completed. Which of the following rights is the nurse demonstrating? Supervision You are accountable for following up on tasks you delegate out and ensuring they are completed. Give a time frame. Delegate tasks by priority - ABC (airway,breathing,circulation) is always highest. If the task requires advanced training or clinical judgment you cannot delegate it. Can Delegate Cannot Delegate Bathing a patient Giving medication Ambulating with a gait belt Interpreting labs/vitals Feeding a stroke patient Central line dressing changes Cleansing enema (prepackaged) Unstable patient Obtain a U.A. (urinalysis) Fresh post-op Obtaining vitals on a pt with history of 🤍 disease Critical care patients
Post-mortem care Direct observation to verify if an AP is doing a task correctly Don’t delegate assessment, analysis, planning, or evaluation tasks All orders written pre-op are considered canceled at the time the patient enters surgery. Pre-op orders must be rewritten post-op.
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