ATI Leadership Proctored
ABCDE principle for prioritization
Airway
Breathing
Circulation
Disability
Exposure
True/False: Rarely will you ever prioritize giving pain medications
True
rules for prioritization
- assess before taking action (calling the dr)
- prioritize unstable over stable patients
- prioritize acute over chronic conditions
- prioritize systemic over local issues
- pick least invasive procedure first
examples of efficient nursing practice
- take time at the beginning of your shift to plan and prioritize your day
- chart interventions/nursing care as soon as you complete them
- group tasks together for a single patient
- complete time consuming or challenging tasks earlier in your shift
- wait to perform non-essential tasks for later in the day
5 rights of delegation
- right task
- right circumstance
- right person
- right direction/communication
- right supervision and evaluation
what can be delegated to LPN's
medications
enteral feeding
foley insertions
suctioning
trach care
wound care
reinforce teaching
what can be delegated to CNA's
bathing
dressing the patient
ambulation
toileting
oral feeding if no swallowing precautions
positioning
I&Os
, collecting specimens
VS
basic CPR
RN's role
patient education
patient assessment
blood transfusions
any tasks that involve nursing judgement
right task
should be repetitive, noninvasive, and should not require a lot of supervision
right circumstance
do not delegate tasks for unstable patients. we want to monitor and assess the patients ourselves
right person
make sure the delegate is working within their scope of practice and is competent to provide the care
we are delegating
right direction/communication
provide a timeline and how you expect them to report back to you
what is quality improvement?
· Process we use to improve the quality of care on a particular unit or team. It is also used to correct
performance deficiencies that may be present.
components of performance review
- data collection over the course of a year
- allow employee to turn in self assessment
- peer review
- performance checklist and compare to standards not other RNs
- discuss employees goals
- if employee doesn't agree with their evaluation, they can write comments on their evaluation
intrapersonal conflict
internal conflict or struggle
interpersonal conflict
conflict between 2 or more people
stages of conflict
latent
perceived
felt
manifest
conflict aftermath
ABCDE principle for prioritization
Airway
Breathing
Circulation
Disability
Exposure
True/False: Rarely will you ever prioritize giving pain medications
True
rules for prioritization
- assess before taking action (calling the dr)
- prioritize unstable over stable patients
- prioritize acute over chronic conditions
- prioritize systemic over local issues
- pick least invasive procedure first
examples of efficient nursing practice
- take time at the beginning of your shift to plan and prioritize your day
- chart interventions/nursing care as soon as you complete them
- group tasks together for a single patient
- complete time consuming or challenging tasks earlier in your shift
- wait to perform non-essential tasks for later in the day
5 rights of delegation
- right task
- right circumstance
- right person
- right direction/communication
- right supervision and evaluation
what can be delegated to LPN's
medications
enteral feeding
foley insertions
suctioning
trach care
wound care
reinforce teaching
what can be delegated to CNA's
bathing
dressing the patient
ambulation
toileting
oral feeding if no swallowing precautions
positioning
I&Os
, collecting specimens
VS
basic CPR
RN's role
patient education
patient assessment
blood transfusions
any tasks that involve nursing judgement
right task
should be repetitive, noninvasive, and should not require a lot of supervision
right circumstance
do not delegate tasks for unstable patients. we want to monitor and assess the patients ourselves
right person
make sure the delegate is working within their scope of practice and is competent to provide the care
we are delegating
right direction/communication
provide a timeline and how you expect them to report back to you
what is quality improvement?
· Process we use to improve the quality of care on a particular unit or team. It is also used to correct
performance deficiencies that may be present.
components of performance review
- data collection over the course of a year
- allow employee to turn in self assessment
- peer review
- performance checklist and compare to standards not other RNs
- discuss employees goals
- if employee doesn't agree with their evaluation, they can write comments on their evaluation
intrapersonal conflict
internal conflict or struggle
interpersonal conflict
conflict between 2 or more people
stages of conflict
latent
perceived
felt
manifest
conflict aftermath
