1. Assigning is performed in a downward or lateral manner with regard to members of the health care team.
2. Client factors include condition of client, level of care needed, specific care needs, need for special precautions, and procedures requiring a significant time committment.
3. Health care team factors include knowledge and skill level of team members, amount of supervision necessary, staffing mix, nurse-to-client ratio, experience with similar clients, and familiarity of staff members.
4. If an assignment is inappropriate, the nurse should bring the assignment to the attention of the scheduling/charge nurse and negotiate a new assignment.
5. Failure to accept the assignment without following the proper channels may be considered abandonment.
1. AP's can perform ADL's, specimen collection, intake and output, and vital signs.
2. LPN's can monitor client findings, reinforce client education, trach care, suctioning, checking nasogastric tube patency, administer enteral feedings, insert urinary catheters, and administer meds (except IV meds).
3. Use the 5 rights of delegation (right task, right circumstance, right person, right direction/communication, and right supervision/evaluation).
4. RN's cannot delegate the nursing process, client education or tasks that require clinical judgement to LPN's or AP's.
5. Task factors include predictability of outcome, potential for harm, complexity of care, need for problem solving and innovation, and level of interaction with the client.
1. Characteristics of managers include holding formal position of authority and power, possessing clinical expertise, networking with members of the team, coaching subordinates, and making decisions about organization function, including resources, budget, hiring, and firing.
2. The 5 major management functions are planning, organizing, staffing, directing, and controlling.
3. Planning- the decisions regarding what needs to be done, how it will be done, and who is going to do it.
4. Organizing- the organization structure that determines the lines of authority, channels of communication, and where decisions are made.
5. Staffing- the acquisition and management of adequate staff and staffing mix.
6. Directing- the leadership role assumed by a manage that influences and motivates staff to perform assigned roles.
7. Controlling- the evaluation of staff performance and evaluation of unit goals to ensure identified outcomes are being met.
1. Authoritative- makes decisions for the group, motivated by coercion, communication occurs down the chain of command, work output by staff is usually high, and effective for employees with little or no formal education.
2. Democratic- includes the group when decisions are made, motivates by supporting staff achievements, communication occurs up and down the chain of command, and work output by staff is usually good quality.
3. Laissez-faire- makes very few decisions and does little planning, motivation is largely the responsibility of individual staff members, communication occurs up and down the chain of command and between group members, work output is low unless and informal leader evolves from the group, and it is effective with professional employees.
4. Leaders are initiative, inspirational, energetic, have a positive attitude, have good communication skills, respectful, and have problem solving and critical thinking skills.
5. Contemporary leadership theory supports the belief that leaders can develop the necessary skills.