Referent power

Nursing leadership
The three most important power sources for a nurse leader, in my opinion, are referent power, expert and reward power. Referent power is important for a nurse leader because if a nurse leader is hardworking, responsible and sets an example for the team, the team will follow their example which will benefit the organization. Expert power can be a needed benefit in leadership role, this gives employee’s and team members confidence in their leader and they will feel as the leader can mentor them as the leader has a high level of knowledge and skills. Expert power and leadership can be a great asset to an organization with new employees and new nurses. Finally reward power can be used as a tool to motivate staff to reach their full potential by using rewards as an incentive.
Leaders create a culture of ownership and investment in the collective action of work, helping to build a community around the purposes of work and deepening the understanding of the relationship among individual work activities, the collective convergence of that effort, and its power to make a difference (Porter-O’Grady, 2016). Using referent power leaders must first gain the trust of the followers or team members by leading by example. After the leader’s trust, honesty and respect are gained by the team members, they will model the leader’s behavior. Expert power is best used by teaching staff new techniques new evidence-based practice, and new policies and procedures. If staff know their leader as an expert, they will be more likely to absorb the new information.  Reward power can be used to increase performance, and rewards can incentivize the benefits of doing a good job.
Expert power is a frequently used source of power in my work. On our unit we have a manager, assistant manager and a clinical nurse leader. With these three leaders available it allows the nurse of the floor to feel confident that they can go to one of the three managers/ leaders to obtain information if they are unsure of a policy, procedure and or if they just need some advice. I know personally having this type of support empowers me to be a better nurse because I know we have a support system to back us up.

Describe the steps of facility planning

Facility Design

After working in facility design for many years, you have become well-known in the industry. Your manager has asked you to create either a paper or short handout that new employees can refer to as they receive training through the company. This paper or handout should guide new employees through the process of facility planning.
Create a 350- to 525-word paper or handout that summarizes the process of addressing facility planning needs. Include the following in your paper or handout:
· Describe the steps of facility planning.
· Consider listing the steps involved in facility planning as part of your description.
· Explain the importance of pre-design planning.
· Explain the rationale (or decision process) when determining whether to renovate or replace a health care facility.
Note: A handout can be a flyer, brochure, poster, etc.
Cite at least 2 peer-reviewed, scholarly, or similar references.
Format your assignment according to APA guidelines.
Click the Assignment Files tab to submit your assignment.

Environmental Management

Week #6 (7/09) Environmental Management
Learning Objectives:
· Discuss the importance of emergency management planning in a SNF.
· Describing different challenges that may be encountered during a disaster.
· Explain the role of a SNF environment as it relates to care.
· Understand the cost and importance of being prepared for disaster.
· Recognizing different risks and exposures to the patients.
 
Readings
· A Comparative study of laws, rules and codes … – Brown
· A comparison of heat wave response plans … – Thomas
· State Operations Manual
· Best Practices for LTC Evacuation – Pandolfo
· Miss Kimberley’s Decision
· Fires in Nursing Homes – Sheridan
· Florida’s model of Medicaid reimbursement for Disaster related expenses – Thomas
· CMS Emergency Preparedness Rule Presentation
· Improving nursing home care for dementia – Is environment the answer?
· Nursing Home Evacuations turn medication reconciliation into Emergencies
 
Assignments:
These assignments are due on Wednesday July 17th.

1. Write a 4 page paper describing the varying challenges that may exist during a nursing home disaster.

2. Write a 1 page summary of why you would or would not evacuate a SNF?

What additions/revisions would you anticipate making to your plan of care?

Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.
Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).
Medications:
Lopressor
Lisinopril
Plavix
Metformin
Novolin R per sliding scale *NEW*
Multivitamin
Colace
Zithromax *NEW*
Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.
Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.
What, if any, concerns related to Millie’s skin and nutritional status do you have?
What nursing interventions will you include in the plan of care to address these concerns?
What teaching strategies will you use to educate Millie and Fred on the new medications?
Using the SBAR, please include the information that you will communicate to the physician’s office at the completion of the visit.
2.
During a follow up visit, a strong smell of urine is apparent when assessing Millie and you notice that she seems a bit more restless than usual. When questioned, Millie reports feeling discomfort in her tailbone area. You suspect that Millie may be experiencing some skin breakdown.
What would you do next?
What additions/revisions would you anticipate making to your plan of care?