ulrecLlna Lhe nurslna Servlces

ulrecLlna
W lssuance of ordersţ asslanmenLsţ and lnsLrucLlons LhaL enable Lhe nurslna personnel Lo
undersLand whaL are expecLed of LhemŦ
W MusL be alven ln a compleLeţ undersLandableţ and loalcal orderŦ
W Also lncludes deleaaLlon of work Lo be performedţ uLlllzaLlon of pollcles and proceduresţ
supervlslon of personnelţ coordlnaLlon of servlcesţ communlcaLlonţ sLaff developmenLţ and
maklna declslonsŦ
LlemenLs of ulrecLlna
W ueleaaLlon
Þrocess bv whlch a manaaer asslans speclflc Lask or duLles Lo workersŦ
Worker resumes responslblllLv and accounLablllLv for Lhe end resulLs
1ralns and develops sLaff members who deslre areaLer opporLunlLles and challenaes ln
Lhelr work
1wo elemenLs lnvolvedť 1he ablllLv of Lhe worker Lo carrv ouL Lhe LaskŤ and Lhe falrness
noL onlv Lo Lhe emplovee buL Lo Lhe Leam as a wholeŦ
Þrlnclples of ueleaaLlon
W SelecL Lhe tlobt person Lo whom Lhe [ob ls Lo be deleaaLedŦ
W ueleaaLe boLh lotetestloo and oolotetestloo LasksŦ
W Þrovlde subordlnaLes wlLh enouah Llme Lo eoto
W ueleaaLe otoJoo
W ueleaaLe ln oJvooce
W osot before deleaaLlna
W Avold oops and vetops
WhaL cannoL be deleaaLed?
W Cverall responslblllLvţ auLhorlLvţ and accounLablllLv for saLlsfacLorv compleLlon of all acLlvlLles ln
Lhe unlLŦ
W AuLhorlLv Lo slan one's name ls never deleaaLedŦ
W LvaluaLlna Lhe sLaff and/or Laklna necessarv correcLlve or dlsclpllnarv acLlonŦ
W 8esponslblllLv for malnLalnlna morale or Lhe opporLunlLv Lo sav a few words of encouraaemenL
Lo Lhe sLaff especlallv Lhe new onesŦ
W !obs LhaL are Loo Lechnlcal and Lhose LhaL lnvolve LrusL and confldence
Whv nurse Manaaers do noL deleaaLe
W nurse Manaaer mav lack confldence on her sLaffŦ
W SubordlnaLes mav feel apprehenslve ln accepLlna deleaaLed Lasks for fear of crlLlclsm and
lncompeLenceŦ
W SoluLlonť Cpen communlcaLlonŦ Warm and cordlal relaLlonshlpsŦ
nurslna Care AsslanmenL
W AkA modallLles of nurslna careţ svsLems of nurslna careţ or paLLerns of nurslna care
W our baslc meLhods usedť funcLlonalţ LoLal care (formerlv named case nurslna)ţ Leam nurslnaţ
and prlmarv nurslnaŦ
uncLlonal nurslna
W 1ask orlenLedŦ
W ulvlslon of Lasks Lo be done wlLh each person belna responslble Lo Lhe head nurseŦ
W esL svsLem where Lhere ls more paLlenL Lhan professlonal nursesŦ
W ShorLŴLerm use onlvŦ
W AdvanLaaeť 1Ŧ Allows mosL work Lo be accompllshed ln Lhe shorLesL Llme posslbleŤ 2Ŧ workers
learn Lo work fasLŤ and 3Ŧ because Lasks are repeLeLlve Lhev aaln sklll fasLer
W ulsadvanLaaesť
1Ŧ fraamenLaLlon of nurslna care and Lherefore whollsLlc care ls noL achlevedŤ
2Ŧnurses' accounLablllLv and responslblllLv ls dlmlnlshedŤ
3Ŧ paLlenLs cannoL ldenLlfv who Lhelr ºreal" nurse lsŤ
4Ŧ nurseŴpaLlenL relaLlonshlp ls noL fullv developedŤ
3Ŧ evaluaLlon of nurslna care ls poor and ouLcomes are rarelv documenLedŤ
6Ŧ lL ls dlfflculL Lo flnd a speclflc person who can answer Lhe paLlenL's or relaLlves' quesLlonsŦ
1oLal Care or Case nurslna
W Cne nurse Lo one paLlenL for Lhe dellverv of LoLal careŦ
W Þrovldes whollsLlc careŦ
W ÞrlvaLe duLv nursesţ nurses ln speclal care unlLsţ lsolaLlon room nursesţ and for nurslna sLudenLsŦ
1eam nurslna
W uecenLrallzed svsLem of care ln whlch a quallfled professlonal nurse leads a aroup of nurslna
personnel ln provldlna for Lhe nurslna needs of a aroup of paLlenLs Lhrouah a parLlclpaLlve
efforLŦ
W 1eam conferences and wrlLLen nurslna care plans are lmplemenLed bv Lhe whole LeamŦ
W 1eam leader has slanlflcanL responslblllLv and auLhorlLvŦ
W SomewhaL llke funcLlonal nurslnaŦ
W Charae nurse1eam Leadernurslna SLaffÞaLlenLs/CllenLs
Þrlmarv nurslna
W Lach realsLered nurse ls responslble for Lhe LoLal care of a small aroup of paLlenLs from
admlsslon Lo dlscharaeŦ
W Þrlmarv nurse assesses Lhe paLlenLs' needs for careţ seLs care aoalsţ wrlLes care plansţ
admlnlsLers care accordlna Lo LhaL planţ evaluaLes Lhe ouLcomes of careţ and makes necessarv
chanaes or ad[usLmenLs as necessarv
W Þrlmarv and secondarv nurses are freed from admlnlsLraLlve and housekeeplna duLles
W AccounLablllLv ţ auLhorlLvţ and auLonomv resLs wlLh Lhe prlmarv nurseŦ






W ead nurse's role ls consulLanL and quallLv conLrol experL for Lhe prlmarv nurse ln Lhe unlLŦ
Primary Nurse
Patient/Client
Secondary/ Ass.
Nurse PM
Secondary/Ass.
Nurse night
Secondary/Ass.
Nurse Relief
W AdvanLaaes
lncreased auLonomv on Lhe parL of Lhe nurse Lherebv lncreaslna moLlvaLlon
8esponslblllLv and accounLablllLv
Lnsures conLlnulLv of care
Makes avallable lncreased knowledae of Lhe paLlenL's psvchosoclal and phvslcal needsŦ
Leads Lo lncreased rapporL and LrusL beLween nurseŴpaLlenL Lhus esLabllshlna a
LherapeuLlc relaLlonshlpŦ
lmproves communlcaLlon wlLh Lhe healLh care Leam and ellmlnaLes need of nurslna alds
W ulsadvanLaaes
lncreases sLafflna and cosLs
CLher nurslna AsslanmenLs
W Modular meLhodŴ modlflcaLlon of Leam and prlmarv nurslna
8ealsLered nurse provldes care wlLh nurslna aldsŦ
Lach Lrlo ls responslble for a paLlenL from admlsslon Lo dlscharaeŦ
W Case ManaaemenLŴ svsLem of paLlenL care dellverv LhaL focuses on Lhe achlevemenL of
ouLcomes wlLhln effecLlve and approprlaLe Llme frames and resources
uone bv a case manaaerŦ
Commonlv seen ln MCs and healLh care plansŦ
uLlllzlna/8evlslna/updaLlna/ nurslna Servlce Þollcles and Þrocedures
W Þollclesţ proceduresţ rulesţ and reaulaLlons are Lhe sLandlna plans of an oraanlzaLlonŦ
W Þollcles promoLe conslsLencv of acLlon and sLablllLvŦ
W Þrocedure manual ouLllnes a sLandard Lechnlque or meLhod of performlna duLles
CommunlcaLlon
W 1he Lransmlsslon of lnformaLlonţ oplnlonsţ and lnLenLlon beLween and amona lndlvldualsŦ
W lL helps promoLe LrusL beLween Lhe healLh personnel and Lhose cllenLsŦ
W lL provldes basls for leadershlp acLlon
1vpes of communlcaLlon
W Ierbal CommunlcaLlon
Ŵlnvolves speaklna of words
W WrlLLen CommunlcaLlon
ŴmusL be clearţ correcLţ compleLe and conclse
W nonŴverbal CommunlcaLlon
ŴwlLhouL uslna words
* aclal expresslonţ aesLuresţ Louchţ bodv lanauaaeţ or vocal Lones
Þrlnclples of LffecLlve CommunlcaLlon
W Clear llnes of communlcaLlon
W Slmpleţ exacLţ and conclse messaae
W eedback
W CommunlcaLlon Lhrlves
W Manaaer communlcaLlon sklll
W AdequaLe and Llme consclous
W Þersonal appearance
Ŵ aeneral lmpresslon of personallLv and self concepL
W lnLonaLlon of Lhe volce
Ŵ sofL and aenLle
W aclal expresslon
Ŵ frlendlv smlle
W ÞosLure and aalL
Ŵ phvslcal wellness
W 1ouch
Ŵ wav of carlna
Llnes of CommunlcaLlon
W uownward CommunlcaLlon
Ŵ LradlLlonal communlcaLlon ls from superlor Lo subordlnaLe whlch mav pass Lhrouah
varlous level of manaaemenL
W upward CommunlcaLlon
Ŵ Lhe form of feedback Lo show Lhe exLenL Lo whlch downward communlcaLlon has been
recelvedţ accepLedţ and lmplemenLed
W orlzonLal CommunlcaLlon
Ŵ flows beLween peersţ personnelţ or deparLmenLs on Lhe same levelŦ
Ŵ form of endorsemenLţ shlfLsţ nurslna roundsţ [ournal meeLlnas and conferencesţ
referrals beLween deparLmenL and servlces
W CuLward CommunlcaLlon
Ŵ deal lnformaLlon LhaL flows from Lhe carealvers Lo Lhe paLlenLţ Lhelr famlllesţ relaLlves
and communlLv
Ŵ values Lhelr work


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