...Question I Assigning fault in this case is difficult because all the facts are not presented; there are so many details and questions that are left unanswered to make a justified decision as to who really is at fault in this case. That being said I would not place fault to anyone in this case, however everyone involved in this case has some shared responsibility to the patients care. During report Jane is told that the patient fell without injury around lunch time but has had an uneventful evening. At my current place of work VA Hospital there is a Fall Prevention Program with a Post Fall Management Protocol in place, these are measures that are to be implemented after a fall by nursing, and multidisciplinary team members they are; assess for injuries and determine level of injuries, assess vital signs, including sitting/standing blood pressure and pulse, If diabetic, check blood glucose, notify physician/medical provider, The provider of or on-call physician will assess patient within one hour, provide care, order any needed diagnostic tests, medications, etc., complete a Report of Fall Incident Note and document circumstances of fall in medical record, notify all team members of the patient’s fall, complete Fall Risk assessment and implement high risk fall interventions, if indicated. First 24 hours after the fall: obtain vital signs every 8 hours, observe for possible injuries not evident at the time of the fall (assess limb reflex, joint range of motion, weight bearing)...
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...Delegation Example in a Health Care Setting Presentation * The delegation model or process * The delegation issue in your work place * The stakeholders in their different health care roles * How you choose the right stakeholder for the job At the completion of this presentation the learner will know the delegation model process, be capable of identify issues in the workplace, how to choose the appropriate stakeholder to complete the job, and the stake holders in their different health care roles. By using a possible occurrence that can happen in the work place as an example we will walk through the delegation process. * How you communicate with the stakeholders * How you resolve conflict * How you know when to give feedback * How you evaluate the problem solved * Relevant recommendations With communication being the most important aspect of delegation, we will discuss how to communicate with the stakeholders, resolving conflict, different ways to know when to give feedback, different evaluation methods to problem solve and relevant recommendations. * Know Your World * Know Yourself * Know What Needs To Be Done * Know Your Delegate * Communicate * Resolve Conflict * Feedback/Evaluate First, we will need to know what the definition of delegation is. According to Hansten and Jackson (2009), the National Council of State Boards of Nursing states that delegation is the “transferring to a competent individual...
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...& VALUES Delegation Orchid Quiton Chefalo Western Governors University Nursing Program 11/11/2011 Revised 11/30/2011 12/10/2011 SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES 2 Delegation It takes a team approach to manage patient-care. As a FNP, and a provider for this patient, she could collaborate with other experts and delegate care of the patient. The nursing supervisor for the clinic can aid the FNP to identify her role in the best utilization of the diverse workforce by facilitating the coordination of care by employing the experts and give an introduction of what services each specialty can offer to meet the needs of the patient. Examples of the roles of the diverse workforce are as follows: The LVN educator can give one to one instructions and education in pre-partum, intra- partum and post-partum care; The social worker can interview the patient’s life condition like the family dynamics and make appropriate recommendations for the patient to be successful at home; The community health RN, BSN can use her knowledge on what specific resources the patients needs within the facility and/or outside the community; The obstetrician can be consulted, and may expedite the care of the patient by making the recommendation to transfer to a higher level of care. As the nursing supervisor, it is a...
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...Communication Style Case Study Daria Aradio Monday, October 1, 12 University Of Phoenix Communication Style Case Study This is a case study about styles of communication. Presentation four scenarios identifying: passive communication, assertive communication, aggressive communication, and passive aggressive communication. The scenarios present how improvement with use of appropriate communication to promote effectively a professional outcome. My first scenario will demonstrate passive communication that leads to a passive aggressive outcome. The charge nurse in intensive care unit delegates out assignments to the other nurses, and at times the intensive care unit nurses refused to take more than two patients. Instead of the intensive care unit charge nurse delegating assertively the assignments she chooses to take the third patient. This causes her to become greatly behind in her own care, in turn providing a lower level of care to her patients. In a code or emergency situations because the charge nurse becomes burdened down with three patients, she cannot assist in these emergency situations and poorly manages direction and flow of the unit. This has led to the charge nurse holding resentment to some of the other nurses because they refuse an extra workload. When it came time for the other nurses to take vacation the charge nurse who does the scheduling tried to be fair and took three days less of her own vacation days to facilitate the fellow...
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...Application of Benner’s theory to problem of delegation Introduction A frequent problem at work is that registered nurse's (RNs) are often reluctant to delegate tasks to unlicensed assistive personnel (UAP). Many patients at the hospital suffer from strokes, spinal injuries, brain tumors, dementia/Alzhiemer’s disease, or other devastating illnesses/injuries. Also, large hospitals and hospitals in urban areas tend to have numerous patients at the hospitals at any given time. Every day hospital units are quite busy and nurses are required to turn, feed, constantly observe for patient safety, bathe, and assist with elimination. RNs need to delegate the tasks or responsibilities to unlicensed assistive personnel (UAP) or other healthcare professionals....
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...These changes have subsequently led to the emergence need of registered nurses having to work with personnel who will assist them in their work. Delegation of tasks is important so that the nurse can have more time to critically reason, plan and coordinate healthcare given to patients. The act of delegating is attributed to the fact that, as a registered nurse, one has greater knowledge and critical reasoning ability than the assistive personnel. As a result, the RN has the responsibility of delegating, assigning and supervising the assistive personnel. According to the NCBSN and the ANA, appropriate delegation of tasks can result in effective and safe nursing care (NCSBN & ANA, 2006). In the case study given, the recently graduated registered nurse (RN) is new in the field, thus does not have enough experience with regard to attending to six patients during the morning shift. Six patients are too many for the new RN thus, need for the UHCW. Delegation of duties as stated earlier on should be done so that the registered nurse gets enough time to complete tasks that require his or her specialized attention and knowledge. The reason why the RN has delegated the UHCW to assess the patients’ vital signs is so that he or she can do the final touches with regard to personal hygiene care. This reason is not professional enough in that the RN can use the help of the UHCW in completing the personal hygiene care process. The UHCW can gather up the dressing the used up dressing materials...
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...the original attachment[->0] Delegation has always been an important part of nursing. It has also been one of its most challenging aspects. How, as a new supervisor, you approach the subject can be a delicate matter. I would start by having a team meeting with the entire office staff. This approach would allow all of the members of the team to explain their rolls leading to a collaborative effort. In future staff meetings, I would also have follow up discussions in regards to what is working and what is not working within the healthcare team. When people feel that they are part of a team with equally important rolls it leads to greater job satisfaction and productivity. This will also allow everyone to become aware of the important jobs that all of the team members have. Working as a team from the beginning of care through to after the baby is born will lead to improved care and increase patient satisfaction. I would approach Ms. W in a non-threatening manner in a private area where we are not going to be interrupted. I would complement her on her concern for her patients and the individual attention that she pays them. I would explain to her that there are many services available at the clinic to assist her. Delegating some of the work would be beneficial in the overall care of the patient. She would still be responsible for the overall care and evaluating the outcomes of the care provided by others, but she would have some of the case load removed allowing her to concentrate...
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...Within the health field it is essential to make sure the patient’s care is priority. One of the important role for a registered nurse is knowing how to delegate. The importance of learning how to delegate, while earning a degree, will prepare student registered nurses in the work field. Incorporating classroom, case study, and clinical actives about the five rights of delegations. Is a great way to understand delegate effectively. Understanding the five right will help to assign the appropriate tasks to a license practical nurse or licensed vocational nurse and Nursing assistant. The five rights are: right task, right circumstance, right direction, right person, and right supervision. It is essential for the RN to know the limitation of the...
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...Communication Style Case Study Sherryanne Paul-John HCS/350 August 24, 2015 Brenda Harton Communication Style Case Study Everything that's said and done conveys a message that is labeled communication. From the verbal style using pitch and tone to nonverbal cues of body language and touch. The nurse-client communicative relationship should reflect the caring nature embedded in our profession, to achieve positive outcomes of our work. Boggs (2011) states, effective communication has been shown to produce better health outcomes, greater client satisfaction, and increased client understanding. This paper will show communication styles from a personal perspective and three other scenarios within the healthcare setting. The discussion will focus on why communicating effectively is important in health care and how the outcome of these interactions could improve staff relations and impact patient care. A Personal Perspective: The clinic has six RNs and one aide, two teams came together due to a department merger. Moral was low, control was lost and as a result, an "us versus them" mentality became evident from the onset. Everyone was in passive aggressive mode on a daily basis. Everyone had strong personalities. The tension was palpable. The team was split in half and with no team spirit and no team efforts the problem has never been solved. Now conflict is a natural part of a human relationship; however, unresolved conflict interferes with success in meeting goals (Boggs...
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...extremely defensive in the cases where studies were attempting to prove Associate-Degree Registered Nurses were not as competent as Baccalaureate-Degree Registered Nurses. I felt personally attacked. When I asked myself why I was taking this course to further my education and proceed towards obtaining a Baccalaureate-Degree, the answers became clear and obvious once again. In researching the differences in competencies of nurses prepared at the associate-degree level verses the baccalaureate-degree in the nursing field there was little evidence to show a significant difference in initial practice. Both ADN and BSN nursing graduates are required to pass the same National Licensure Council Examination (NCLEX). BSN and ADN nurses initially practice at a similar level. (Davis-Martin & Skalak, 1992, p. 27). In the both ADN and BSN nursing programs students are prepared with courses in ethics, nursing process, critical thinking, accountability, and basic understanding of cultural diversity among the nursing curriculum. Yet there are some basic preparation differences. BSN prepared nurses are required to take courses in liberal arts and humanities which create a well diverse or well-rounded student. The BSN program also requires courses in community health, and more in-depth leadership/management, and cultural diversity classes (Meyer, 1997). In New Mexico, the ADN program does not require pathophisiology course as a prerequisite. Although throughout the nursing courses basic knowledge...
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...Communication Study Case Study Cassandra Brown HEALTH CARE COMMUNICATION HCS/350 January 20, 2014 Terri DeWees Communication Study Case Study Communication is an ongoing, complex, ever-changing process between two or more individuals that convey a message that is understood by all involved parties (Hansten & Jackson, 2009). The way we communicate with each other is essential and how message is perceived and welcomed by the other parties involved in the conversation. When communicate with one another we use different communication styles and those styles are passive, passive aggressive, aggressive, and assertive. This paper will analyze three scenarios and their different communication styles. Scenario One In the first scenario, there are two different communication styles identified, aggressive and passive aggressive. During the team meeting, Robin the registered nurse displayed aggressive communication behavior toward the assistant Rashad. Robin spoke to Rashad, in such a manner that seemed to be very hurtful, derogatory, and belittling rather than being encouraging and supportive. Robin’s verbal response indicated that she believed she was superior to Rashad. Robin felt as though she should be the one making the decisions. Rashad, on the other hand however demonstrated passive aggressive behavior. Rashad feared losing his job so he sat quietly, without letting his feelings and thoughts be known (Hansten & Jackson, 2009 pp.283). Passive aggressive...
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...WORD COUNT 4399 The assignment will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the...
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...will be happy practicing and also enjoy doing every single task involve in the profession. This actually paved way for me because it made see realize the areas am going to be good at and well know the potentials I possess as an individual. This insight helped me to purse nursing career because I have seen myself possess most of the qualities of a nurse as per the definition of nursing. The definition of nursing by ANA is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and population. Differences in Competencies between AND and BSN Nurses The difference in competencies is that BSN prepared nurses possess high level of education in nursing which allows the opportunity to assume a position that involve the use of certain skills. These skills includes decision making skills, critical thinking, planning, implementation, intervention and evaluation in nursing.(Rosster, 2006 P.4). A BSN nurse having spent more years in nursing program has increased knowledge in all areas of studies including research in nursing, leadership and management. This acquired knowledge helps them...
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...WEEK ONE: LEADING, MANAGING & FOLLOWING (Chapter 1, p. 3-21) 1. Relate leadership and other motivational theories to behaviors that serve as important functions of professional nursing. a. Leadership theories i. Trait theories: 1. 2. Innate leadership skills: being born with a certain set of physical and emotional characteristics for inspiring others to reach a common goal ii. Style theories: 3. 4. How leaders behave in certain environments and situations. a. Democratic: you care about what others think b. Lasae faire: no structure; people can do what they want c. Authoritarian: you are in charge iii. Situational-contingency theories 5. 6. These theories consider the challenge of a situation and encourage an adaptive leadership style to complement the issue being faced. Assess, assess, assess 7. You are typically democratic; you assess the situation and change your style based on what the situation is. iv. Transformational theories 8. 9. Inspires, motivates, empowers, mentors, provides intellectual stimulation and promotes creativity b. Motivational Theories v. Hierarchy of needs 10. 11. Low level needs will always drive behavior before higher levels needs can be addressed. For example, pain level, nutrition...
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...Nightingale Executive Summary Western Governor’s University Nightingale Executive Summary Nightingale Community Hospital is a 180 bed hospital that provides acute care and a range of services to their community. Nightingale has four core values that consist of safety, community, teamwork, and accountability. Communication is a key concept in achieving and defining those values. According to the National Patient Safety Goal Data in regards to communication for Nightingale Community Hospital there is not consistency and goals are not being met for the following: reporting critical results within 60 minutes as evidenced by documentation, verbal orders/read-backs, unacceptable abbreviations, and time out hospital wide. Critical Results Within 60 Minutes Nightingale Hospital has showed variations in compliance with reporting critical results within 60 minutes for the months of January through December. Compliance went from 63% in January to 80% in December. In between this time there have been significant variances. As noted there from the data there was only 56% and 57% compliance for the months of June and July. Reporting of Critical Results with 60 minutes should be at 100% compliance. Verbal Orders/Read-Backs The ED met 100% compliance with verbal order/read-back audits for the fiscal year to date. Ortho is at 62% compliance. The other departments at Nightingale Hospital are ranging from 91% to 99%. For JCAHO standards the departments should be at 100%. ...
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