2. ATI: 11.Priority Setting Flashcards

1
Q

priority setting

A

ability to use nursing judgement when making decisions about the rank order in which nursing actions should be taken

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2
Q

priority-based clinical judgements

A
  • Which client should I see first?
  • Which interventions should I provide now and which can be done later?
  • What can or should be delegated to other personnel so I have time to perform tasks that their scope of practice does not allow them to do?
  • Are there legal consequences if I postpone or do not complete a task?
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3
Q

sources of data establish priorities

A
  • shift report
  • communications with staff and other members of the interdisciplinary team
  • review of documents
  • client assessment data
  • concerns verbalized by client or client’s representative
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4
Q

priority setting frameworks

A
  • Maslow’s Hierarchy of Needs
  • self-actulization
  • self-esteem
  • love and belonging
  • safety and security
  • physiological
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5
Q

nursing process

A
  • assessment/data collection
  • analysis
  • planning
  • implementation
  • evaluation
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6
Q

ABC’s

A
  1. airway
  2. breathing
  3. circulation
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7
Q

safety and risk reduction

A
  • risk assessment
  • safety risk to client
  • greatest risk to client
  • significance of risk compared to other risks
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8
Q

tools to help set priorities

A
  • develop a schedule that outlines the care that the client will need
  • determine what interventions must be done
  • immediately
  • according to a specified time
  • before the end of the shift
  • delegate tasks to assistive personnel when time is compromised
  • use a priority setting framework to help make client care decisions
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9
Q

time management skills

A
  • estimate time needed for various activities
  • group activities together
  • mentally visualize procedure when obtaining needed equipment
  • document client care as it is given
  • enlist the aid of other staff when needed
  • complete more difficult tasks early on
  • say “no” when asked for help if time is already compromised
  • avoid socializing with other students/staff when not on break
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10
Q

advanced priority setting

A
  • know the job description of various levels of nurses
  • use the five rights of delegation
  • assign tasks/clients to proper level of nurse
  • thoroughly assess clients at the beginning of the shift
  • use assertive communication skills
  • use critical thinking when making clinical judgements
  • reprioritize on an ongoing basis
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