time management

TIME MANAGEMENT

  • Five Rights of Delegation
    • Right Task: Ensuring the task being delegated is appropriate for the delegatee's scope of practice.
    • Right Circumstance: The context in which the task is being delegated must be suitable, including environment and resources.
    • Right Person: Delegation must occur to an individual who is competent to perform the task.

Prioritization and Time Management

  • Set and Reset Priorities:
    • Clients must be seen in a timely manner.
    • Interventions must be provided according to urgency and significance.
    • Steps in client procedures must be completed systematically.
  • Time Management:
    • Tasks should be completed:
    • Immediately when necessary.
    • By a specific time established in advance.
    • By the end of the shift to ensure all duties are fulfilled by the end of the work period.
  • Good Time Management:
    • Facilitates greater productivity.
    • Reduces work-related stress levels.
    • Ensures quality client care is maintained.

Assigning, Delegating, and Supervising

  • Assigning:
    • The process of transferring the authority, accountability, and responsibility to another team member to complete a task, which can be done downward or laterally.
  • Delegating:
    • Transferring the authority and responsibility to another team member to complete a task with the following considerations:
    • Right Direction/Communication: Clear communication regarding the expectations of the task.
    • Right Supervision: Providing necessary oversight to ensure completion.
    • Evaluation: Assessing the completed task for quality and accuracy.
  • Decision Making:
    • Decisions should be based on client need, facility policies, and job descriptions.
  • Follow ANA Code: Adherence to the American Nurses Association's code of ethics and practice standards.

Cardiac Care Unit (CCU)

  • Organization:
    • S.O.A.P. Method: This helps organize thoughts and activities in a factual manner:
    • S (Subjective): Information told by the client, subjective in nature.
    • O (Objective): Observable and measurable data gathered through examination or tests.
    • A (Assessment): Clinical judgment based on subjective and objective data.
    • P (Plan): The care plan set forth based on assessments.

Client Assessment

  • Direct Assessment:
    • Nurse assigned to care for a specific client.
  • Area Assignment:
    • Assigning nurses to areas where clients have a shorter length of stay.
  • Group Assignment:
    • Sorting clients into groups first, then assigning a nurse to each group.

Discharge Plan

  • Components of the discharge plan include:
    • D (Discuss): Engage in discussions to prepare the patient for discharge.
    • E (Educate): Provide education on post-discharge care and follow-up needs.
    • A (Assess): Continuous assessment to ensure readiness for discharge.
    • L (Listen): Actively listen to client concerns regarding discharge to address any issues.