Management of Care (Topics to Review) ● Coordinating Client Care: Case Manager’s Role in Discharge: 1. A critical or clinical pathway or care map can be used to support the implementation of clinical guidelines and protocols. These tools are usually based on length and cost of stay parameters. 2. Case managers in the community coordinate services and resources for clients whose care is based in a residential setting. ● Management of Care: Incorporating Qualitative Research Methods into Practice 1. Nurses in the community setting can contribute to the body of evidence by implementing research studies in the practice studies in the practice setting and in collaboration with educational institutions , healthcare facilities, and through community based research 2. CBPR includes partners, professionals, and community residents in identifying health issues and intervening. 3. The CBPR approach fosters support from community members, develops leadership within the community and promotes positive collaborative relationship with healthcare professionals ● Managing Client Care: Determining Staff Adherence to established standards: 1. Data collection methods are determined. 2. Quantitative methods are primarily used in the data collection process, although client interview is also an option. ● Managing Client Care: Ordering the steps of the Conflict Process: 1. Stages of Conflict: latent conflict, perceived conflict, felt conflict, manifest conflict, and conflict aftermath ● Managing Client Care: Rights of Delegation 1. Right direction/ communication- communicate in either writing or orally 2. Data that needs to be collected, method and timeline for reporting, specific tasks to be performed, expected results/ timelines, and expectations to follow up with communication. ● Nasogastric Intubation and Enteral Feedings: Evaluating Plan of Care 1. Unclog tubing using gentle pressure with 30 to 50 ml warm water in a 60 ml piston syringe. Carbonated beverages are not approved. 2. Do not mix medications with formula ● Safety and Infection Control (Topics to Review: 3) ● Facility Protocols: Determining Clients to Discharge in event of Community Disaster: 1. Ataxia or muscle weakness 2. During an emergency, nurses help make decisions regarding discharging clients or relocating them so that their beds can be used for clients who have higher priority needs. 3. Do not discharge or relocate clients who are in an unstable condition. ● Facility Protocols: Teaching about Incident Reports 1. Incident reports- unusual occurrences- an incident is the occurrence of an accident or unusual event. 2. Examples- medication errors, falls, omission of prescriptions 3. Document facts without judgment or opinion 4. Do not refer to an incident report in a client’s medical record 5. Incident reports contribute to changes that help improve healthcare quality ● Facility Protocols: Using Triage to Determine Order of Client Care: 1. Emergent or immediate- highest priority is given to clients who have life threatening injuries but also have a high possibility of survival once they are stabilized. 2. Survival potential- use this framework for situations in which health resources are extremely limited 3. Give priority to clients who have a reasonable chance of survival even with intense intervention