Ati leadership proctored focus review PDF

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Rene Garcia Jr

ATI Leadership Proctored Focus Review

Managi ngCl i entCar e:Appr opr i at eDel egat i ont oanAs s i s t i v ePer sonnel( Ac t i v eLear ni ngT empl at e-Bas i cConc ept ,RNQSENT eamwor kandCol l abor at i on,RM Leader s hi p7. 0Chp.1)

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ADLs, bathing, grooming, dressing, toileting, ambulating, feedings (WITHOUT DIFFICULTY SWALLOWING) intake and output, vital signs Nurses can only delegate tasks appropriate for the skill and education level of the healthcare team member who is receiving the assignment Is the process of transferring the authority and responsibility to another team member of complete a task, while retaining the accountability

Coor di nat i ngCl i entCar e:Suppor t i ngt heFami l yofaCl i entWhoHa sAl z hei mer sDi s eas e( RM Leader s hi p7. 0Chp.2,Act i v e Lear ni ngT empl at e-Bas i cConc ept ,RNQSEN-Pat i ent c ent er edCar e)

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Educate family/caregivers about illness, methods of care, and adaptation of the home environment Provides caregivers a temporary rest from caregiving while the person with Alzheimer’s continues to receive care in a safe environment Review the resources available to the family as the client health declines. Include long term care options

Managi ngCl i entCar e:I dent i f y i ngConfl i c tRes ol ut i onSt r at egi es( RNQSEN-Teamwor kandCol l abor at i on,Ac t i v eLear ni ng T empl at e-Bas i cConc ept ,RM Leader s hi p7. 0Chp.1)

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Intrapersonal conflict- occurs withing the person can involve internal struggle related to contradictory values or wants Intergroup conflict- occurs between two or more group of indivuals, departments or organizations Stages of conflict: o latent conflict- the actual conflict has not yet developed however factors are presnt that have high likelihood of causing conflict o perceived conflict: a party perfieves that a problem is present though an actual conflict might not actually exist. o Felt conflict- those involved begin to feel an emotional response to the conflict o Manifest conflict- are aware of the conflict and action is taken o Conflict aftermath- is the completion of the conflict process. Open communication among staff and between clients can help fray the need for conflict Use I statements and focus on the problem, Escalating conflicts should be moved to a private area

Managi ngCl i entCar e:I mpl ement i ngSc hedul i ngChange( RNQSEN-Teamwor kandCol l abor at i on,Ac t i v eLear ni ngT empl at eBas i cConc ept ,RM Leader s hi p7. 0Chp.1)

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Bring unsafe assignment to the attention of the scheduling to charge nurse to negotiate a new assignment Move up chain of command if nothing worked Failure to take care patient is patient abandonment

Rene Garcia Jr

ATI Leadership Proctored Focus Review

Coor di nat i ngCl i entCar e:Ref er r al sf orHomeOx y genTher apy( RM Leader s hi p7. 0Chp.2,RNQSEN -T eamwor kand Col l abor at i on,Ac t i v eLear ni ngTempl at e-Bas i cConcept )

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The care can be provided in the acute setting or outside the facility Clients being discharged from health care facilities to their home can still require nursing care Discharge referrals are based on client needs in relation to actual and potential problems and can be facilitated with the assistance of social services, especially

Coor di nat i ngCl i entCar e:Pr i or i t yCl i entCar eFol l owi ngaT r ans f er( Ac t i v eLear ni ngT empl at e-Bas i cConc ept ,RM Leader s hi p7. 0 Chp.2)

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confirm the facility receiving client has bed ready, communicate time transfer will occur complete documentation, give verbal transfer report in person or via phone make sure client is dressed appropriately, account for all client's valuables

Managi ngCl i entCar e:Pr i or i t i z i ngPos t oper at i v eCl i entNeeds( Ac t i v eLear ni ngTempl at e-Nur s i ngSk i l l ,RNQSEN-Pa t i ent c ent er edCar e,RM Leader s hi p7. 0Chp.1)

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Recognizing that a postoperative client's report of pain could be due to pain in another location rather than expected surgical pain Listen carefully to clients and don't assume. Recognizing a gradual deterioration in a client's level of consciousness and/or Glasgow Coma Scale score

Pr of es s i onalRes pons i bi l i t i es :Ev al uat i ngt heNeedf orFur t herSt affEduc at i on( RM Leader shi p7. 0Chp.3,RNQSEN-T eamwor k andCol l abor at i on,Ac t i v eLear ni ngT empl at e-Bas i cConc ept )

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Nurse's involvement in the orientation, socialization, education, and training of fellow health care workers to ensure the competence of all staff and to help them meet standards set forth by the facility and accrediting bodies. The process of staff education is also referred to as staff development. The quality of client care provided is directly related to the education and level of competency of health care providers. The nurse leader has a responsibility in maintaining competent staff. Nurse leaders work with a unique, diverse workforce. The nurse should respect and recognize the health care team's diversity

Pr of es s i onalRes pons i bi l i t i es :Respondi ngt oCl i ent ' sConc er nsAboutPr oc edur e( RM L eader s hi p7. 0Chp.3,Act i v eLear ni ng T empl at e-Bas i cConc ept ,RNQSEN -Pat i ent c ent er edCar e)

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If the client refuses a treatment or procedure, the client is asked to sign a document indicating that he understands the risk involved with refusing the treatment or procedure and that he has chosen to refuse When a client decides to leave the facility without a prescription for discharge, the nurse notifies the provider and discuss with the client the potential risk associated with leaving the facility prior to discharge The nurse carefully document the information that was provided to the client and that notifications of the provider occurred.

Rene Garcia Jr

ATI Leadership Proctored Focus Review

Pr of es s i onalRes pons i bi l i t i es :Pr i or i t yAc t i ont oT ak eWh enFl oat i ng( RNQSEN-T eamwor kandCol l abor at i on,Act i v eLear ni ng T empl at e-Bas i cConc ept ,RM Leader s hi p7. 0Chp.3)

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Orient to the unit Inform Manager about capabilities Remain Positive, Care for patients Ask questions/guidance from charge nurse

Managi ngCl i entCar e:Col l ec t i ngQual i t yI ndi c at orDat a( Ac t i veLear ni ngT empl at e-Bas i cConc ept ,RM Leader s hi p7. 0Chp.1)

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Begins with identification of standards and outcome indicators based on evidence are goals that are set to determine at what level the outcome indicators should be met. reflect how client care is provided and are established by policies and procedures (clinical practice guidelines).

Coor di nat i ngCl i entCar e:Pr i or i t yNur s i ngAc t i onf orDi s c har ge( RNQSEN-T eamwor kandCol l abor at i on,RM Leader s hi p7. 0Chp. 2,Act i v eLear ni ngTempl at e-Bas i cConc ept )

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Continuity of care is desired as clients move from one: -Level of care to another, such as from the ICU to a medical unit -Facility to another, such as from an acute care facility to a skilled facility -Unit/department to another, such as from the PACU to the post surgical unit Nurses are responsible for facilitating continuity of care and coordinating care through documentation, reporting, and collaboration A formal, written plan of care enhances coordination of care between nurses, interprofessional team members, and providers.

TheI nt er pr of es s i onalT eam:Recogni z i ngNeedf orRef er r alt oaSpeechLanguagePat hol ogi st( Act i v eL ear ni ngT empl at e-Sy s t em Di s or der ,RM FUND9. 0Ch2,RNQSEN-T eamwor kandCol l abor at i on)

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Evaluates and makes recommendations regarding the impact of disorders or injuries on speech, language, and swallowing. Teaches techniques and exercises to improve function. A client is having difficulty swallowing a regular diet after trauma to head and neck.

Fac i l i t yPr ot oc ol s :Needl eSt i c kSaf et yPr oc edur es( Ac t i v eLear ni ngT empl at e-Bas i cConcept ,RM Leader s hi p7. 0Chp.5,RN QSEN-Saf et y )

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Dependent on policy per hospital or employer Always fill out incident report Prophylactic testing/treatment

Fac i l i t yPr ot oc ol s :Appr opr i at eRes pons et oT uber cul os i s( RNQSEN-Saf et y,Act i v eL ear ni n gT empl at e-Sy s t em Di s or der ,RM Leader s hi p7. 0Chp.5)

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N95 or HEPA respirator Negative airflow room

Rene Garcia Jr 

ATI Leadership Proctored Focus Review

Airborne precautions, Patient wears mask outside of room

Mai nt ai ni ngaSaf eEnv i r onment :I sol at i onGui del i nes( RM Leader s hi p7. 0Chp.4,Act i v eLear ni ngT empl at e-Basi cConcept ,RN QSEN-Saf et y )

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Seclusion is the placement of a client in a room that is private, isolated and safe Clients suspected of or known to have a communicable disease should be placed in the appropriate form of isolation Facility policies and procedures should serve as a resource for proper implementation of infection prevention and control

Medi cal andSur gi c alAs eps i s :Pr i nc i p l esofSur gi c alAs eps i s( Act i v eLear ni ngT empl at e-Nur s i ngSk i l l ,RM FUND9. 0Ch10,RN QSEN-Saf et y )

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Conscientiousness, alertness, and honesty are essential qualities in maintaining surgical asepsis A sterile object remains sterile only when touched by another sterile object A sterile object or field out of the range of vision or an object held below a person's waist is considered contaminated...