Term
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Definition
| Delegating means entrusting the performance of selected nursing duties to individuals qualified, competent and legally able to perform such duties |
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Term
| Definition of supervising |
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Definition
| Supervising means providing guidance by a qualified nurse for the accomplishment of the nursing task or activity with initial direction of the task or activity and periodic inspection of the actual act of accomplishing a task or activity |
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Term
| What are some regulations of an AUA? |
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Definition
performs in ACUTE care settings ONLY
has completed 200- hour training program
Can perform clinical skills included on the approved list by board-CERTIFIED AUAs
Must renew certification every 2 years |
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Term
| The training, certification, and regulation of CNAs is through? |
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Definition
| Oklahoma Department of Health |
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Term
| RNs are trained, licensed and regulated under what? |
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Definition
| Oklahoma Board of Nursing |
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Term
| What are the 5 rights of Delegation? |
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Definition
1. Right Task
2. Right Circumstances (appropriate patient setting, available resources)
3. Right Person
4. Right Direction/Communication
5. Right Supervision (monitoring, evaluation, intervention, as needed and feedback) |
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Term
Approved Skills List
Basic Diagnostic Testing |
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Definition
Perform blood glucose monitoring
Perform urine testing for specific gravity, glucose, ketones, or protein
Perform guaiac testing for blood in urine, stools, or emesis
Perform Electrocardiogram (12-lead EKG)
Apply and discontinue telemetry monitor
Perform venous doppler
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Term
Approved Skills List
Sterile Specimen Collection |
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Definition
Obtain uncontaminated blood specimen by venipuncture syringe or vacutainer with colleciton in correct tubes
Obtain uncontaminated urine specimen from indwelling/straight catheter
Obtain uncontaminated sputum specimen
Obtain uncontaminated nasal swab specimen |
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Term
Approved Skills List
Wound Care |
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Definition
Obtain specimens of wound drainage
Remove sutures, staples, and drains
Empty wound drainage containers
Apply a sterile dressing |
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Term
Approved Skills List
Surgical Aspesis |
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Definition
Create sterile field
Apply sterile gloves
Don sterile gown
Open sterile packages |
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Term
Approved Skills List
Airway Management |
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Definition
Oral Suctioning
Provide stoma care for patients with chronic tracheostomies
Assist with incentive spirometry |
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Term
Approved Skills List
Elimination |
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Definition
Insert indwelling/straight catheter
Irrigate indwelling catheter
Remove indwelling catheter
Perform bladder scanning
Perform ostomy irrigation
Apply colostomy/ileostomy pouch
Skin care |
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Term
Approved Skills List
Nutrition |
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Definition
Administer enteral feeding through established tubes
-Nasogastric and Gastrostomy
Irrigate feeding tube
Removal of nasogastric tube |
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Term
Approved Skills List
Restraints |
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Definition
Apply limb and vest restraints, safety belt
Monitor placement of restraints |
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Term
| What is Maslow's hierachy of needs |
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Definition
Physiological Needs
Safety and Security
Belongingness and Love
Esteem and Self-Respect
Self-Actualization |
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Term
| Nursing Process and guidelines |
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Definition
Assessment
Diagnosis
Planning
Intervention
Evaluation
Guidelines: not always assessment first. Sometimes you may need to apply oxygen and then listen to breath sounds |
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Term
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Definition
| Benchmarking compares an organizations data with similar organizations. Once results are known, health care organizations can address areas of weakness and enhance areas of strength. |
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Term
| What are the characteristics of shared governance? |
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Definition
Participative decision making
Interdependence and accountability
Nurses participate in an accountable forum to control their own practice within the health care organization.
Decisions are made by consensus |
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Term
What are these?
Strategic planning, philosophy, vision statement, and mission |
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Definition
Strategic planning- guides the direction the organization is to take
Philosophy- a written statement that reflects the organizational values, vision, and mission
Vision statement- describes the goal to which the organization aspires (to inspire and motivate employees)
Mission- A broad, general statement of the organization's reason for existence(nessecary first step to designing a strategic plan) |
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Term
| Define organizational environment and organizational culture. What is the difference between them? |
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Definition
Organizational environment- systemwide conditions that contribute to a positive or negative work setting. (leadership, communication, appropriate staffing, effective decision making)
Organizational culture- the basic assumptions and values held by members of the organizaiton. The unstated "rules of the game". (is tardiness tolerated? how late is acceptable? who wears a lab coat?) |
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Term
| What must an organization demonstrate to ANCC to qualify as a magnet hospital? |
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Definition
They must demonstrate that they are:
-promoting quality in a setting that supports professional practice
-identifying excellence in the delivery of nursing services to patients/residents
-disseminating "best practices" in nursing services |
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Term
Critial Care Unit would be an example of which?
Functional Nursing, Team Nursing, Total Patient Care, or Primary Nursing? |
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Definition
Total Patient Care. RNs spend most of the time doing EVERYTHING. Even things that CNAs could do.
Charge nurse>Rn's>patients |
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Term
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Definition
In team nursing, you have a team leader. The team leader's time is spent in indirect patient care activities. To be effective all team members must have good communication skills.
Charge nurse> team/module leader>RN,LPN,UAP>Patients |
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Term
| What is functional nursing and what are the disadvantages? |
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Definition
| Each person uses their skills to their best advantage. So the staff become very effecient and effective at performing their regular assigned tasks. BAD? Lack of holistic understanding of the patient. Problems with follow-up. Uneven continuity. |
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Term
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Definition
| Designed to put the RN back at the bedside. It is a knowledge-based practice model. It requires excellent communication. 24 hour accountability. This practice is viewed as expensive. SO many hospitals discontinued primary nursing. Others identified one primary nurse who was assigned these positions and other nurses (AUAs) in providing care. |
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Term
Which type of leadership is good for emergency situations such as cardiac arrest?
Autocratic, Democratic, Laissez-faire, Bureaucratic |
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Definition
| Autocratic! Self-directed with little or no input from staff, dictatorship so there is a potential for abuse of authority. |
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Term
Which type of leadership is good for creativity?
Autocratic, Democratic, Lassez-faire, Bureaucratic |
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Definition
| Laissez-faire. Good for creativity in the team and leaders are well-liked. Poor at meeting outcomes. |
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Term
Which leadership would be good for upholding policy?
Autocratic, Democratic, Laissez-faire, Bureaucratic |
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Definition
| Bureaucratic. Good for up-holding policy! (sterile technique). Poor at handling deviations |
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Term
Which type of leadership is good to encourage development of a team strategy to care for patients with multiple system failure?
Autocratic, Democratic, Laissez-faire, Bureaucratic |
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Definition
| Democratic. TEAM NURSING. PARTICIPATIVE. Poor when time sensitive decisions must be made |
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Term
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Definition
| Followership is the capacity of an individual to actively follow a leader. An effective follower must be self directed, proactive, supportive, committed, and initiative |
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