Leadership

EATING Category 1

Feeds self or needs little food.

EATING Category 2

Needs some help in preparing food tray and meal planning.

EATING Category 3

Can't feed self but is able to chew and swallow.

EATING Category 4

Can't feed self and may have difficulty swallowing; enteral feeding when mouth is not available.

GROOMING Category 1

Self-sufficient.

GROOMING Category 2

Needs some help in hygiene.

GROOMING Category 3

Unable to do much for self.

GROOMING Category 4

Completely dependent; patient in ICU.

EXCRETION Category 1

Almost independent.

EXCRETION Category 2

Assist the patient in walking, rising, and using the comfort room.

EXCRETION Category 3

Complete bed rest; offer urinal or bed pan.

EXCRETION Category 4

Has a catheter attached; changing diaper is required, may be unconscious or in ICU.

COMFORT Category 1

Self-sufficient; can move about and change position as desired.

COMFORT Category 2

Needs help adjusting positions in bed.

COMFORT Category 3

Cannot turn without help; needs assistance to get a drink or adjust positions.

COMFORT Category 4

Completely dependent; all care is provided by nurses.

TREATMENTS Category 1

Simple supervised ambulation, dressing changes, vital signs per shift.

TREATMENTS Category 2

Any Category 1 treatments plus Foley catheter and intake/output measurements.

TREATMENTS Category 3

Any treatment more than twice per shift; IV medications, complicated dressing changes.

TREATMENTS Category 4

Complex procedures requiring two nurses and monitoring vital functions.

Morning Shift Staffing Importance

Higher percentage due to doctor rounds and initiation of orders.

Afternoon Shift Staffing Importance

Most orders are carried out and fewer doctors make rounds.

Night Shift Staffing Importance

Monitoring high-acuity patients and preparing for surgeries.

Nursing Attendant Responsibilities

Includes changing linens and making occupied beds.

Work hour per week (Nursing)

80 hours.

Types of Patients (Staffing Variables)

Categorization of patients for self-care and intermediate care.

Fluctuations in Admission (Staffing Variables)

Changes in bed capacity affecting staffing needs.

Length of Stay (Staffing Variables)

Determining how long patients will stay based on monetary considerations.

Complexity of Care (Staffing Variables)

Evaluating treatments and seriousness of patient conditions.

Personnel Policy (Staffing Variables)

Policies on personnel leave and attendance.

Absenteeism (Staffing Variables)

Impacts staffing levels.

Competitive Market (Staffing Variables)

Influences staffing through salary and benefits.

Case Method of Staffing

Each patient assigned to one nurse for total care during their shift.

Functional Nursing (Task Nursing)

Task-oriented method where nurses are assigned specific duties.

Team Nursing

A group of nursing personnel provides total patient care to a group of patients.

Primary Nursing

One RN responsible for total care of a few patients over 24 hours.

Advantages of Primary Nursing

Increased accountability and better communication between nurses.

Disadvantages of Primary Nursing

Potential for disrupted continuity of care due to staff transfers.

Case Management Method

Care managed by a case manager focusing on outcomes and resources.

Employee Discipline

Process for ensuring compliance with institutional rules and regulation.

Steps to Address Disciplinary Problems

Include coaching, confrontation, and disciplinary conferences.

Measures in Employee Discipline

Counseling, verbal and written reprimands, suspensions, dismissals.

Generational Work Groups

Groupings based on year of birth, e.g., Silent Generation, Baby Boomer, etc.

Staff Development Activities Reasons

To establish competence, meet learning needs, and satisfy staff interests.

Evaluation of Staff Development Activities

Includes learner’s reaction, behavior change, impact, and cost-effectiveness.

Justification for Career Development

Includes reduced attrition, equal opportunity, employment growth, and quality of life.

Training vs. Education

Training is specific skill-focused; education is broader and formal.