Leadership-Management Exit HESI

Leadership/Management Exit HESI Finding a client sitting on the floor, nurse calls for help from UAP Get a BP cuff Assigning a UAP to assist client with personal care Prescribed activity level The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one nurse must float to the ICU Staff nurse who was cross-trained to work in the critical care dept Charge nurse developing guidelines for a coronary care unit The scope of standards of practice from the American nurses association Which patient should be assigned to a nurse that is floated from maternity unit Post op hysterectomy There has been a major disaster. Triage nurse should give which patient priority Cut over eye Delegate to LPN Dressing change Move which patient to medical surgical unit Patient with ABNL liver levels One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do Take patient to ICU and arrange for respiratory patient to stay in PACU UAP giving complete bath-which patient is more concern Patient with dyspnea (SOB when lying flat) Which one shows nurse manager being (means no team work) ? ER nurse getting moved to L&D, what patient should leader assign Patient with episiotomy infection DNR Notify the family Against medical Advice (AMA)with and IV RN removes IV, sign the document AMA form Prescriptions-telephone repeat order back to doctor to make sure it is correct Assign UAP hygiene, feeding, ADLS, ROM, ambulation Confidentiality-emergency department don’t give out information about patient, don’t talk about patients condition in front of people, keep records safe Malpractice negligence by professional personnel Ex: buring client with hot heating pad, ignoring s/s of bleeding, giving wrong medication Patient bill of rights show pt there bill of rights, they have the right to see their chart and anything regarding their care Assign PN-scope of practice No assessments, teaching (newly DX'd), IV's, blood transfusions, no suicide patients, no critical patients Assignments-new grad graduate nurse supervised by RN, what pt to give? Infusing antibiotic or choosing catheter port Unsafe nurse after nurse goes through rehab she can do her job regularly Brain death-organ donation if person is organ donor and is brain dead, organs can be donated Critical lab value high levels or low levels (know levels) potassium is a priority lab value Fibromyalgia assistance provide uninterrupted sleep and refer to pain specialist RN role-assess RN’s assess not LPN or UAP Med error- action assess pt, incident report, notify doctor, document amt prescribed, and dosage given MRSA room assigned private room, contact isolation Restraints standards of care Cultural Native American POC .............................CONTINUED...............................