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- A model of care
- that recognizes the differences in the levels of education and competency of
- each registered nurse. It is based
- on education, position, and clinical expertise.
and contrast—functional, team, case method, primary care, and case management
as care delivery models
- A method of providing patient care by which each licensed and unlicensed staff
- member performs specific tasks for a large group of patients.
- Team nursing: a variation of the functional care model in which a
- team leader RN is responsible for coordinating a group of licensed and
- unlicensed personnel to provide patient care to a small group of patients.
- Case management: The process of coordinting health care by planning,
- facilitating, and evaluating interventions across levels of care to achieve
- measurable cost and quality outcomes.
- Primary care: a model of care where one RN functions
- autonomously as the patient’s main nurse throughout the entire hospital stay. Case method: a model of care in which
- ONE nurse provides total care for a patient during an entire work period.
supervision and apply the concept
Supervision is defined as the active process of directing, guiding, and influencing the outcome of an individual's performance of an activity. A supervisor will make an initial assessment and intermittent evaluations when delegating tasks. "trust but verify"
Discuss communication as applied to delegation.
- It is important when delegating tasks to:
- -State exactly what is being delegated and what the expected outcome is.
- -Convey recognition of the authority to perform what is expected.
- -Identify priorities.
- -Acknowledge monitoring activities that you may perform.
- -Specify any performance limitations, such as time limits on performing a procedure.
- -Specify deadlines.
- -Specify report time lines and data expected.
- -Specify parameter deviations, including when immediate action must be taken.
- -Identify appropriate resources, including people who may be consulted.
- -Be clear about what may not be delegated.
Describe the 5 rights of delegation.
- 1.Right Task-is it appropriate to delegate (based on legal and institutional factors)? Is the person able and willing to do this specific task?
- 2.Right Circumstances-Would the delegation process suggest that the circumstances are right? Is staffing such that the circumstances demand delegation strategies?
- 3. Right Person- is the prospective delegatee a willing and able employee? Are the patient needs a "fit" with the delagatee?
- 4. The Right direction/communication-Can you and the delagatee communicate effectively? Does the delagatee know what and when to report? Is your communication based on a "fit" with the situation and culture?
- 5. The Right supervision- Do you know how and when you will interact about patient care and the delagatee? How often will you need to provide direct observation?
Discuss staffing plans and their use? Ch. 14
The staffing plan serves as a guide for creating the unit's schedules for the upcoming year. It is based upon the unit's personnel budget, and the projected staffing needs to ensure patient safety.
What are some variables to consider when designing a master staffing plan?
- The hours of operation for a unit.
- The basic shift length of the unit.
- Known activity patterns for the unit at various times of day.
- Maximum work stretch for each employee.
- Shift rotation requirements.
- Weekend requirements.
- Personal and professional requirements and requests for time off.
Describe acuity and its use in staffing.
Acuity refers to the level and complexity of a patient's needed treatment. More experienced nurses (or more nurses in general) will be needed for patients with high acuity.
Describe flexible methods of staffing such as float pools.
There are staffing "agencies" that provide temporary nurses to a unit for a shift, week, or longer. Staffing pools are voluntary systems where an experienced, flexible nurse volunteers to go where they are needed. There is also a "Float pool" which can be involuntary where a nurse from one clinical unit will come to another to fill a vacancy.
Compare and contrast staffing with scheduling.
Staffing: is planning for hiring and deploying qualified human resources to meet the needs of a group of patients.
Scheduling:is a function of implementing the staffing plan by assigning personnel to work specific hours and days of the week.
Discuss several methods of interviewing. Which is the best predictor of performance? Ch. 15
The interviewer should provide a calm, relaxed environment and ask questions that are situational based that show behaviors.
Discuss performance appraisal to include bias-- to include bias and halo effect and recent events.