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Unitek WK 1
Theories of Leadership
Theories of Leadership
Great Man
Charismatic
Relational
Shared
Quantum
Effective Leader Behaviors and Qualities
Takes Action
Inspires
Guidance and Assistance
Communicates
Thinks Critically
2 mins
Leadership Styles
Theories of Leadership Approaches
Authoritarian Leadership
Democratic Leadership
Laissez-Faire Leadership
Situational Leadership
Bureaucratic Leadership
Transformational Leadership
Transactional Leadership
Servant Leadership
3 mins
Unions and Collective Bargaining
LABOR UNION
Protect and Advocate for Members
COLLECTIVE BARGAINING
Decision-Making Process and Negotiation Between Two Parties
CONSIDERATIONS
Strike
1 min
Fire - Environmental Emergencies
R.A.C.E
Rescue
Alarm
Confine
Extinguish
P.A.S.S.
Nursing Considerations
Fire Exits
Do Not Use Elevators
Manual Ventilation
2 mins
Advanced Directives
Advance Care Planning
Process of Planning for Future Care
Living Will
Instructions about Healthcare
Life-Sustaining Treatments
Level of Comfort Care
Artificial Nutrition and Hydration
Durable Power of Attorney for Healthcare
Appointed Person to Make Decisions
Do Not Resuscitate (DNR)
No CPR
Allow Natural Death (AND)
Physician Order for Life-Sustaining Treatment (POLST)
Medical Order
3 mins
Routes of Administration Part One
Enteral Administration
Oral
Sublingual
Buccal
Rectal
Tubes
Topical or Mucous Membrane Administration
Transdermal
Drops/Spray
Vaginal
Inhalation Administration
Inhalation
2 mins
Routes of Administration Part Two (Parenteral)
Parenteral Administration
Intradermal
Subcutaneous
Intramuscular (IM)
Intravenous
Epidural
Intrathecal
Intraosseous
Intraperitoneal
2 mins
Needle Sizes and Uses
Adjust Size Based on Height/Weight
Subcutaneous Injections
3/8 or 5/8 inch
Intramuscular (IM)
1-1.5 inches
1 min
Parenteral Medications
Intravenous (IV)
Fast-Acting
Greatest Risk
Intramuscular (IM)
Common Injections Sites: Deltoid, Vastus Lateralis, Ventrogluteal, and Dorsogluteal Muscles
Absorbed Fast
Vaccines and Epinephrine
3 mL Limit
Subcutaneous (SC)
Common Injections Sites: Abdomen, Arm, and Thigh
Absorbed Slower
Insulin and Hormones
Small Volumes
Intradermal (ID)
Common Injection Sites: Back of Forearm and Upper Back
Longest to Absorb
Tuberculosis and Allergy Testing
Under 0.5 mL
5 mins
Total Parenteral Nutrition (TPN)
Mechanism
Nutrition Given Outside GI
Side Effects
Hyperglycemia
Hyperlipidemia
Refeeding Syndrome
Nausea and Vomiting
Considerations
Slow IV Infusion
Use Large Central Vein
No Added Meds to TPN Line
2 mins
Intramuscular Medication (IM) Administration
Risks
Injury to Nerves, Bone, and Blood Vessels
Sites
Deltoid
Vastus Lateralis
Ventrogluteal
Nursing Considerations
Selection of Needle Length
Aseptic Technique for Drawing Up
Z-Track
90 Degree Angle
Max Amount (2-5 mL Adult, 1 mL Child)
Techniques to Reduce Pain
2 mins
Intradermal Medication Administration
SKIN TESTING
Tuberculin Screening
Allergy Testing
INTRADERMAL SITES
Dermis
Inner Forearm or Upper Back
INTRADERMAL Injection
1mL Syringe (26 or 27 Gauge Needle)
5 to 15 Degrees
Small Bleb
2 mins
Ear Drops Medication Administration
Indications
Earwax Buildup
Ear Infections
Pulling The Pinna
Child - Back and Downward
Adult - Back and Upward
Procedure
Side-Lying with Ear Up
Instill Medication
Stay for 2-3 Minutes
Nursing Considerations
Room Temperature
May Massage Tragus
Perforated Eardrum
2 mins
Eye Medication Administration
Procedure
Supine with Neck Hyperextended
Wash Away Crusts
Cotton Ball on Cheekbone
For Ophthalmic Drops
Instill Drops into Conjunctival Sac
Repeat if Missed or Patient Blinks
5 Minutes Before 2nd Medication
For Ophthalmic Ointment
Thin Stream Along Inner Edge
Inner Canthus to Outer Canthus
2 mins
Standard Formula
Memorize the Formula
Dose Ordered
Dose on Hand
Amount on Hand (Quantity)
Before Calculating the Dose
Ensure Same Units and System of Measurement
Calculating the Dose
Dose Ordered/Dose on Hand X Amount on Hand = Amount to Administer
2 mins
IV Calculation Formulas
IV TUBING
Drop Factor
Macrodrip
Microdrip
FLOW RATES
Total Volume to Infuse (mL) X Drop Factor/ Time in Minutes = Drops/Minute (gtt/min)
INFUSION TIME
Total Volume to Infuse / mL per Hour Being Infused = Infusion Time
Number of mL/Hr
Total Volume in mL / Time in Hours = Number of mL per Hour
3 mins
Infusions Prescribed by Unit Dosage per Hour
Step 1
Determine Amount of Medication per 1mL
Known Amount of Medication in Solution/Total Volume of Diluent = Amount of Medication per Milliliter
Step 2
Calculate mL per Hour
Dose per Hour Desired/Concentration per Milliliter = Infusion Rate (mL/hour)
2 mins
Metric System
Weight
Kilogram (kg)
Gram (g/gm)
Milligram (mg)
Microgram (mcg)
Volume
Liter (L)
Milliliter (mL)
Length
Meter (m)
Converting
Larger to Smaller: Multiply
Smaller to Larger: Divide
3 mins
Conversions: Temperature
0° C = 32° F
How to Convert Celsius to Fahrenheit
°C x 1.8 + 32 = °F
1 min
Conversions: Weight
1000 mcg = 1 mg
1000 mg = 1 g
1000 g = 1 kg
2.2 lb = 1 kg
1 min
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