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A person's unique function in relation to others' functions
A socially expected behavior pattern, determined by status in society
Role
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Growth that occurs when you learn the functions, expectations and behaviors
Role Development
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Type of role in which there is no choice - genetic or social
Ascribed
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Type of role you take on over a lifetime - some by choice, some are not
Acquired
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Name the steps of Role Transition
- Unfreezing (Ending one role - LVN)
- Moving (Neutral - sense of loss, unsure..)
- Refreezing (Beginning - taking on RN role)
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What is the role of the RN?
- Provider and Manager of Care
- Member of the discipline
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As a provider and manager of care what are the responsibilities?
- communicator
- teacher
- advocate
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As a member of the discipline, what are the responsibilities?
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Name the standards of effective communication (TeamStepps):
- Complete - relevant info
- Clear - plainly understood
- Brief - concise manner
- Timely - appropriate timeframe
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What does SBAR stand for?
- Situation
- Background
- Assessment
- Recommendation
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What is the 2 challenge rule?
assertively voice your concern at least two times if you are uncomfortable with an order. If ignored, take a stronger course of action
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What does CUS stand for?
- I am Concerned
- I am Uncomfortable
- This is a Safety issue!
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What does DESC stand for?
- Describe the situation
- Express your concerns about the action
- Suggest other alternatives
- Consequences should be stated
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What does ADPIE stand for?
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation / Outcome is also in the standards of care
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What is the difference between critical thinking and clinical reasoning?
- Critical thinking: defines pt's problem, examine EBP in caring and making choices for pt.
- Clinical reasoning: uses strategies to gather and analyze pt information, evaluate and decide on nursing actions to improve pt's outcomes
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Clinical reasoning uses what questions?
- Why?
- What else?
- What if?
- Why did you do what you did?
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What is the main priority (Urgent)?
- Airway
- Breathing
- Circulation
- V/S
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What is the 2nd priority (Serious)?
- changes in mental status
- untreated medical issues
- acute pain
- acute elimination problems
- ABN test results
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What is the 3rd priority (Minor)?
- long term care issues
- health ed
- rest
- coping
- spirituality
- comorbid conditions
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What are the 5 rights of delegation?
- Right task
- Right circumstance
- Right person
- Right direction/communication
- Right supervision/evaluation
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What can RN's NOT delegate?
- Assessment
- teaching
- anything needed nursing judgement
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What are the ONLY activities that UAP's can perform?
- trach care on established stoma
- obtain blood from blood bank
- non-medicated enema
- mattress overlays/specialty beds
- obtain V/S
- personal hygiene
- non-med dressing chg with skin intact
- collect specimen (urine, stool, expectorant sputum)
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What are the only activities that LVN's CANNOT perform?
- Meds into IV, peripheral cath, central venous, Maintain/monitor epidural infusions
- Meds into artificial airways
- Administer chemo, CAPD, peritoneal dialysis
- Plan of Care, evaluation
- Assessments (initial / transfer of care)
- Report for transfer of care
- Report changes to MD
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