Leadership A Focused Review

Management of Care (6 Questions) Assignment, Delegation and Supervision - (1) ● Managing Client Care: Client Care Assignment for an LPN (Active Learning Template - Basic Concept) ○ ○ To PN: monitoring findings (as input to the RN’s ongoing assessment) Reinforcing client teaching from a standard care plan ○ Performing tracheostomy care ○ ○ Suctioning Checking NG tube patency ○ ○ Admin enteral feedings Inserting a urinary catheter ○ Admin mediation (excluding IV medication in some states) Collaboration with Interdisciplinary Team - (1) ● Coordinating Client Care: Priority Concern for Interdisciplinary Conference (Active Learning Template - Basic Concept) ○ Physical and occupational therapy can be required for ambulation, particularly if ○ crutches, a walker, or a cane is required, and for activities of daily living Physical therapy can help restore range of motion, teach strengthening exercises, ○ and assist the client with accepting the injury Look first for a safety risk. For example, is there a finding that suggests a risk for airway obstruction, hypoxia, bleeding, infection, or injury? Concepts of Management - (1) ● Managing Client Care: Resolving Staff Conflicts (Active Learning Template - Basic Concept) ○ ○ Strategy: collaborating Both parties set aside their original individual goals and work together to achieve a new common goal ○ Requires mutual respect, positive communication, and shared decision-making between parties ○ This is a win-win solution Continuity of Care - (1) ● Coordinating Client Care: Verbal Transfer Report (Active Learning Template - Basic Concept) ○ ○ Client medical diagnosis and care providers Client demographic information ○ Overview of health status, plan of care, and recent progress ○ Alterations that can precipitate an immediate concern ○ ○ Most recent vital signs and medications, including when a PRN was given Notification of assessments or client care needed within the next few hours ○ ○ Allergies Diet and activity prescriptions ○ Presence of or need for specific equipment or adaptive devices (oxygen, suction, wheelchair) ○ Advance directives and whether a client is to be resuscitated in the event of cardiac or respiratory arrest ○ Family involvement in care and health proxy, if applicable Establishing Priorities - (1) ● Managing Client Care: Setting Priorities for the Home Health Nurse (Active Learning Template - Basic Concept) ○ A client who has an acute problem takes priority over a client who has a chronic problem ○ A client who has an urgent need takes priority over a client who has a non urgent need ○ A client who has unstable findings takes priority over a client who has stable findings Performance Improvement (Quality Improvement) - (1) ● Managing Client Care: Identifying the Steps of Progressive Discipline (Active Learning Template - Basic Concept) ○ First infraction: informal reprimand, manager and employee meet, discuss the issue, ○ suggestions for improvement/correction Second infraction: written warning, manager meets with employee to distribute ○ written warning, review of specific rules/policy violations Discussion of potential consequences of infractions continue ○ Third infraction: employee placed on suspension with or without pay. Time away from work gives the employee opportunity to examine the issues, consider alternatives ○ Fourth infraction: employee termination, follows after multiple warnings have been given and employee continues to violate rules and policies