Session 3
Session 3
Session 3
Management
By: Ms. Khairunnisa Mansoor
Senior Instructor AKU-SONAM 2024
5
Purpose of Clinical leadership
(Solange M, 2017)
Leadership Qualities A Must-have For Every Type Of Leader
Excellent
Communication Exchange of verbal and nonverbal cues and information
4 Skills to relay messages
Leadership Qualities A Must-have For Every Type Of Nurse Leader
Respect for Accepting them for who they are, even if you disagree with their
7
Others values, beliefs, or habits.
Clinical Clinical
Head Nurse Nurse Nurse
Instructor Coordinator
Assistant Nurse
Head Nurse Navigator
Nurse
leader/Incha Staff Nurse
rge
Various Functions of Clinical leaders
Staff Management
Unit Management
Patient care
Management
Staff Management
Service Excellence (CARR)
Document staff related concerns and anecdotes on shift basis and notify to
HN/CNI promptly.
Staff management cont…
Ensure appropriate number of staffing at the beginning of the shift and in crisis.
Release staff for break on time: mention break timings on assignment sheets.
Monitor staff break and overlapping timing especially on weekend and public holidays.
Monitor staff’s lab timings and POE order review timings, special assignments in
evenings and nights especially on weekend and public holidays.
Employee Development
Employee development is the combined effort of employees and nurse leaders
focused on helping employees improve knowledge and skills. It will ensure:
i. increased loyalty
ii. best nursing workforce
iii. better work performance
iv. improves patient outcomes
v. reduces risks to patient safety.
vi. Make employee feel they are valued
vii. Well-trained nurses are equipped to provide top-notch patient care
Staff Qualification and Education: Basic Credentials
Certification is a formal recognition that a nurse has acquired specialized knowledge, skills, and
experience that meet identified standards.
(Miller & Boyle, 2008).
1. Medication certification
2. Basic life Support (BLS)
3. Basic Infection control Certification (BICC)
4. IV canulation
5. Pakistan Nursing council License
6. Procedural sedation (As per area specialty)
Crafting a Conducive work Environment 15
• Feedback Mechanism
appraisal/performance review, supervised practiced
(assessment), mentorship & preceptorship
• Ad-hoc – Debriefing following critical incident, giving feedback, mentorship & preceptorship
• Brief and debrief (Team STEPS)
• Ensure that all TLs’ have access to support services in case of breakage of
any equipment, supplies not available, or any emergency situation.
• To document unit related incidents and anecdotes on shift basis and forward
it to HN/NI next morning for prompt reporting.
Unit Management
• Record events: expiry, escape, robbery, violence by attendant / staff with MR #, bed
#, time of incidence.
• To document shift report correctly on shift basis and notify nursing supervisor for
any changes.
• Submit terminal cleaning check list for all infected/ isolation room patient’s room to
NI/ HN.
What are
Am I prepared Which What is the What is my What are the Which
competencies
to conduct category of best time to goal from these strategies practice
/tools
Clinical rounds the staff to do clinical clinical required to issue needs
required to
with staff ? focus on? rounds? rounds? enhance staff immediate
conduct
? development? attention?
clinical
rounds?
Objectives of Rounds
Communication and
Patient Satisfaction Decrease readmission
collaboration in team
Patient safety
Continuing professional
development Prevent Errors and
patient harm
Implementation of a ward round
❖ Set expectations of completed pre‐WR preparation
❖ Inform prior the set time of round
❖ Mostly rounds are done daily at least per shift.
❖ Usually done at the patient bedside
❖ keeping the patient review discussions well-focused and well-
structured, allowing time for everything necessary, whilst minimizing
interruptions and digressions and avoiding lengthy discussion
Challenges/Barriers of Ward round
Lack of adequate
Workload issues
staff
Collaborate
Evaluate
ACE Rounding Flow sheet
Offer toileting
A nticipate/Risk Assessment
Assess pain level
and need for pain
medication
Safe
environment:
and/or ADL’s
assistance needs
Output: daily
Activity: weight,
C collaborate
tolerates/limitatio
ns/appropriate
for discharge
Intake: Fluid/IV
intake, Diet,
evidence of
imbalance
01 02 03
E valuate
Interventions New Areas Need a
& Goals problems plan
identified
04 05
Share with next Hands off
shift Process
Implementation of a multidisciplinary ward
round
Critical
Antecedents Consequences
attributes
(before) (after)
(during)
Antecedents (before)
Key activities before a ward round takes place are:
❖ Team organization;
❖ Progression of tasks;
❖ Communications;
❖ Repetition of information to the patient;
❖ Motivation of the ward team.
Video time
https://www.youtube.com/watch?app=desktop&v=mcCtYjK9rbg
Nurse Rounding
SBAR (Situation, Background, Assessment,
Recommendation) effective
communication tool for patients’ handoff
• The Joint Commission describes the SBAR communication
technique as,
• Situation: what is the situation; why are you calling the
physician?
• Background: what is the background information?
• Assessment: what is your assessment of the problem?
• Recommendation: how should the problem be corrected?
Shahid, S., Thomas, S. Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for
Handoff in Health Care – A Narrative Review. Saf Health 4, 7 (2018). https://doi.org/10.1186/s40886-018-0073-1
Connection time
https://www.menti.com/alfkjo5eyz6m
Share your thoughts
10 minutes each group