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Magnet recognition
Hospital recognized by the American Nurses Credentialing Center (ANCC) for excellence in nursing service and quality. Hospitals that attact and keep nurses when others have shortages.
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Team Nursing
RN leads a team that is made up of other RNs, licensed practical nurses (LPNs) and technicians
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Total Patient Care
RN is responsible for all aspects of patient care for one or more clients
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Primary nursing
Places registered nurses (RNs) at the bedside and improves accountability for client outcomes and professional relationships
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Case Management
Approach that coordinates and links health care services to clients, streamlining costs and maintaing quality
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Decentralization Management
Decision making is moved down to level of the staff, managers and staff are more actively involved
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Responsibility
- Duties and activities that an individual is employed to perform.
- Accepted/owned
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Autonomy
Freedom of choice and responsibility choices. Willing to make independent decisions.
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Authority
Legitimate power to give commands and make final decisions specific to a given position.RNs have the right to act- it's within scope of practice
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Accountability
Answerable for actions. Accepting the commitment to provide excellent care and the responsibilities or outcomes of the actions
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Shared Governance
Staff selects standards of care, policies, does quality control. Its a democratic model management. Staff and nurses are given the authority to make choices about the standard of care on unity policies and conduct best care
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Nurse/physician collaborative practice
Many disciplines involved in solving problems.
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Staff Communication
Newsletters, minutes of meetings
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Staff Education
Life long learners- to remain competent
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Clinical Decisions
You begin with assessment to determin to determin the need of the clients. Assessment is so much better when begin by developing a caring relationship. Once the assessment data is done you want to use the nursing process to dignose and set goal. Listen to the client for a better care. Be sure to ask assistance if client condition begin to change
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Priority Settings
- - High priority- Serious physical or psychological problems
- - Intermediate priority- non-life threatening actual or potential needs
- - low priority- actual or potential problems not directly related to illness or disease
- Basis need first- i.e., reposition before tray
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Organization Skills
- Effective-doing the right thing
- Efficiently- doing things right or least expenditure
- Efficacy- does what we say it does
- Multi-task:
- - Therapeutic conversation while assessing, but NOT while giving medications
- Plan Ahead- Equipment available and have client prepared (dressing change, giving medication).
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Use of Resources
- - Utilize members of the health care team
- - Have staff assist you especially when
- Safer and more comfortable for the client
- Recognize personal limitations
- Remember client comes first
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