prioritization/delegation Flashcards
1
Q
question format for priority question
A
age, gender, modifying phrase
- dx and modifying phrase are important but the modifying phrase is more important
2
Q
prioritization
A
- acute > chronic
- 1st 12 hours post op beats medical or other surgical
- unstable > stable
3
Q
stable pt
A
- greater than 12 hours post op
- local or regional anesthesia
- unchanged assessment
- lab abnormalities of A or B level
- admitted longer than 24 hours ago
4
Q
unstable pt
A
- general anesthesia
- changing assessment
- post op less than 12 hours
-lab abnormalities of C or D - admitted less than 24 hours
5
Q
always unstable regardless if its expected or not
A
- hemorrhage
- high fevers (105 +)
- hypoglycemia
- pulselessness or breathless: unless it was unwitnessed because they are dead already and not a priority
6
Q
black tags in an unwitnessed accident
A
- low priority!!!
- pulseless
- breathless
- fixed and dilated pupils (even if still breathing)
7
Q
if still stuck: tie breaker
A
- only use as a tie breaker
- the more vital the organ the higher the priority (the organ in the modifying phrase not dx)
#1 = brain
#2 = lungs
#3 = heart
#4 = liver
#5 = kidney
# 6 = pancreas
8
Q
what to not delegate
A
- what you eat
- Evaluate
- Assess
- Teach
9
Q
LPN do not delegate
A
- starting/hanging/mixing anything IV
- NO IVP meds
- blood administration
- messing with central lines
- plan or create the care plan But they can implement it
- cant perform or develop teaching but they can reinforce it
- unstable pt
- first anything
- admission/dc/transfer/first assessment after a change
10
Q
what you can delegate to a UAP
A
- topical OTC barrier creams
- vitals
- accucheck (glucose)
- enema
- ADLS (not the first one and only one stable pt)
*catheterize if there is nothing else they can do
11
Q
what UAP cant do
A
- chart about the pt (besides what they did)
- give meds
- assess
- treat
-delegate to the family of the patient
12
Q
sitters/caregivers
A
- can only do what you teach them to do and you must make sure you document that you taught them
13
Q
how do you handle inappropriate staff behavior
A
- is the pt in immediate danger: if so, confront and interviene. if no, approach them later
- is what they are doing illegal? if yes, always tell the supervisor
14
Q
if action is harmful or illegal
A
- confront now then tell the supervisor
15
Q
psych questions
A
- great answer is always establish a trusting relationship or the nurse will examine their ow feelings about…
