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     2005 Best Practices and 2007 Best Improvement - Professional Liability Management 

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Mednet

2004 Joint Commission National Patient Safety Goal #2

Improve the effectiveness of communication among caregivers.

Chain of Command

Think + Act

Critical thinking is the clinician's most essential skill. 

1.   Stop

2.   Think

3.   Act

 

Nursing Chain of Command at Unit Level

Position

Responsibility

Clinical Nurse II and II Patient care and supervision of ACP, CCP, LVN staff

Charge Nurse

Supervise Clinical Nurse II or II and Administrative Nurse I or II

Unit Director

Resolve administrative issues

Clinical Nurse Specialist

Resolve clinical issues

Nursing Supervisor

Available as needed

Clinical Director

Available as needed

Chief Nurse Executive

Available as needed
 

Medical Chain of Command at Unit Level

Position

Responsibility

Medical Student (3rd and 4th year student) Perform History & Physical.  All orders must be co-signed by a physician before implementation.

1st year  Resident = Intern

Patient care

2nd year Resident

Patient care

3rd year Resident

Oversees a group of patients and/or unit

Chief Resident

Administrative functions for the residency program

Fellow

Additional training in area of specialization after completing residency

Attending

Care provided by the medical team

Medical Director

All hospital services
 
 

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