Prioritization / Delegation Flashcards
Priority answers always have four parts
a age
b gender
c a diagnosis
d a modifying phrase
acute v chronic
ACUTE PT
fresh post op vs med surge
FRESH POST OP
Unstable v Stable
four things that always make a pt unstable
- hemorrhage
- high fever over 105
- hypoglycemia
-pulselessness and breathlessness
UNSTABLE -
unstable
acute illness
post op less than 12 hours
lab abnormalities of C or D
not ready for discharge /newly admitted
pt is experiencing unexpected s/s
More vital the organ the higher the priority
ONLY USE AS A TIE BREAKER
brain
lungs
♡
liver
kidney
pancreas
delegation
DO NOT DELEGATE TO LPN
starting IV
hanging / mixing IV meds
pushing IV meds
administer blood / central lines
cannot PLAN care
cant perform or develop teaching
cant take care of unstable pt
not allowed to do first
cant do admission, discharge, transfer
delegation
DO NOT DELEGATE TO CNA
no charting
no meds
no assessments
no treatments BUT ENEMAS
can do ADLS but never first
all people enjoy the movies
aortic 2nd intercostal at R side
pulmonic 2nd intercostal L side
erbs 3rd intercostal L side
tricuspid 4th intercostal at l sternal
mitral 5th intercostal l side
Guessing Psych questions
“the nurse will examine their own feelings about”
“establish a trust relationship”
Guessing nutrition
if tie, pick CHICKEN
if no chicken pick fish NOT SHELLFISH
never mix meds in childrens foods
toddlers, finger foods
preschoolers leave them alone
Guessing Pharmacology
pick drug within same body system
if no clude see if its PO and if it is pick GI side effect
Guessing OB
check fetal HR
