Nursing Leadership and Management Flashcards

A Saudi MOH head nurse on a 24-bed medical ward has one registered nurse (RN) and two nursing technicians on the night shift. Which task is appropriate to delegate to a nursing technician?

Answer: Measuring and recording vital signs for a stable postoperative patient

Measuring and recording vital signs for a stable patient is within the scope of a nursing technician (assistant-level) in Saudi MOH facilities. Initial assessment, medication titration, and patient education are professional nursing responsibilities that cannot be delegated to technicians under SCFHS and Saudi MOH scope-of-practice guidelines.

According to the Saudi MOH Nursing Staffing Standards, which nurse-to-patient ratio is recommended for a general medical-surgical ward during the day shift?

Answer: 1 nurse to 6 patients

Saudi MOH guidelines recommend a 1:6 nurse-to-patient ratio on general medical-surgical wards during the day shift. ICU and critical care units have stricter ratios (1:1 or 1:2), while the 1:6 standard balances safe care with available workforce in general wards.

A nurse notices a colleague administering a medication without checking the patient's allergy bracelet. Using the SCFHS Code of Professional Conduct framework, what is the nurse's FIRST action?

Answer: Immediately inform the charge nurse and document the near-miss in the incident reporting system

The SCFHS Code of Professional Conduct obligates nurses to report safety concerns and near-miss events through the hospital's incident reporting system and to inform the charge nurse immediately. Ignoring the event violates patient safety obligations; public confrontation is unprofessional; escalating to MOH before using internal channels bypasses the required chain of command.

A ward manager wants to improve hand hygiene compliance from 55% to the WHO target. Which quality improvement model is most commonly applied in Saudi MOH hospitals for such initiatives?

Answer: PDCA (Plan-Do-Check-Act) cycle

The PDCA (Plan-Do-Check-Act) cycle is the standard continuous quality improvement model used in Saudi MOH hospitals for process improvement initiatives such as hand hygiene campaigns. FMEA and RCA are used reactively to analyze potential or actual failures, while SWOT is a strategic planning tool, not a QI cycle.

Under the Saudi MOH Patient Rights Charter, a patient refuses a blood transfusion based on personal beliefs. The physician has documented medical necessity. What should the nurse do?

Answer: Document the refusal, ensure the patient has signed an informed refusal form, and notify the physician and nurse manager

The Saudi MOH Patient Rights Charter recognizes the competent adult patient's right to refuse treatment. The nurse must document the refusal thoroughly, obtain a signed informed refusal form, and notify both the physician and nurse manager so alternative care can be planned. Overriding a competent patient's decision or pressuring family to override it violates patient autonomy.

Which of the following is a primary responsibility of the charge nurse during a mass-casualty incident (MCI) at a Saudi hospital, according to the Saudi MOH Hospital Disaster Plan?

Answer: Activating the unit's surge capacity plan and coordinating staff assignments

During an MCI, the charge nurse's primary role is to activate the unit's surge capacity plan and coordinate internal staff assignments to receive mass-casualty patients. Triage at the ED entrance is the role of designated triage officers, media communication is handled by the hospital's public relations department, and insurance verification is not an emergency priority.