NCLEX: Mark Klimek - Lecture 12 (Prioritization, Delegation, Staff Management, Organ and Pulse Locations, & Guessing Strategies)

NCLEX: Mark Klimek - Lecture 12 (Prioritization, Delegation, Staff Management, Organ and Pulse Locations, & Guessing Strategies) If the question states that there was a disaster in town and you are making room for the wounded, who would you discharge - highest or lowest priority? - The lowest priority patient If the question states that you receive handoff end-of-shift reports on 4 pts. Which pt will you check first - highest or lowest priority? - The highest priority patient What are 2 irrelevant information in a prioritization question? - Age and gender (except in pediatrics) Which information in a prioritization question is most important? - The modifying phrase - what is happening. Two patients: one has angina pectoris and the other myocardial infarction. Who has the higher priority patient? - MI Which patient is the higher priority? a. Pt with unstable BP and Angina b. Pt with stable vital signs and MI - a. Pt with unstable BP and Angina What are the 4 rules for prioritization? - 1) Acute beats chronic 2) Fresh post-op (12 hours) beats medical or other surgical 3) Unstable beats stable 4) Tie-breaker rule: Brain, Lung, Heart, Liver, Kidneys, Pancreas Among the following patients: a pt 2-hour post-cholecystectomy, a pt with COPD, and a pt with acute ap