- Making the decision for the patient if the patient is unsure.
- Signing the consent form on behalf of the patient.
- Acting as a witness to the patient's signature and ensuring the patient understands the information provided.
- Forcing the patient to sign the consent form quickly.
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- Administer the transfusion anyway because it is medically necessary.
- Tell the patient he is making a foolish decision.
- Respect the patient's autonomy and right to refuse treatment, and notify the physician.
- Ask the patient's family to convince him to change his mind.
- Call the hospital's Chief Executive Officer.
- Inform her immediate charge nurse or team leader.
- Complain to the patient's family.
- Document her concerns and wait for the doctor's next round.
- Document a patient's full medical history.
- Structure communication between healthcare professionals for clarity and efficiency.
- Complete an employee performance appraisal.
- Plan the weekly nursing schedule.
- Provide all direct patient care herself.
- Focus solely on administrative paperwork and stay out of clinical matters.
- Facilitate communication, coordinate care, and ensure the team has the resources to provide safe care.
- Represent the interests of the doctors to the nursing staff.
- A nurse, doctor, and pharmacist meeting to discuss a patient's complex medication regimen.
- A nurse complaining to her colleagues about a doctor's orders.
- A pharmacist changing a medication dose without informing the doctor or nurse.
- A doctor refusing to listen to a nurse's concern about a patient.
- Trying to complete every task by herself to ensure it's done right.
- Prioritizing tasks based on urgency and importance.
- Responding to interruptions and requests in the order they are received.
- Focusing only on administrative tasks and ignoring clinical needs.
- Exerting absolute authority over the staff.
- Monitoring performance and taking corrective action to ensure goals are met.
- Limiting the autonomy of professional nurses.
- Staffing the unit with the minimum number of nurses to save costs.
- Avoidance
- Competition
- Accommodation
- Compromise
- Creating the annual budget for the unit.
- Interviewing candidates for a vacant nursing position.
- Guiding and motivating staff to achieve the unit's objectives.
- Comparing the unit's infection rates to the hospital benchmark.
- Watch every single task the new nurse performs.
- Assign the most difficult patients to the new nurse to test her skills.
- Be available as a resource and provide regular, constructive feedback.
- Assume the new nurse knows everything and provide no supervision.
- Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation.
- Right Patient, Right Drug, Right Dose, Right Route, and Right Time.
- Right Plan, Right Organization, Right Staff, Right Direction, and Right Control.
- Right Leader, Right Follower, Right Situation, Right Motivation, and Right Outcome.
- See and interpret complex clinical data accurately.
- Articulate a clear and inspiring future for the team or unit that goes beyond day-to-day tasks.
- Manage the daily schedule with perfect efficiency.
- Strictly enforce all hospital policies without exception.
- Planning
- Organizing
- Staffing
- Controlling
- Performing an initial admission assessment on a new patient.
- Administering intravenous (IV) antibiotics.
- Assisting a stable post-operative patient with ambulation to the bathroom.
- Developing the nursing care plan for a patient with complex needs.
- Assign all tasks without consulting the team members.
- Allow the team to function without any direction or supervision.
- Invite team members to contribute to decisions about patient care assignments.
- Offer rewards for good performance and punishment for poor performance.
- Democratic
- Laissez-faire
- Transformational
- Autocratic
- A manager is assigned a formal position, while a leader can emerge informally.
- Leaders focus on budgets and staffing, while managers focus on vision and inspiration.
- All managers are leaders, but not all leaders are managers.
- Leadership is about controlling complexity, while management is about coping with change.
- Ignores a conflict between two staff nurses, assuming it will resolve itself.
- Recognizes her own anxiety during a crisis and takes a deep breath before giving instructions.
- Makes all decisions for the team without asking for input to save time.
- Shares confidential patient information to build rapport with her team.
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