Prioritization with delegation: You are the RN Leader of a team with one LPN and
ID: 138700 • Letter: P
Question
Prioritization with delegation:
You are the RN Leader of a team with one LPN and one Nurse’s aide on the 7a-3p shift in an acute care hospital. The 3 of you are responsible for providing total care to 10 patients. Prioritize the following list of 10 things you need to accomplish this morning. Use a 1 for the first item and 10 for the last. Indicate what can be delegated to the LPN or NA.
discuss your reasoning.
Task
Delegation
Check MAR against the orders
Listen to night shift report 0700-0720
Take brief walking rounds to assess the night shift report and to introduce yourself to the patients
Hang 4 - 0900 IV medications
Set up the schedule for breaks and lunch among your team members
Give the 0845 pre-op medication on a patient going to surgery at 0900
Pass 0830 trays
Read charts of patients who are new to you
Check 0600 blood sugar results for 0730 insulin administration
Prioritization Activity
After report, the day shift nurse is planning his day. Which patient will he assess first?
1. The patient with an ileal conduit who has not had any urine in the drainage bag this past shift.
2. The patient who is POD 2, status post transurethral resection of the prostate who has light pink urine in the indwelling urinary bag and a blood pressure of 115/78.
3. The patient who is scheduled for lithotripsy for a renal calculi later in the day.
4. The patient admitted with a renal calculi, who has sediment in his urine.
Delegation:
Which intervention (s) will the nurse delegate to the Unlicensed assistive personnel (UPA) who is caring for a patient who is POD 2, status post open surgery of the kidney? Select All that apply:
1. Explain the procedure for patient-controlled analgesia (PCA) pump use.
2. check the patients surgical dressing for drainage.
3. Take and record the patients T, BP, RR, HR, pulse oximetry.
4. Empty the indwelling catheter bag at the end of the shift.
5. Assist the patient to ambulate in the hallway three to four times a day.
6. Assist the patient with morning care (wash face, brush teeth).
Task
Delegation
Check MAR against the orders
Listen to night shift report 0700-0720
Take brief walking rounds to assess the night shift report and to introduce yourself to the patients
Hang 4 - 0900 IV medications
Set up the schedule for breaks and lunch among your team members
Give the 0845 pre-op medication on a patient going to surgery at 0900
Pass 0830 trays
Read charts of patients who are new to you
Check 0600 blood sugar results for 0730 insulin administration
Explanation / Answer
1. The day shift nurse should assess the patient with an ileal conduit who has not passed urine as it means the patient is having urinary retention which is a medical emergency and needs immediate medical attention.
2. The nurse will advice te UPA to assist the patient with morning care such as wash face,brush teeth and maintain hygiene, and also to assist the patient to ambulate in the hallway three to four times a day.
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