ATI Leadership Proctored
ABCDE principle for prioritization - correct answer-Airway
Breathing
Circulation
Disability
Exposure
True/False: Rarely will you ever prioritize giving pain medications - correct answer-True
rules for prioritization - correct answer-- 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 - correct answer-- 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 - correct answer-- right task
- right circumstance
- right person
- right direction/communication
- right supervision and evaluation
what can be delegated to LPN's - correct answer-medications
enteral feeding
foley insertions
suctioning
trach care
wound care
reinforce teaching
what can be delegated to CNA's - correct answer-bathing
dressing the patient
ambulation
toileting
oral feeding if no swallowing precautions
positioning
I&Os
collecting specimens
VS
, basic CPR
RN's role - correct answer-patient education
patient assessment
blood transfusions
any tasks that involve nursing judgement
right task - correct answer-should be repetitive, noninvasive, and should not require a lot of
supervision
right circumstance - correct answer-do not delegate tasks for unstable patients. we want to
monitor and assess the patients ourselves
right person - correct answer-make sure the delegate is working within their scope of
practice and is competent to provide the care we are delegating
right direction/communication - correct answer-provide a timeline and how you expect them
to report back to you
what is quality improvement? - correct answer-· 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 - correct answer-- 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 - correct answer-internal conflict or struggle
interpersonal conflict - correct answer-conflict between 2 or more people
stages of conflict - correct answer-latent
perceived
felt
manifest
conflict aftermath
latent conflict - correct answer-no conflict yet but there's a high likelihood it can occur
perceived conflict - correct answer-· individual believes a conflict exists, but the other party is
unaware of the problem
felt conflict - correct answer-emotional response to a conflict
ABCDE principle for prioritization - correct answer-Airway
Breathing
Circulation
Disability
Exposure
True/False: Rarely will you ever prioritize giving pain medications - correct answer-True
rules for prioritization - correct answer-- 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 - correct answer-- 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 - correct answer-- right task
- right circumstance
- right person
- right direction/communication
- right supervision and evaluation
what can be delegated to LPN's - correct answer-medications
enteral feeding
foley insertions
suctioning
trach care
wound care
reinforce teaching
what can be delegated to CNA's - correct answer-bathing
dressing the patient
ambulation
toileting
oral feeding if no swallowing precautions
positioning
I&Os
collecting specimens
VS
, basic CPR
RN's role - correct answer-patient education
patient assessment
blood transfusions
any tasks that involve nursing judgement
right task - correct answer-should be repetitive, noninvasive, and should not require a lot of
supervision
right circumstance - correct answer-do not delegate tasks for unstable patients. we want to
monitor and assess the patients ourselves
right person - correct answer-make sure the delegate is working within their scope of
practice and is competent to provide the care we are delegating
right direction/communication - correct answer-provide a timeline and how you expect them
to report back to you
what is quality improvement? - correct answer-· 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 - correct answer-- 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 - correct answer-internal conflict or struggle
interpersonal conflict - correct answer-conflict between 2 or more people
stages of conflict - correct answer-latent
perceived
felt
manifest
conflict aftermath
latent conflict - correct answer-no conflict yet but there's a high likelihood it can occur
perceived conflict - correct answer-· individual believes a conflict exists, but the other party is
unaware of the problem
felt conflict - correct answer-emotional response to a conflict
