rn22

• 1.First line manager
• Team leader
• Case Manager
• Charge Nurse

• 2.Middle manager
• Unit manager
• supervisor

• 3.Nurse exective
• Director of nursing (DON)
• Vice President for nursing
• Nursing CEO

The line of authority and responsibility along which orders are passed within the nursing department, the hospital, and between different units.

• 1. talk to charge nurse or team leader
• 2. talk to unit or department Director of Nursing (DON)
• 3. chief nursing officer (CNO)
• 4. Document (show your steps you took and that you tried)

To provide high quality nursing care in a cost effective manner.

• 1. For-Profit-the hospital makes a profit
• 2. Not-for-profit-hospital may make a profit and the profit is often returned to the institution to maintain
• 3. Nonprofit-hospital does not make a profit and may be supported by charitable donations or taxes.

Rules and detailed description. ie staffing patterns, attendance, sick leave, chemical dependency, incident reports, and floating to other units.

Detailed description of a specific method. ie medication administration, insertion of urinary catheters

Guidelines for nursing care for clients with specific conditions. ie alcohol withdrawal, cardiac catherization, fall risk, restraints, surgical client management, and chest pain.

• 1.Identify patients correctly
• 2.Improve staff commuincation
• 3.Use medicines safely
• 4.Prevent infection
• 5.Check patient medicines
• 6.Identify patient safety risks

Motivates others through a cost benefit, economic exchange. Imposes rules and monitors behaviors. More authorative and not letting people making their own choice.

Motivates others by inspiration. Shares a vision, empowers, delegates, builds consensus. More authoration meetings and delegates meetings and give opportunities.

• Managing-
• 1.Quality-achieving excellence in the service rendered to every client
• 2.Budgets-cost containment is a major goal in health care
• 3.Personnel-coach, counsel, monitor staff develpoment, education, provide staff evaluations.
• 4.Communication-communicate goals, delegate responsibilities and authority, coach, inspire others, and empower.
• 5.Conflict-conflict resolution

• 1.Agree on a common goal
• 2.Change pronouns to "we"
• 3.Listen actively
• 4.Postion equally-sitting or standing
• 5.Set ground rules for the discussion
• 6.Limit the number of people in the room

• -Places blame
• -Tells listener about her/himself
• -Attacks

• -Talks about the speaker
• -Does not attack
• -Makes the speaker right
• -Take owernship
• -Set limits & bounadries
• -Share respects & responsibilities

• -admit note
• -change-of-shift note
• -assessment findings
• -interval notes
• -discharge note
• -psychosocial status
• -ADL's
• -spiritual care
• -safety concerns

• 1.Allergies
• 2.Code Status (Full code/DNR)
• 3.Medical team members

• Situation
• Background
• Assessment
• Reccommendation

• Delegation is communication that can be transactional or transformations.
• Delegate vitals, bed baths, and I's & O's

• 1.identify task
• 2.analyze the skill and knowledge needed to accomplish the task
• 3.assign the task
• 4.periodically evaluate the delegation task