-
social roles are
set of rights, duties, expectations, norms and behavior
-
competence =
ability to perform a specific task, action or function successfully
-
Benner's stages of competence
- novice
- advanced beginner
- competent
- proficient
- expert
-
novice nurse =
- no experience
- taught rules to help them perform
- rules tend to be universal/generic
- limited and inflexible
- "tell me what to do and I'll do it"
-
Advanced Beginner Nurse =
- Demonstrate marginally acceptable performance
- recurring experience with real situations
- begins to formulate principles to guide actions
-
Competent nurse =
- 2-3 years experience
- begins to see actions in terms of long range goals or plans
- based on conscious, abstract, analytic contemplation of the problem
- planning on thi slevel helps achieve efficiency and organization
-
proficient nurse =
ability to see the whole versus the parts
-
expert nurse
does not rely on analytic principle to connect understanding to the situation to an appropriate action
-
Roles of the professional nurse =
- care provider
- teacher
- counselor
- change agent
- client advocate
- researcher
- manager
-
functional nursing =
nurses are assigned to specific tasks for a group of patients (assembly line nursing)
-
team nursing =
a nurse and other caregivers provide care to a certain group of patients. Focus on individual patient care
-
total care nursing =
a nurse provides total care to a certain group of patients for a designated shift. Expensive because nurse does all of the duties (bathing, feeding, assessments, meds etc)
-
Primary nursing =
nurse responsible for planning, evaluating and directing care. RN functions autonomously as the patients primary nurse throughout the hospital stay, 24 hours a day.
-
patient-centered /patient-focused care
cross-functional teams with groups of professionals from nursing and other departments working together to provide care to a given group of patients. Care is baed around the needs of the patient, not the department
-
Cannot delegate what
- activities of the nursing process
- assessment, evaluation, nursing judgement functions
-
five rights of delegation =
- right task
- right circumstances
- right person
- right direction/communication
- right supervision
-
RN only duties =
- tasks that involve nursing judgement
- assess pt response to care
- interventions that require independent, specialized nursing knowledge or skill
-
DO NOT delegate to LPN
- Take
- verbal orders from MDs
Assessments
Admissions
Transfer
- 1st
- after a change in condition
- Develop
- or perform initial teaching - MAY
- reinforce teaching
- Complete
- discharge teaching plan
-
DO NOT delegate to NA
Charting
- Treatment - Except
- soap suds enemas
- Medications ÷ Except
- OTC topicals
- Assessments - Except
- vital signs and blood glucoses (unless if patient is unstable)
|
|