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Skip008 Skip008
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6 years ago
Which action by the nurse demonstrates fiscal responsibility to the employing organization? (Select all that apply.)
 
  a. Only bringing needed supplies into a patient's room
  b. Accurately documenting the patient's condition
  c. Minimally documenting in the patient's chart
  d. Taking breaks as scheduled
  e. Remaining healthy and able to function on the job



Which action by the nurse shows fiscal responsibility to the employing organization? (Select all that apply.)
 
  a. Wash hands after each patient contact.
  b. Turn patients every 2 hours.
  c. Round on patients.
  d. Toilet patients frequently to prevent falls.
  e. Use resources of the institution wisely.



Which action by the nurse demonstrates fiscal responsibility to the patient? (Select all that apply.)
 
  a. Discharging a patient home with prescriptions and no health insurance to cover the cost
  b. Assessing the patient's resources and determining their ability to pay for prescriptions
  c. Setting the patient up for Meals on Wheels
  d. Giving the patient information on free support groups
  e. Calling local churches to see what services they can offer the patient



It is important for the nurse to understand strategies that promote a fiscally responsible clinical practice. From the following listing, select those strategies that would achieve a fiscally responsible clinical practice. (Select all that apply.)
 
  a. Completes charge slips or scans bar code of nursing supplies used when changing a surgical dressing
  b. Participates in the annual hospital fund-raising activity
  c. Visits the Centers for Medicare & Medicaid Services to understand what services are provided during an inpatient visit
  d. Immediately reports any development of a patient medical complication to the health care provider
  e. Volunteers to participate in a hospital program initiative to reduce central line associated bloodstream infection (CLABSI)
  f. Completes a patient's discharge plan on the morning of discharge
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wrote...
6 years ago
A, B, D, E
The nurse shows fiscal responsibility to the employing organization by only bringing needed supplies into the patient's room, accurately documenting the patient's condition, taking breaks as scheduled, and remaining healthy and able to function on the job.

- - - - - - - - - - - -

A, B, D, E
The nurse can show fiscal responsibility to the employing organization by washing hands after each contact, turning patients every 2 hours to prevent bed sores, toileting patients frequently to prevent falls, and using resources of the institution wisely.

- - - - - - - - - - - -

B, C, D, E
The nurse demonstrates financial responsibility to the patient by assessing the patient's resources and determining the ability to pay for prescriptions, setting the patient up for Meals on Wheels, giving the patient information on free support groups, and calling local churches to see what services they can offer the patient.

- - - - - - - - - - - -

A, C, D, E
The following is a listing of strategies to promote a fiscally responsible clinical practice:
 Provides quality nursing care that prevents complications and documents condition accurately
 Makes conscious decisions about the allocation of professional nursing time
 Understands Medicare and Medicaid insurance coverage
 Engages in evidence-based practice and follows best practice guidelines
 Shares information with patients and families about the costs of care and alternatives
 Assigns assistive personnel (nurse aides, certified medical assistants) appropriately to help with care
 Works with the members of other health care professions to promote fiscal responsibility for clinical practice
 Begins discharge planning on admission; otherwise, if not available or prepared until the day of discharge, there may be confounding factors (lack of transportation) that require the patient to stay an additional hospital day
 Completes charge slips for patient supplies if required (Answer A)
 Avoids burnout by taking scheduled breaks, meal times, and vacations
 Engages in safe clinical practice that will avoid personal injuries
The participation in a fund-raising activity does not directly impact the clinical practice. It does build a sense of camaraderie among staff.
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