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Why do we work?
- The right, moral, ethical thing to do
- Achieve the american dream
- More socially acceptable than to be idle
- Feel good about ourselves
- To help others
- To get money
- Food, shelter clothing, water
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A perfessional...
- Is educated about what it means to work and be a worker
- Knows the difference between a good work enviroment and a poor one
- Understand the role of worker and manager
- Knows what to contributes to his job satisfaction
- Knows how to cope with change
- Understands motivation, communication, and stress factor
- Knows how to work with others and be an asset to her employer
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Factors that affect mental work enviroment!
- Pace: Increase in pace means Increase in stress
- Variability of pace: Increase in variablity means increase in stress
- Duration of task: Decrease time means increase boredom and decrease job satisfaction and performance
- Increase variety: Increase in work, motivation
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Factors that affect physical work enviroment!
- Temperature
- Ventilation
- Light
- Noise
- Location
- Space
- Equipment
- Supplies
- Comfort
- Security
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SBAR communcation
- Situation
- Background
- Assessment
- Recommendation
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SBAR communcation
Situation
- I am callin you about...
- The patients code status is...
- The problem I am calling you about is...
- I have just assesed the patient personally:
- Vitals signs are: Blood pressure, Pulse, RR, and temp
- I am concerned about the:
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SBAR communcation
Background
- The patients mental status is...
- The skin is...
- The patient is not or is on oxygen...
- The ocimetry is reading...
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SBAR communcation
Assessment
- This is what I think the problem is...
- The problem seems to be...
- The patient seems to be unstable and may get worse, we need to do something
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SBAR communcation
Recommendations
- I suggest that you...
- Any test needed...
- If a change is treatment is ordered then ask...
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I language
- Simple, straight foward expression of your beliefs, feeling, opinions.
- I feel ____ when ____ because ____!
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Non verbal communication!
- Physical characteristics
- Personal space
- Posture
- Eye contact
- Gestures
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Non verbal communication
Physical characteristics
- Most immediate info
- Grooming
- Attire
- Body habitus and size
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Non verbal communication
Personal space
- Cultural difference
- Status, rank, relationship
- Territoriality, Turf
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Non verbal communication
Posture
- Orientation, arm and leg position
- Open, inclusive vs. Closed defensive
- Sitting behind desk, at table
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Non verbal communication
Eye contact
- Cultural difference
- Listener vs. speaker
- More vs less
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Non verbal communication
Gestures
Handshake: up, down, neutral
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Communication channels
- Face to face
- Group
- Telecommunication
- Written
- 3rd party
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What is the most effective communication channel?
- Face to Face
- Opportunity for questions, sender imparts desired meaning, not always practical
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What is the least effective communication channel?
- 3rd party
- Message subject to 2 meanings
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Barriers to communication!
- Lying
- Prejudice
- Use of closed words
- Judgement
- Attacking vs criticizing
- Rank
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Setting up Meetings
- Who to invite: 5-7 ideal
- Be aware of the clock: set start and stop times, Show respect for other scheldules, Plan for breaks during long meetings
- Keep meeting brief: Send out agenda before meeting, Encourage all to come prepared, Do only what must be done in presence of all
- Think about physical surroundings: Tables, Temp, Ventilatio, Lighting
- ID everyone's responsibilities: Encourage participation by all, Review follow up actions
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Brainstorming guidelines
- All are encouraged to participate
- Large number of ideas are to be generated
- Group listens to and builds on other ideas
- Wild, creative ideas are encouraged
- No critisims
- No ideas are squelched by leader of group
- All ideas presented are recorded
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Middle Manager's Dilemma
- Must deal with orders from above and preferences from below
- Must carry out directives they may not agree with or had little input
- Manage people they did not hire
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The four basic resources that a manager must plan, controll, organize, and direct!
- Human
- Finicial
- Material
- Information
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Health care management!
- Middle manager continuum
- Need for uniformity
- Need to adapt
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Health care management
Need for uniformity
- Must be consistent to assure best outcome for all patients
- Helps to predict results, procedure manual, protocols
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Health care management
Need to adapt
- Each patient and each illness is somewhat different
- Freedom to employ adaptations with certain limits
- Know when to ask for help
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Classic managerial method
- Older
- Emphasis on manager, chain of command
- Military Stryle
- Controlled work enviroment
- Money is main concern
- Power is at top
- Little conderation for worker
- Used with positions requring low level of skills, education, experience
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Behavioral Management
- Team approach
- Developed from educational advances
- Willingness to share power and decision making
- Emphasis on upward and downward communication
- Belief that a satisfied, involved worker is a better worker
- Workers are in best position to recommend changes
- Participation
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The formal organization
- Outlines reporting structure of organization
- More classical style
- Profilies staff relationships
- Orderly, well defined
- Manager possesses information and therfore power
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Components of self management!
- Be self rewarding
- Be self directing
- Be self controlloing
- Be self monitoring and reporting
- Be able to apply job redesign to your work
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Job descriptions/duties/responsibilities
Includes information such as the task associated with the position, the responsibilities , the working conditions, and the equipment that will be used
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Job specifications/requirements
- Describe the education , work experience, acquired skills, and physical abilities needed to perform in the position
- A quality or qualification that you must have in order to be suitable for a certain job
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Physical requriments of our job!
- Ability to use equipment
- Ability to perform CPR
- Be on feet for long periods of time
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