Note Aug 31, 2023

Tram Ho Managing Client care 1 Management is the process of planning organizing directing Autocratic Democratic this hierarchy of human w der styles Laissez faire coordinating the work needs when prioritizing a i The fivemajor management staffing directing controlling the nurse should prioritize Leadership is the ability to inspire others to achieve a Planning The decisions regarding a client who need A B CD what needs to be done how it then need for a sale desired outcome will be done who is going to do secure environment over a Effective managers usually it need for socialization j Wh However effective leaders structure that determines the to gather pertinent information are not always in a manag lines of authority channels of position communication when decisions are prior to making a decision regarding a plan of action One cannot be a leader without made Staffing the acquisition For example determine if management of adequate staff additional information is staffing mix Directing the leadership role needed prior to calling the assumed by a manager that influences motivates stagy to Provider to ask for pain medication for a client perform assigned roles Controlling the evaluation of staff performance evaluation of unit goals to ensure identified outcomes being met

Fam Trine specimens 44 Equipment includes straight indwelling Collect for 24hr on speciment container catheter insertion other duration non sterile for urinalysis 8 10 fr for children 14 Discard the first steriele for clean catch 16 fr for females 16 18 voiding midstream specimens fr for males Use silicon on Collect all other from a catheter soap Teflon products for clients urine refrigerate label or cleansing solution transport the specimen towel gloves for contact who have latex allergies Use aseptic technique with any body glands Catheterization bit with when inserting catheters sterile drainage bag for Prevent obstruction specimen label Soap water backflow of urine Collection container through catheter drainage for straight tubing drainage bag catheterization Provide perineal hygiene routinely after soiling Assess ongoing need for indwelling urinary catheter daily

Idaho cag 3 Advocacy refers to As an advocate the Nurses must be nurse's role in supporting nurse ensures that careful to assists client clients by ensuring that the client has the with making health they are properly informed information they need care decisions not that their right are to make decision direct or control their respected and that about health care decisions Nurse must act Nurses mediate on they are receiving advocates even when the client's behalf the proper level of they disagree with when the actions of care Advocacy is one clients decisions of the most important The complex health others are not in the clients's best care system puts roles of the nurse especially when clients clients in a vulnerable interest or changes need to be made in position are unable to speak the plan of care or act for themselves

Tamar tidal pathway 2 A critical or clinical Case managers often when a client pathway or care map initiate critical requires treatment can be used to support pathways but they are other than what is the implementation of used by many mem typical or requires clinical guidelines of the inter professional treatment other than what is typical or protocols team These tools are usually based on cost Critical pathway reauires a longer length of stay it is documented length of stay para are often specific to as a variance along with information mandated by prospective a diagnosis type outline the typical describing why the payment systems variance occurred Medicare insurance length of stay companies treatments

Tram Ho Using an interpreter The Joint Commission requires that an interpreter about the reason for avoid using metaphors iii ii and the type of question Direct the questions to health care facilities the client not to the in the client's language that will be asked interpreter 2010 Observe the client's Use only a facility brief detailed with verbal nonverbal whom to converse behaviors during convers approved medical Get feedback from interpreter Do not use Allow time for the interpreter the the client's family or family to be introduced conversation inn friends or a non designated become acquainted Do not interrupt the interpreter the client employee to interpret before starting the or the family as they talk

Tram Ho ABC frame work The ABC framework The severity of identifies in order the manifestations should Withan airway concern three basic needs for also be considered obstruction stridor sustaining life when determining establish a patent An open airway is priorities airway if indicated necessary for breathing A severe circulation recognize that 3 5mn so it is the highest priority problem can take without oxygen causes Breathing is necessary priority over a minor irreversible brain for oxygenation of the damage secondary to breathing problem blood to occur cerebral anoxia Circulation is necessary Some frameworks Assess the effective for oxygenated blood also include a P for of breathing apnea depressed respiratory to reach the body's disability E for rate interven as tissues exposure needed reposition administer naloxone

Tram Ho Incident reports Not placed nor mention _Forwarded to the Should be completed by the person who in the client's health risk manage depart or officer varies by identifies that unexpected care record However a description of the facility possibly after event has occurred This might not bethe incident should be being reviewed by individual most directly documented factually the nurse manager involved in the incident in the client's record Include an objective Various sources of Should be completed as soon as possible description of the inci data should be collected within 24hr of the actions taken to to ensure an unbiased incident Considered confidential safeguard the client through evaluation as well as assessment of an employee's are not shared with a treatment of any performance the client Nor is it acknowledged to the client injuries sustained that one was completed

Tram Ho safe use equipment Safe use of equipment Equipment should be refers to the appropriate Nurse's responsibilities related to equipment regularly inspected by operation of health safety is learning how the engineering or care related equipment to use maintaining maintenance department by trained staff competency in the use by the user prior equipment related injuries of equipment checking to use Faulty equip can occur as a result that equipment is of malfunction disrepair accurately set frayed cords disrepair or mishandling of can start a fire or mechanical equipment functioning properly Equipment should be oxygen nasogastric regularly inspected by suction at the beginning cause electrical shock should be removed during shift the engineering or from use reported maintenance department by the user prior immediately per agency to use Faulty policy equipment frayed cords disrepair can start a fire or cause an electric shock

Tram Ho Seclusion restraints Seclusion restraints Deaths by asphyxiation Nurse should are used to prevent clients strangulation have understand agency from injuring themselves occurred with restraints policies as well as or others Many facilities no federal state lows Seclusions is the placement of a client longer use a vest that govern the use in a room that is restraint for that of restraints seclusion reason False imprisonment and safe Seclusion The client can means the confinement is used for clients who are at risk for also experience of a person without injuring themselves on complications related their consent Improper others Physical restrai immobility pressure use of restraints can involves the application injuries urinary subject the nurse to of a device that limits fecal incontinence charges of false the client's movement Pneumonia imprisonment Chemical restraints are medication used to control

Tram Ho seizures Seizure can occur at Protective measures Instruct the client any time during a for clients who are person's life I can be high risk for a seizure to use precautions due to epilepsy fever include assigning the when get out of or a variety of medical client a room close to bed conditions the nurse station Seizure precautions inserting a peripheral If the seizure occurs provide moni measures to protect N toring treatment as the client from injury Ensure that rescue indicated should a seizure equipment including occur are taken A saline lock can oxygen an oral for clients who have a history of seizures airway suction nous access if the m equipment is at the client is at high that involve the risk for experiencing a generalized seizure in unconsciousness

Fram No Ethical decision making Ethical dilemmas are A problem is an Nurse have a problems for which ethical dilemma if responsibility to be more than once choice it cannot be solved advocates to can be made the choice is influenced solely by a review identify report by the values of scientific data ethical situations beliefs of the decision it's involves a doing so through makers There are conflict between two the chain of common in health moral imperatives command offers care a nurses must the answer will be prepared to some protection have a profound apply ethical theory effect on the against retribution decision making situation I client

Tram Ho Time management Organize care Using time saving Time initially spent according to client strategies avoid developing a plan care needs will save time later time wasters priorities what Good time manag help to avoid must be done immediately what ements are facilitates management by crisis must be done by greater productivity set goals plan care based on establish decreases work a specific time to related stress helps priorities thoughtful ensure client safety ensure the provision utilization of resources quality care of quality client complete one client compliance with care enhances care taste before facility policies satisfaction with beginning the next procedures care provided starting with the highest priority taste

Tradienthrights Client rights are The American Nurse are the legal guarantees Hospital Association accountable for that clients have AMA identifies protecting the clients with regard to their clients rights in right health care health care settings Client using the in the patent care Situation that require particular services of a health Partnership attention include care institution Residents in informed consent retain their rights nursing facilities refusal of treatment as individuals that participate advance directives citizens of the in Medicare pro confidentiality United States grams similarly information security retain residents rights

Tram Ho Confidentiality The client have It is essential the right to privacy for nurses to be confidentiality in aware of the rights relation to than of clients in regard health care information to privacy confi medical recommen dentiality Facility dations policies procedures Nurse who are established in disclose client info order to ensure to unauthorized can compliance with be liable for Hippo regulations invasion of privacy defamation or slander