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Are classifed by ownership, the kind of services they offer, their size, and length of patient stay. |
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Board of Trustees/Directors |
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Set overall objectives for the facility, but hand over day to day operations to the adminstrations. |
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RN with specialized advanced education |
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Training takes 26 months and provides assistance to a physician and works under physicans direction and supervision. |
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Responsibility for planning, supervising, and evaluating nrusing care on a single unit or division on a 24/7 basis.
Aka head nurse |
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Can be in charge of more than one division or unit or house (the whole building) |
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Responsible that appropriate care is provided |
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Unlicensed assistive personal taught to perform specific tasks.
Can be nursing assistant or techs...etc |
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Nursing Care Delivery Models or Nursing Care Patterns
Case Method |
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Oldest delivery system, where a nurse is responsible for entire care of one/more patients for one shift.
EX: ICU |
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Nursing Care Delivery Models or Nursing Care Patterns
Functional Method |
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Each member of team is assigned a specific task.
EX: in a snowstorm when the nurses are coming in at different times. |
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Nursing Care Delivery Models or Nursing Care Patterns
Total Patient Care |
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Care is provided totally for patients, but difficult ecause of nurses time off and is very costly. |
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Nursing Care Delivery Models or Nursing Care Patterns
Team Nursing |
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Started in 1950s. Where different levels of staff are used to their level of education and training thus cost effective and best use of personal. |
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Nursing Care Delivery Models or Nursing Care Patterns
Primary Nursing |
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Most recently developed nursing care method where an RN has total responsibility for a patient 24 hours a day 7 days a week for the entire time the patient is in the hospital. |
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Nursing Care Delivery Models or Nursing Care Patterns
Patient Care Units |
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Definition
A specialized care unit
EX: OB, Peds, Ortho
Specific to one certain area/disease |
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Nursing Care Delivery Models or Nursing Care Patterns
Progessive Care Units |
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Definition
ICU to stepdown to regular nursing. |
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Nursing Care Delivery Models or Nursing Care Patterns
Self Care Unit |
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Pt needs no help, but needs rehab and teaching. |
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Catholicism: Infant baptism when baby is almost dying.
7 day Adventist: Vegetarians
Judaism: Sabbath Friday dusk to one hour after sunset Saturday. Don't mix meat with dairy.
Muslim: Strict dietary rules.
Mormons: Church of Jesus christ of Latter Day Saints. No tobacco, caffiene, or alcohol. |
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Definition
Jehovah's Witness: No blood or blood products. Don't bote or serve in the military.
Christian Scientists: Have their own practioners and own nursing homes. Won't see them in the hospitals.
Quakers: "friends" have no ministers and spirtual needs are met through members of the meetings. |
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Definition
Child & Elderly Abuse: Needs to be reported.
Abortion: Do not judge. When first hired if you disagree with practice ask to not work with pts, but if understaffed may have to work with them anyways.
Hostile Agressive Pt: Don't get cornered, show no fear.
Drug Abuse Pt: If you suspect someone of bringing in drugs notify supervisor who will then notify security and the police. Do not go searching through they're belongings.
Dealing with family and Friends: Be respectful.
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