Delegation & Multidisciplinary Team

Question 1

What is a multidisciplinary team?

Answer 1

All the health care staff that is directly involved in the client’s care.

Examples are the nurse, doctor, occupational therapist, physical therapist, respiratory therapist, pharmacist, speech therapist, social worker, and case manager.

Question 2

What is an interdisciplinary conference?

Answer 2

A meeting where all the health care staff discusses the client’s plan of care.

Family can also attend.

Question 3

What is a respiratory therapist?

Answer 3

Trained to help clients with respiratory conditions such as giving breathing treatments, adjusting ventilator settings and applying oxygen.

Question 4

What is an occupational therapist?

Answer 4

Trained to help clients with activities of daily living such as bathing, dressing, and eating.

Question 5

What is a physical therapist?

Answer 5

Trained to help clients with muscle strength such as walking or going up and down stairs.

Question 6

What is a speech therapist?

Answer 6

Trained to help clients with speech or swallowing problems.

Question 7

What is a pharmacist?

Answer 7

An expert in medications.

Question 8

What is a case manager?

Answer 8

Works with complex clients by organizing their care and resources regarding their medical care.

Example: setting up oxygen or wound supplies for care at home.

Question 9

What is a social worker?

Answer 9

Helps a client with non-medical needs.

Example: setting up food delivery or help with getting rides to medical appointments.

Question 10

What type of client does a Registered Nurse (RN) get?

Answer 10

• complex
• unstable
• requires assessment, evaluation and/or teaching

Question 11

What type of client does a new graduate RN get?

Answer 11

• stable
• needs assessment or evaluation as long as the client is stable
• needs teaching

Question 12

What type of client does a float nurse get?

Answer 12

Those they would be familiar with depending on what floor the float nurse came from.

Float nurses do NOT get clients that are extremely specific to the floor they have floated to or very unstable clients.

Question 13

What type of client do Licensed Practical Nurses (LPN) or Licensed Vocational Nurses (LVN) get?

RPN is a practical nurse in Canada which is similar to an LVN/LPN in the United States.

Answer 13

• stable
• needs reteaching

LPNs collect data and report abnormalities/complications to the RN.

Question 14

What type of tasks does an LPN/LVN do?

Answer 14

• many basic skills such as dressing changes or inserting a foley
• administering meds
  
  • NO IV meds
  • NO blood products
  • NO TPN or CVAD

LPN/LVN does NOT do the task if the client is unstable.

Question 15

What is an Unlicensed Assistive Personnel (UAP)?

Answer 15

Someone who assists the nurse in caring for the client.

They are also known as:

• nurse aide
• tech
• CNA (certified nursing assistant)

Question 16

What tasks does a UAP do?

Answer 16

• vital signs
• ambulating
• documenting intake and output
• emptying a foley
• activities of daily living (ADLs) such as bathing, hygiene, and feeding

Do NOT give the task to the UAP if the client is unstable.

Question 17

What is the function of leaders and managers?

Answer 17

Plan, organize, direct and control.

Question 18

Define:

Authoritarian Leadership

Answer 18

Is very controlling and only one person makes the final decision.

Question 19

Define:

Democratic/Participative Leadership

Answer 19

When every group member gives input and one person makes the best decision.

Question 20

Define:

Laissez-faire Leadership

Answer 20

When the decision making is left to the group.

Question 21

Define:

Situational Leadership

Answer 21

Uses a combination of styles depending on the situation.

Question 22

Define:

Bureaucratic Leadership

Answer 22

When the leader depends on policies and procedures for decision making.

Question 23

Define:

Transformational Leadership

Answer 23

When the leader motivates others through a mission, vision, and praising.

Question 24

Define:

Servant Leadership

Answer 24

When the leader develops skills in each individual.

Question 25

What is the **RN's responsibility** when providing post mortem care?

Answer 25

* confirm that the HCP has certified the death and document the time of death * check if an autopsy was ordered * check client if they are an organ donor * respect any cultural practices * identify the client * ask family if they would like to help and say goodbye * give valuables to the family member * document

Question 26

What is a **conflict** in relation to the nurse with other coworkers?

Answer 26

A **problem** that occurs beween coworkers or from a policy at work. ## Footnote Try to resolve the conflict before going up the chain of command.

Question 27

# Define: Avoidance Conflict

Answer 27

**Ignoring** there is a problem. ## Footnote Example: the nurse knows that the UAP is performing a task at a low level but ignores the problem because the UAP is difficult to communicate with.

Question 28

# Define: Accommodation Conflict

Answer 28

Helping others but then feeling **resentful**. ## Footnote Example: the nurse doesn't take a break because they are too busy helping other nurses, even though the other nurses do take their breaks on time.

Question 29

# Define: Competition Conflict

Answer 29

Only **caring about yourself** or how you do things. ## Footnote Example: a travel nurse does dressing changes differently (based on other hospital protocols) even though the policy is different at the hospital they are currently at - their way is "best".

Question 30

# Define: Compromise and Collaborate Conflict

Answer 30

This is the preferred method of conflict resolution. It's when two or more people **work creatively** to figure out a solution to a problem. ## Footnote Example: the same few nurses keep working weekends; in order to make it fair, a system is devised to rotate weekends for all the nurses.