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1. ABC's airway, breathing, and circulation
2. Maslow's hiearchy of needs
3. Agency policies and procedures
4. Time
5. Client and family preferences
6. Care related to client acuity
7. Priorities in medication therapy
Framework for determining priorities of client care
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this is an individual having authority from employer to hire, transfer, suspend, lay off, recall, promote, discharge, assign, reward or diciplin other employees
Supervisor
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this is the provision of guidance or direction, evaluation, and follow-up of nursing personnel for accomplishment of a delegated nursing task
Supervising
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is use of nursing personnel to accomplish a desired objectie through allocation of authority and responsibility; involves, as pare of assigning work, asking another to do some aspect of client care
Delegation
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defines delegation as transferring to a competent individual authority to perform a selected nursing task in a selected situation
National Council of State Boards in Nursing (NCSBN)
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delegator do not think that UAP can perform or complete an assignment or does not transfer full authority
Underdelegation
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delegator becomes overwhelmed by situation and loses control by delegating inappropriate tasks; tasks that are beyond their scop of practice should not be delegated to UAPs
Overdelegation
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The five rights of delegations are outlined by who?
NCSBN
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they can delegate nursing care activities to unlicensed assistive personnel (UAPs) based on competency of UAP, including eduational knowledge and skill levels
LPN/LVN
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What are these:
1. Right task
2. Right circumstances
3. Right person
4. Right direction and communication
5. Right supervision and evaluation
The essential rights of delegation
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Based on Rights of Delegation:
Nurse determines those activities team members may perform
Right task
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Based on Rights of Delegation:
Nurses evaluates individual clients and UAPs and matches the two. Nurses asses client's needs, looks at care plans, consider the setting, and ensures that UAPs have proper resources, equipment, and supervision to work safely
Right Circumstances
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Based on Rights of Delegation:
Nurse follows organizational policies, which are congruent with state law, in determining appropriate staff to which to delegate a nursing activity
Right person
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Based on Rights of Delegation:
Nurse needs to clearly understand organization's policies and procedures to carry out effective delegation.
Right Direction and Communication
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is a person who possesses personal traits that enable her or him to personally move others constructively and ethically to positively impace client/family care or to achieve a goal or vision
leader
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is bestowed by employing organization and described in a job description; it provides for influence through: legitimate authority, power of position, and abiliyt to reward and punish
Formal leadership
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does not porvide an official organizational title but informal leader can substantially influence others through thoughtful and convincing ideas, knowledge, status, and personal skills
Informal leadership
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definition means: meeting or exceeding expectations of customers, meeting and exceeding standards, and achieving planned outcomes
Quality
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is an individual employed by organization who is responsible and accountable for efficiently accomplishing organizational goals
manager
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are a measurement or flag used as a guide to monitor, assess and improve the quality of client care, support services, and organizational functions affection client outcomes
Indicators
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describes characteristics of a setting that support and have an impact on care (e.g. RN to client ratio)
Structure indicator
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measures an acitivity that is carried out in caring for clients and focuses on natural amount of nursing care provided during hospital stay
process indicator
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describes clients status at a defined time following care interventions, meausres results of nursing care and process, and nursing outcomes are key indicators to show impact of nursing care on positive client outcomes
Outcome indicators
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