NCLEX Community Health/Leadership

Leadership model where the leader makes decisions alone and has strict control. Good for emergencies

Authoritarian

Leadership style that involves the whole team when making decisions

Most effective management style in healthcare

Democratic (participative)

Leadership that has minimal supervision

Laissez-Faire

Reportable Incidents

-Medication Error

-Procedure Error

-Needle stick Injury

RN Non-delgatable Tasks “EAT”

-Evaluate unstable pt

-Assessment (initial)

-Teaching

LPN Tasks

-Care for stable clients

-Administering meds

-Wound dressing

-Trach care

-Reinforcement of education

UAP Tasks

-Hygiene, bathing, toileting

-Feeding pts (not on swallowing precations)

-Ambulation

-Routine vital signs

The right to make one’s own decision

Autonomy

The obligation to do good for others

Beneficence

The obligation to do no harm

Non-maleficence

The obligation to keep promises and faithful agreements

Fidelity

The obligation to tell the truth

Veracity

The obligation to be fair to all people

Justice

Legal document that instructs health care providers and family members about what type of care they want if they are not able to make the decsions for themselves

Living Will

Legal document that designates another person to make healthcare decisions for them

Durable Power of Attorney

What is the nurse’s role in informed consent

Witness the pt’s signature

Negligence and malpractice fall under what type of tort

Unintentional Tort

Breach of confidentiality & defamation of character is what type of tort

Quasi-intentional tort

Assault, battery, false, imprisonment falls under what tort

Intentional Tort

Healthcare providers are protected from potential liability if volunteering away from their place of practice of employment to help someone in need

Good Samaritan Law

3 Scenarios for Mandatory Reporting (Vulnerable Populations)

1) Child abuse

2) Autistic abuse

3) Elderly abuse

Internal Disasters

Structural → Fire or loss of power

Personnel → Strike, high employee absenteeism

Family Disaster Plan

-What to do in an evacuation

-Plans for family pets

-Where to meet in case of an emergency

Family Disaster Kit should include what

-Flashlight

-Nonperishable foods

-One gallon of water per person

-First aid kit

-Matches

-Important documents + money

Mass causality triage

Red → Immediately

Yellow → Delayed 30 minutes to 2 hrs

Green → Minor

Black → Dead

Red Examples

-Airway obstruction

-Collapsed lung

-Shock

-Spinal cord injuries

-Burns involving airway

Yellow Examples

-Open Fracture

-Burns without airway comprimise

Green Examples

-Closed fracture

-Minor cuts

-Abrasion

Black Examples

-Severe Head trauma

-Cardiac Arrest

Healthcare Facility plan during a mass causality event

-Premature discharge all of the stable pts

-Transfer pts who are stable away from the ICU

-Postpone elective operations

-Hire off-duty staff

Bioterriorsm Category’s

Category A → Highest priority → Anthrax, Ebola

Category B → Medium priority → E. Coli, West Nile

Category C → Lowest priority → Hanta, TB

Cultural Competence vs Cultural Humility

Cultural Competence → Ability to provide care that respects and integrates aspects of culture into care

Culture Humility → Continuing self-reflection about other cultures practices.

Nonverbal cues of poor understanding

-Blank expression

-Inappropriate laughter

-Absence of questions

(Note to self always address pts by their last name)

Interpreter nursing notes

-Talk towards the client even-though interpreter is there

-Never use family

Burning hospital, who do you save first?

Anyone who can walk evacuate first, then help the others in need