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Charles Kunkle MSN, CEN, CCRN, BC-NA [email protected] www.navigatorleadership.com

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Page 1: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

Charles Kunkle MSN, CEN, CCRN, BC-NA

[email protected]

www.navigatorleadership.com

Page 2: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS
Page 3: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS
Page 4: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS
Page 5: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS
Page 6: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS
Page 7: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS
Page 8: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

HCAPS

Core Measures

CPOE

High Alert Medication checks

Competencies

Discharge Planning

Medication Reconciliation

Chart Checks

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Page 10: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

What RNs experience when expected to assume additional

unplanned responsibilities while simultaneously

conducting their multiple responsibilities in a condensed

time frame.

Page 11: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

40% of an RNs time is spent somewhere other than the

bedside

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AONE Study- 3500 nurses

53% strongly agreed that their job was so stressful that they were feeling burned out

56% report that opportunities to establish relationships and provide compassionate care with patients was fair or poor.

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The Boomers are coming

Healthcare for All

Decreasing primary care MDs

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Name a company that provides good

customer service and why you return

to that business

Page 17: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS
Page 18: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

Lack of information

Lack of respect

Using labels -“difficult family” or “drug seeker”

Anxiety or loss of control

Pain

DON’T TAKE IT PERSONALLY

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The response you get depends on Age

Gender

Culture

Stress level

Type of illness

DON’T TAKE IT PERSONALLY

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Go to appt

Make appt

home

MD visit

Home

Procedure needed Back to

MD

Wait for

results

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Anxiety

Defensive Acting Out

Person

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Only 15% of the message that we deliver comes from the words that we say Verbal

Non-Verbal

Para Verbal

85% of communication comes from the unspoken word

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Definition:

Messages translated by body posture and motion

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Tone - The inflection of your voice

Avoid negative inflections

Be aware of tones that relay a sense of

- Impatience

- Anger

- Sarcasm

- Inattention

- Condescension

- Doubt

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Volume – Appropriate to the distance and situation

AVOID

Or Else

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Cadence – Rate and Rhythm of speech should be even

Talking too quickly gives the sense you are in a rush

Talking too slowly gives the sense their problem is an emergency

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I didn’t call you stupid

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I didn’t call you stupid

Page 34: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

I didn’t call you stupid

Page 35: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

I didn’t call you stupid

Page 36: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

I didn’t call you stupid

Page 37: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

I didn’t call you stupid

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I didn’t call you stupid ,

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LOL

Page 40: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

Weaknesses

Strengths

Emotions

Needs

Pet Peeves

Page 41: Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle ...c.ymcdn.com/sites/ · Charles Kunkle MSN, CEN, CCRN, BC-NA ckunkle@navigatorleadership.com  HCAPS

“It’s not the amount of time you spend with a patient, but rather the quality of that time, that makes a difference.”

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Acknowledge Patients Feelings

I know you are scared for your child

You seem confused, can I explain the process for you

I can see that you are worried about your test results

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Charles Kunkle MSN, CEN, NE-BC

[email protected]

www.navigatorleadership.com