Leadership and Management ATI
Can be delegated to LPN
-Monitoring client findings;
-Reinforcement of client teaching;
-Trach care;
-Suctioning;
-Checking NG tube patency;
-Admin of enteral feedings;
-Insertion of urinary catheter;
-Med admin [excluding IV meds]
Can be delegated to AP (CNA)
Activities of daily living [ADLs]:
-Bathing, Grooming, Dressing;
-Toileting, Ambulating;
-Feeding [without swallowing precautions]
-Positioning, Bed making;
Specimen collection;
Intake and output (I&O);
Vital signs [on stable clients]
Can document stuff like vitals
5 Rights of delegation
Task - Identify what tasks are appropriate to delegate for each specific client;
Circumstance - Assess health status and complexity of care required by client;
Person - Assess and verify competency of team member;
Communication;
Supervision
Right supervision - delegating nurse must
-Provide supervision, either directly or indirectly (by assigning supervision to another licensed nurse);
-Provide clear directions and understandable expectations;
-Monitor performance;
-Provide feedback;
-Intervene if necessary;
-Evaluate client to determine if client outcomes met;
-Identify needs for quality improvement activities and/or additional resources
Leadership styles
Authoritative - makes decision for the group;
Democratic - includes group when decisions are made;
Laissez-faire - makes very few decisions and does little planning
Client w/terminal illness scheduled to be discharged to nursing home states that he wants to go home
to die
contact the case manager first
Negligence
Can be delegated to LPN
-Monitoring client findings;
-Reinforcement of client teaching;
-Trach care;
-Suctioning;
-Checking NG tube patency;
-Admin of enteral feedings;
-Insertion of urinary catheter;
-Med admin [excluding IV meds]
Can be delegated to AP (CNA)
Activities of daily living [ADLs]:
-Bathing, Grooming, Dressing;
-Toileting, Ambulating;
-Feeding [without swallowing precautions]
-Positioning, Bed making;
Specimen collection;
Intake and output (I&O);
Vital signs [on stable clients]
Can document stuff like vitals
5 Rights of delegation
Task - Identify what tasks are appropriate to delegate for each specific client;
Circumstance - Assess health status and complexity of care required by client;
Person - Assess and verify competency of team member;
Communication;
Supervision
Right supervision - delegating nurse must
-Provide supervision, either directly or indirectly (by assigning supervision to another licensed nurse);
-Provide clear directions and understandable expectations;
-Monitor performance;
-Provide feedback;
-Intervene if necessary;
-Evaluate client to determine if client outcomes met;
-Identify needs for quality improvement activities and/or additional resources
Leadership styles
Authoritative - makes decision for the group;
Democratic - includes group when decisions are made;
Laissez-faire - makes very few decisions and does little planning
Client w/terminal illness scheduled to be discharged to nursing home states that he wants to go home
to die
contact the case manager first
Negligence
