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N450 Midterm Review and Study Guide (1).
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N450 Midterm Review and Study GuideTasks that can be delegated to an LVN in the state of California - ANS-can start peripheral IVs
and superimpose IV solutions of electrolytes, nutrients, vitamins, blood and blood products
No IV medications, IV agents through a central line
Basic focused assessment (can't act on it)
Options available to you when you are asked to float to a floor against your better judgment -
ANS-Ask to see the binder with policy's
Advocate for yourself that it is not safe (talk to charge/instructor)
Sign a Assignment despite objection form (ADO form)
Ask other people on the floor that are familiar and learn from them
Talk to charge nurse
assignment vs delegation - ANS-Assignment: distributing work to qualified people; activity is
within their job description
Delegation: Directing performance of one or more people to accomplish goals, while retaining
accountability for work
Three criteria nurses use to determine whether to follow an order - ANS-Policies
Competent
Safe for patient
7 Problem-solving steps - ANS-Identify the problem (Assess)
Gather and analyze data (Diagnose)
Explore alternative solutions (Plan)
Evaluate the alternatives (Plan)
Select the appropriate solution (Plan)
Implement solution (Implement)
Evaluate the results (Evaluate)
mission vs. vision vs. values - ANS-Mission: organization's purpose, why it exists
Vision: organizations goals
Values: affects the organization's decision making, perceptions and conflict resolution. Principles
which guide the organization
Consequences for nurse or organization when MVV do not align with actual practices -
ANS-Internal conflict and burnout can occur when personal and org. values don't align
, 5 Types of nursing care delivery systems, benefits/drawback - ANS-Functional: tasks delegated
to individuals with a certain set of skills, ie. LVNs, CNAs, RN each has their own scope of
practice that determines their function
Drawback: fragmented care
Primary: 1 RN takes responsibility for a pt 24/7 and provides care on shift
Ie. Hospice RN
Drawback: if RN is lacking, care will therefore lack as well
Modular: Mini teams / care pods
RN and 2-3 other team members. Population based health care/disease management
Team: LVN / aid collaborate in providing care to a group of PT's under direction of RN
Ie. Medsurg floor team
Total Patient Care: 1 RN takes complete care of the patient
ie. ICU
Key concepts related to Magnet Hospitals - ANS-Demonstrates nursing excellence, shared
governance based on outcomes. Only 204 hospitals ~7%
Established based on highest and most positive patient outcomes.
Key steps in the development of healthcare policy - ANS-Understand/ assess the problem
Set course of action or inaction
Find government/ political support for a bill or law
Committee action on the bill
Taken to the floor for a final vote
Key concepts related to collective bargaining - ANS-Activities between organized labor and
management regarding employee relations.
DO NOT HAVE TO BE PART OF A UNION
Solves problems for the majority rather than specific individuals
Provides a voice and platform for staff
4 stages of leadership development - ANS-Reactive: Crisis driven, past focused
Responsive: mold, team work
Proactive: future oriented, common values
High performing teams: maximum effectiveness and employee satisfaction
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