Primary Nursing a nursing care pattern; an RN is responsible for the person's total care
1. Patient and Fami- a model of nursing care in which mutual partnerships among the patient,
family,
ly Centered and health care team are formed to plan, implement, and evaluate the
Care nursing and health care delivered
-Respect and dignity
-Information sharing
-Participation
-Collaboration
2. Total Patient Care Registered nurse works directly with patient and family where RN is
responsible for all patient care during the shift.
-Think ICU
-requires a lot of RNs (costly)
-Patient satisfaction is high.
3. Case A nursing care pattern; a case manager (an RN) coordinates a person's
manage-
ment care from admission through discharge and into the home setting
4. Responsibility Duties and activities an individual is employed to perform
5. Autonomy Independent decisions and self-determination about patient care
6. Authority legitimate power to give commands and make final decisions specific to
a given position
7. Accountability Answerable for one's own actions
8. Clinical Care Co- Clinical Decisions
ordination
Priority Setting (ABCs)
Organizational Skills (report sheets, planning the
day) Use of Resources (supplies, staflng, cost)
, NR226 Exam 2
Time Management (is now the time? what can
wait) Evaluation (is this working?)
10.High priority immediate threat to patient
survival or safety
11. Intermediate
pri- ority non-emergent, non-life threatening
12. Low priority actual or potential problems that may or may not be directly related to
patient's illness or disease
13. Principles or Use Maslow's hierarchy (physiological vs safety)
pri- oritization
-systemic vs local
-acute vs chronic
-actual vs potential
-trends vs transient
14. Collaborative -emergent/complications vs expected
Communicatio
n
-Ettective communication
-Respect and share ideas and keep everyone informed
-ISBAR
15. Delegation the process of assigning part of your responsibility to another qualified
person in a specific situation
16. Effective Allows the RN to have time to perform skill only an RN can complete.
Delega- tion
Enables:
improved
eflciency increased
productivity
17. empowered statt
skill development
, NR226 Exam 2
Tips for
effective -Use 5 Rights
Delegation -Assess each person's knowledge and skills
-Communicate clearly and listen attentively
-Never delegate clinical reasoning, judgement and critical decision-making
18. Five Rights of Del- right task
egation right circumstance
right person
right direction/communication
right supervision/evaluation
19. Unlicensed As-
sistive -Works under nurse (LPN or RN) w/ training on the job
Personnel
(UAP) -performs skills that are non-invasive and non-sterile
-Typical skills (think ADLs):
*basic hygiene and grooming
*assist with ADLs
*measure stable vital signs
*measure I/Os
20. Liscensed
Practi- cal *report concerns and observation
Nurse (LPN)
-Supervised by RN or provider
-Has their own NPA with scope of practice
-Typical Skills
*care for stable patients and patients with chronic conditions and expected
outcomes
*can perform routine sterile and non-sterile procedures
*can administer PO medications
*reinforce teaching (no initial/first/new)
*can update care plan
*discuss client problems/findings with RN
21. Code of Ethics for statements of the professionals' values and beliefs, which are based on
ethical