Mark Klimek - Prioritization/Delegation

Prioritization questions will always have: -Age -Gender -Diagnosis -Modifying Phrase What is important? - Answer - IGNORE age/gender Most important = modifying phrase Angina Pectoris vs Myocardial Infarction - who is higher priority? - Answer - MI Angina Pectoris with unstable BP vs Myocardial Infarction with stable vital signs - who is higher priority? - Answer - Angina pectoris with unstable BP (modifying phrase more important) *4 rules for prioritization* - Answer - 1. acute chronic 2. fresh postop (first 12 hrs) medical or other surgical 3. Unstable stable 4. More vital the organ, the higher the priority (organ of the modifying phrase) (only use this as a tie-breaker) What is the tie-breaker used for prioritization questions? - Answer - More vital the organ, the higher the priority Vital Organs - order - Answer - Brain Lung Heart Liver Kidney Pancreas Who is the priority? COPD CHF Appendicitis - Answer - Appendicitis (acute) Who is the priority? COPD CHF Appendicitis