Nursing Delegation, Setting Priorities, and Making Patient Care Assignments

by Kelly, Patricia; Marthaler, Maureen T

• ISBN13: 9781435481787
• ISBN10: 143548178X
• Edition: 2nd
• Format: Paperback
• Copyright: 2010-04-12
• Publisher: Cengage Learning

Summary

Nursing Delegation, Setting Priorities, and Making Patient Care Assignments, 2ND EDITION, is the ideal book to build the diverse skills needed in today's world of nursing, where many institutions rely on nurses to safely delegate critical tasks in the delivery of quality patient care. This book explores the elements of decision making which nurses use most and highlights the importance of communication, time management, and accountability.

Table of Contents

Contributors	p. V
Preface	p. VI
Acknowledgments	p. IX
About the Authors	p. X
List of Patient Descriptions	p. XII
	p. 1
Concept of Delegation	p. 1
Perspectives on Delegation	p. 3
Principles	p. 3
Assignment	p. 4
Standards	p. 7
Competence	p. 9
Supervision	p. 10
Accountability	p. 11
Authority	p. 12
Responsibility	p. 16
Delegated Activities	p. 17
Direct Patient Care	p. 18
Indirect Patient Care	p. 18
Underdelegation	p. 18
Overdelegation	p. 18
Organizational Accountability for Delegation	p. 19
Chain of Command	p. 21
Critical Thinking and Decision Making	p. 23
Decision-Making Process and Delegation	p. 27
	p. 35
NCSBN Delegation Decision-Making Tree and the Five Rights	p. 35
The National Council of State Boards of Nursing Delegation Decision-Making Tree	p. 36
The Five Rights of Delegation	p. 39
Regulation	p. 40
Knowledge and Skills of Delegation	p. 45
Power	p. 45
Responsibilities of Health Care Team Members	p. 47
Nursing Manager Responsibility	p. 48
Registered Nurse Responsibility	p. 48
New Graduate Registered Nurse Responsibility	p. 49
Licensed Practical/Vocational Nurse Responsibility	p. 49
Nursing Assistive Personnel Responsibility	p. 52
Delegation Suggestions for RNs	p. 54
	p. 65
Effective Communication	p. 65
Trends in Society that affect Communication	p. 66
Elements of the Communications Process	p. 67
Communication Skills and Delegation	p. 68
Interpersonal Communication	p. 69
Communication Skills	p. 69
Culture and Delegation	p. 73
Communication	p. 75
Space	p. 75
Social Organization	p. 75
Time	p. 75
Environmental Control	p. 76
Biological Variations	p. 77
The Professional Role of the Nurse	p. 77
Potential Barriers to Communication	p. 80
Gender	p. 81
Anger	p. 82
Status Differences	p. 83
Incongruent Responses	p. 84
Conflict	p. 85
Thought Distortions	p. 86
Overcoming Communication Barriers	p. 87
Avoiding Groupthink	p. 87
Roles in Communication	p. 90
Destructive or Difficult Behaviors	p. 91
Myers-Briggs Personality Types	p. 93
Workplace Communication	p. 94
Communicating with Supervisors	p. 96
Communicating with Co-Workers	p. 99
Communicating with Health Care Practitioners	p. 101
Crew Resource Management	p. 105
	p. 115
Time Management, Setting Priorities, and Making Assignments	p. 115
General Time Management Techniques	p. 117
Outcome Orientation	p. 118
Analysis of Nursing Time	p. 118
Value of Nursing Time	p. 118
Use of Time	p. 119
Activity Log	p. 120
Creating more Time	p. 120
Effective Use of Available Time	p. 124
Setting Priority Patient Outcomes	p. 124
Patient Handoff Report, Shift Action Plan, and Making Assignments	p. 131
Making Assignments	p. 134
Making Patient Care Rounds	p. 136
Evaluating Outcome Achievement	p. 140
	p. 155
Legal Aspects of Patient Care and Delegation	p. 155
Sources of Law	p. 156
Public Law	p. 157
Constitutional Law	p. 157
Criminal Law	p. 158
Administrative Law	p. 158
Civil Law	p. 161
Contract Law	p. 161
Tort Law	p. 163
False Imprisonment	p. 173
Resources for Safe, Legal, and Ethical Nursing Practice	p. 175
State Nurse Practice Act	p. 175
Policies and Procedures of the Institution	p. 175
Good Samaritan Laws	p. 175
Good Communication	p. 176
Ethical Behavior	p. 181
Risk Management Programs	p. 185
Malpractice/Professional Liability Insurance	p. 190
Nursing Risk in Litigation	p. 191
Nurse-Attorney Relationship in a Lawsuit	p. 194
	p. 207
NCLEX-RN Preparation	p. 207
NCLEX-RN	p. 208
Sample Questions	p. 210
Exit Examinations	p. 213
Predictors of NCLEX-RN Success	p. 213
NCLEX-RN Review Books and Courses	p. 213
Knowledge, Anxiety Management, and Test-Taking Skill	p. 215
Organizing your Review	p. 216
NCLEX and Medication Guides	p. 219
ARKO Strategies and ABC-Safe-Comfort Tips	p. 219
Glossary	p. 237
Index	p. 239
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