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Responding

Clinical Judgement

Responding

Thinking Skill Recap:

  • AFTER data interpretation and plan creation
  • PRIOR to implementation of the actions
  • Clinical Forethought !

  • 3 Thinking Skills:
  • Delegating
  • Communicating
  • Teaching Others

Responding

1. Noticing

2. Interpreting

3. Responding

4. Reflecting

What might go wrong?

Delegating

Delegating

  • Transfer responsibility for performing a task
  • Individual must be deemed competent
  • Trust BUT Verify!

Delegating

as a nurse

Activity #1

Meet Your Patient

Activity #1

Task:

Review your state board of nursing's nurse practice act related to delegating. Develop a list of nursing interventions for Ms. Garcia. Determine which nursing interventions can be delegated to an LPN/LVN and which can be delegated to an unlicensed assistive personnel (UAP). Determine what nursing interventions must be provided by the RN. Give rationale for your decisions supported by the OK BON documents.

Rose Garcia

Communication

Communicate

  • Highly complex process
  • Involves many factors that nurse must be aware of
  • Therapeutic communication is vital with patient interaction

5 Key Characteristics

Therapeutic Communication

Empathy

Respect

Concreteness

Genuineness

Confrontation

Activity #2

Activity #2

Task:

  • Review 3 therapeutic communication techniques.

  • Discuss how you would use these techniques when talking with Rose Garcia or her family, and be prepared to demonstrate at least one technique.

Teaching

Others

"Nurses empower patients through teaching."

(Caputi, 2018, p.81)

Activity #3

Activity #3

Review all the information you have about Rose Garcia. You are delegating to the nursing assistant some aspects of Ms. Garcia's care.

Task:

Based on what you decided to delegate, list the information you may need to either teach or reinforce prior learning for the nursing assistance.

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