Priority Setting Framework Flashcards
Unit 1
What is priority setting?
Priority setting involves the organization of client care such that the most critical intervention or action is completed first.
What are the components for a variety of priority-setting frameworks?
Maslow’s Hierarchy of Needs, ABCDE approach, The Nursing Process, Safety and Risk Reduction, Least restrictive/Least Invasive, Survival Potential, Acute vs. Chronic, Urgent Vs Non Urgent, and Unstable Vs Stable.
Prioritize the delivery of client care based on a priority-setting framework
Organize care among a group of clients based on a priority-setting framework
What is Maslow’s Hierarchy of Needs?
A theory that suggests there are five categories of needs that motivate human beings. The five categories in order from bottom to top are physiological, safety, love and belonging, esteem, and self-actualization.
What is the ABCDE priority framework?
ABCDE is the acronym for airway, breathing, circulation, disability, and exposure.
What does the safety and risk reduction priority-setting framework state.
Priority is given to whatever finding poses the greatest or immediate risk to the client’s physical or psychological well-being.
The least restrictive/least invasive priority-setting framework…
When using this intervention framework, the nurse must ensure that the client and those in the immediate surroundings of the client are not at risk for harm or injury.
Survival Potential Framework
is based on doing the most good for the maximum number of clients at a time when health care resources are limited due to a large number of injuries. This priority-setting method is utilized during mass-casualty incidents such as natural disasters (wildfires and earthquakes), major road accidents, and acts of terrorism.
What is Triage?
To sort and rank treatment of clients according to the urgency of their need for care.
What is resource allocation?
The distribution of resources to a service or department.
What are the survival potential framework categories and what do they indicate?
Emergent; first priority for treatment
Assign a red tag to clients who have life-threatening injuries but have a high chance of survival with immediate treatment.
Urgent; second priority for treatment
Assign a yellow tag to clients who have an urgent condition that could wait a short time for treatment.
Nonurgent; third priority for treatment
Assign a green tag to the walking wounded, or clients who have injuries that are non-life threatening and could wait hours to days for treatment.
Expectant; lowest priorityAssign a black tag to clients who are deceased or have a minimal chance of survival despite treatment, and promote comfort for these clients.
Additional Priority Frameworks
Critical (client care needs require the nurse to intervene immediately to prevent the client from deteriorating (e.g., respiratory difficulty, chest pain, or a change in neurologic status).
Urgent (client care needs are identified when the client could suffer mild harm or discomfort if there is a delay in addressing the client’s needs (e.g., postoperative pain).
Routine client care needs include tasks such as administering routine medications and performing required shift tasks (e.g., routine vital signs, daily physical assessment).
Extra client care needs involve activities that are not essential to client care but can promote client comfort (e.g., providing the client with a warm blanket, combing the client’s hair).
Acute versus chronic
A framework in which acute conditions are prioritized over chronic conditions.
Urgent vs. Nonurgent
Priority is given to the client who has an urgent need over a client with a nonurgent need.
