Title COMPRE - HANDOUTS - LM (Mr. Manago) ✅

TOP RANK REVIEW ACADEMY, INC. Page 2 | ● Policy making ● Chief nurse ▪ Middle-level ● Facilitate communication between top and first-level ● Nursing supervisor ▪ First-level ● Operational planner ● Day-to-day operations ● Head nurse - Types of Organizational Structures o Tall vs Flat ▪ Tall ● Centralized ● Decision making at top ● Narrower span of control ▪ Flat ● Decentralized ● Decision making where work is done ● Wider span of control o Ad Hoc ▪ Temporary ▪ Project-based - Power o Types of Power ▪ Reward: granting favors/rewards ▪ Coercive: fear of punishment ▪ Legitimate ● Formal position/ job title ● Authority is source of power. ● Major power of managers ▪ Expert: knowledge, expertise ▪ Referent: association with powerful people ▪ Charismatic: personal influence ▪ Informational: knowledge that others do not have - Patient Care Delivery Methods o Total Patient Care / Case Method ▪ Nurse is responsible to meet all needs of assigned patients ▪ Oldest, common o Functional Method ▪ Based on tasks, not patients ▪ E.g. BP monitoring, Medications, Hygiene o Team Nursing ▪ Staff follow the team leader (nurse) ▪ Max. 5 per team o Modular Nursing ▪ 2-3 members ▪ Smaller teams o Primary Nursing ▪ 24-hour care ▪ Admission to discharge ▪ Associate nurse: substitute when primary nurse is off-duty ▪ Reqt: Primary nurse is self-directed o Case Management ▪ Collaborative/Multidisciplinary ▪ Goal: Cost-effective outcomes ▪ Reqt: Case manager STAFFING - Staffing Functions (ReSePI) o Recruitment ▪ Active search for applicants ▪ Turnover: replacement of new staff ● Low turnover: retention, staff development ● High turnover: decreased patient safety ● No turnover: stagnation o Selection ▪ Requirements ● Minimal Criteria: minimum ● Preferred Criteria: ideal ▪ Interview ● Evaluates suitability for the position. ▪ Evaluation ● JOB DESCRIPTION: avoid under/overqualified applicants ● NEVER ask discriminatory questions. o Age, race, marital status, sexual preference, etc. ▪ Background Check: Check references, verify credentials ▪ Psychologic and Physical Examination: No disease/disorder that will impair work. o Placement o Assignment to department o Indoctrination: Adjustment of employee to organization (IOS) o Induction ▪ General information ▪ Done by HR o Orientation ▪ Specific information for position ▪ Done by first-level manager (head nurse) o Socialization ▪ Learning the behaviors associated with role - Scheduling Options o 8hrs or 12hrs/shift, 40 hrs/week o Float pools ▪ Flexible: Higher pay ▪ Reqt: Orientation to unit, Core competencies o Flextime ▪ Time schedules based on staff o Self-scheduling ▪ Daily schedules based on staff DIRECTING (THE “DOING” PHASE) - Communication: exchange of thoughts through speech or signals. o Communication Process o Verbal vs Nonverbal ▪ Verbal: use of words (written or spoken) ▪ Non-verbal: body language - Verbal communication o Assertive: direct, honest, acceptable. “I” statements o Passive: silence, avoids conflict o Aggressive: threatening, bullying o Passive-aggressive: aggressive message conveyed passively. - Channels of Communication