Ariana Melesio 1
ATI iRN iCOMPREHENSIVE iPREDICTOR i2025 iREMEDIATION
❖ Management iof iCare i– i(9)
➢ Advance iDirectives/Self-Determination/Life iPlanning i– i(1)
▪ Professional iResponsibilities: iClient iTeaching iAbout iDo-Not-Resuscitate iOrders
i(Active iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i3)
• Unless ia ido inot iresuscitate i(DNR) ior iallow inatural ideath i(AND) iprescription iis
iwritten, ithe inurse ishould iinitiate iCPR iwhen ia iclient ihas ino ipulse ior irespirations.
iThe iwritten iprescription ifor ia iDNR ior iAND imust ibe iplaced iin ithe iclient’s imedical
irecord. iThe iprovider iconsults ithe iclient iand ithe ifamily iprior ito iadministering ia
iDNR ior iAND.
➢ Client iRights i– i(1)
▪ Coordinating iClient iCare: iAppropriate iAction iWhen ia iClient iLeaves iAgainst iMedical
iAdvice i(Active iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i2)
• A iclient iwho ileaves ia ifacility iwithout ia iprescription ifor idischarge ifrom ithe
iprovider iis iconsidered ileaving iagainst imedical iadvice i(AMA). iA iclient iwho iis
ilegally icompetent ihas ithe ilegal iright ito ileave ithe ifacility iat iany itime. iThe inurse
ishould iimmediately inotify ithe iprovider. iIf ithe iclient iis iat irisk ifor iharm, iit iis
iimperative ithat ithe inurse iexplain ithe irisk iinvolved iin ileaving ithe ifacility. iThe
iindividual ishould isign ia iform irelinquishing iresponsibility ifor iany icomplications
ithat iarise ifrom idiscontinuing iprescribed icare. iThe inurse ishould idocument iall
icommunication, ias iwell ias ithe ispecific iadvice ithat iwas iprovided ifor ithe iclient. iA
inurse iwho itries ito iprevent ithe iclient ifrom ileaving ithe ifacility ican iface ilegal
icharges iof iassault, ibattery, iand ifalse iimprisonment.
➢ Collaboration iwith iInterdisciplinary iTeam i– i(1)
▪ Coordinating iClient iCare: iInformation ito iReport ito iOccupational iTherapist i(Active
iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i2)
• Patient’s icondition iand icurrent istatus; iany imedications ithe ipatient iis ion; ipatient’s
itolerance ilevel ifor ipain; iany iassistive idevices ithe ipatient iuses
➢ Confidentiality/Information iSecurity i– i(1)
▪ Professional iResponsibilities: iProtecting iConfidential iClient iInformation i(Active
iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i3)
• It iis iessential ifor inurses ito ibe iaware iof ithe irights iof iclients iin iregard ito iprivacy
iand iconfidentiality. iFacility ipolicies iand iprocedures iare iestablished iin iorder ito
iensure icompliance iwith iHIPAA iregulations. iIt iis iessential ithat inurses iknow iand
iadhere ito ithe ipolicies iand iprocedures. iHIPAA iregulations ialso iprovide ifor
ipenalties iin ithe ievent iof inoncompliance iwith ithe iregulations.
➢ Continuity iof iCare i– i(1)
▪ Information iTechnology: iPreparing ia iChange-of-Shift iReport i(Active iLearning
iTemplate i– iBasic iConcept, iRM iFUND i9.0 iCh i5)
• Nurses igive ithis ireport iat ithe iconclusion iof ieach ishift ito ithe inurse iassuming
iresponsibility ifor ithe iclients. iFormats iinclude iface ito iface, iaudiotaping, ior
ipresentation iduring iwalking irounds iin ieach iclient’s iroom i(unless ithe iclient ihas ia
iroommate ior ivisitors iare ipresent). iAn ieffective ireport ishould: iinclude isignificant
, Ariana Melesio 2
objective iinformation iabout ithe iclient’s ihealth iproblems; iproceed iin ia ilogical
isequence; iinclude ino igossip ior ipersonal iopinion; irelate irecent ichanges iin
imedications, itreatments, iprocedures, iand ithe idischarge iplan
➢ Legal iRights iand iResponsibilities i– i(1)
▪ Professional iResponsibilities: iUnderstanding iRegulations ifor iNursing iScope iof
iPractice i(Active iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i3)
• Standards iof icare iguide, idefine, iand idirect ithe ilevel iof icare ithat ishould ibe igiven iby
ipracticing inurses. iThey ialso iare iused iin imalpractice ilawsuits ito idetermine iif ithat
ilevel iwas imaintained. iNurses ishould irefuse ito ipractice ibeyond ithe ilegal iscopeiof
ipractice iand/or ioutside iof itheir iareas iof icompetence iregardless iof ireason i(staffing
ishortage, ilack iof iappropriate ipersonnel). iNurses ishould iuse ithe iformal ichain iof
icommand ito iverbalize iconcerns irelated ito iassignment iin ilight iof icurrent ilegal
iscope iof ipractice, ijob idescription, iand iarea iof icompetence.
➢ Performance iImprovement i(Quality iImprovement) i– i(1)
▪ Maintaining ia iSafe iEnvironment: iDemonstrating iQuality iand iSafety iEducation ifor
iNurses iCompetencies i(Active iLearning iTemplate i– iBasic iConcept, iRM iLeadership
7.0 iChp. i4)
• Safe iuse iof iequipment irefers ito iappropriate ioperation iof ihealth icare-related
iequipment iby itrained istaff. iEquipment-related iinjuries ican ioccur ias ia iresult iof
imalfunction, idisrepair, ior imishandling iof imechanical iequipment. iNurses imust
iensure ithat ithey i have ithe icompetence i necessary ito iuse i equipment ifor i tasks ithat
ifall iwithin itheir iscope iof ipractice. iNurses ishould iuse iequipment ionly iafter
ireceiving isufficient iinstruction. iEquipment ishould ibe iregularly iinspected iby ithe
iengineering ior imaintenance idepartment iand iby ithe iuser iprior ito iuse. iFaulty
iequipment i(frayed icords, idisrepair) ican istart ia ifire ior icause ian ielectrical ishock iand
ishould ibe iremoved ifrom iuse iand ireported iimmediately iper iagency ipolicy.
➢ Referrals i– i(2)
▪ Alzheimer’s iDisease: iResources ifor iHome iCare i(Active iLearning iTemplate i– iSystem
iDisorder, iRM iAMS iRN i10.0 iChp i8)
• Refer ito isocial iservices iand icase imanagers ifor ilong-term/home imanagement,
iAlzheimer’s iAssociation, icommunity ioutreach iprograms, iand isupport igroups
▪ Nutrition iand iOral iHydration: iPriority iFinding iFollowing ian iIschemic iStroke i(Active
iLearning iTemplate i– iSystem iDisorder, iRM iFUND i9.0 iCh i39)
• Identify iif isomeone ihas idysphagia, ithis ipatient iwill ineed ipureed ifoods; iclear iand
ifull iliquids iplus ipureed imeats, ifruits iand iscrambled ieggs, ilow iresidue: ilow iin ifiber
❖ Safety iand iInfection iControl i– i(6)
➢ Accident/Error/Injury iPrevention i– i(2)
▪ Adverse iEffects, iInteractions, iand iContraindications: iPriority iAction ito ian iAllergic
iResponse i(Active iLearning iTemplate i– iMedication, iRM iPharm iRN i7.0 iChp i5)
• Treat iwith iepinephrine, ibronchodilators, iand iantihistamines. iProvide irespiratory
isupport iand iinform ithe iprovider.
▪ Health iPromotion iof iInfants i(2 iDays ito i1 iYear): iCar iSeat iSafety i(Active iLearning
iTemplate i– iBasic iConcept, iRM iNCC iRN i10.0 iChp i3)
ATI iRN iCOMPREHENSIVE iPREDICTOR i2025 iREMEDIATION
❖ Management iof iCare i– i(9)
➢ Advance iDirectives/Self-Determination/Life iPlanning i– i(1)
▪ Professional iResponsibilities: iClient iTeaching iAbout iDo-Not-Resuscitate iOrders
i(Active iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i3)
• Unless ia ido inot iresuscitate i(DNR) ior iallow inatural ideath i(AND) iprescription iis
iwritten, ithe inurse ishould iinitiate iCPR iwhen ia iclient ihas ino ipulse ior irespirations.
iThe iwritten iprescription ifor ia iDNR ior iAND imust ibe iplaced iin ithe iclient’s imedical
irecord. iThe iprovider iconsults ithe iclient iand ithe ifamily iprior ito iadministering ia
iDNR ior iAND.
➢ Client iRights i– i(1)
▪ Coordinating iClient iCare: iAppropriate iAction iWhen ia iClient iLeaves iAgainst iMedical
iAdvice i(Active iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i2)
• A iclient iwho ileaves ia ifacility iwithout ia iprescription ifor idischarge ifrom ithe
iprovider iis iconsidered ileaving iagainst imedical iadvice i(AMA). iA iclient iwho iis
ilegally icompetent ihas ithe ilegal iright ito ileave ithe ifacility iat iany itime. iThe inurse
ishould iimmediately inotify ithe iprovider. iIf ithe iclient iis iat irisk ifor iharm, iit iis
iimperative ithat ithe inurse iexplain ithe irisk iinvolved iin ileaving ithe ifacility. iThe
iindividual ishould isign ia iform irelinquishing iresponsibility ifor iany icomplications
ithat iarise ifrom idiscontinuing iprescribed icare. iThe inurse ishould idocument iall
icommunication, ias iwell ias ithe ispecific iadvice ithat iwas iprovided ifor ithe iclient. iA
inurse iwho itries ito iprevent ithe iclient ifrom ileaving ithe ifacility ican iface ilegal
icharges iof iassault, ibattery, iand ifalse iimprisonment.
➢ Collaboration iwith iInterdisciplinary iTeam i– i(1)
▪ Coordinating iClient iCare: iInformation ito iReport ito iOccupational iTherapist i(Active
iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i2)
• Patient’s icondition iand icurrent istatus; iany imedications ithe ipatient iis ion; ipatient’s
itolerance ilevel ifor ipain; iany iassistive idevices ithe ipatient iuses
➢ Confidentiality/Information iSecurity i– i(1)
▪ Professional iResponsibilities: iProtecting iConfidential iClient iInformation i(Active
iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i3)
• It iis iessential ifor inurses ito ibe iaware iof ithe irights iof iclients iin iregard ito iprivacy
iand iconfidentiality. iFacility ipolicies iand iprocedures iare iestablished iin iorder ito
iensure icompliance iwith iHIPAA iregulations. iIt iis iessential ithat inurses iknow iand
iadhere ito ithe ipolicies iand iprocedures. iHIPAA iregulations ialso iprovide ifor
ipenalties iin ithe ievent iof inoncompliance iwith ithe iregulations.
➢ Continuity iof iCare i– i(1)
▪ Information iTechnology: iPreparing ia iChange-of-Shift iReport i(Active iLearning
iTemplate i– iBasic iConcept, iRM iFUND i9.0 iCh i5)
• Nurses igive ithis ireport iat ithe iconclusion iof ieach ishift ito ithe inurse iassuming
iresponsibility ifor ithe iclients. iFormats iinclude iface ito iface, iaudiotaping, ior
ipresentation iduring iwalking irounds iin ieach iclient’s iroom i(unless ithe iclient ihas ia
iroommate ior ivisitors iare ipresent). iAn ieffective ireport ishould: iinclude isignificant
, Ariana Melesio 2
objective iinformation iabout ithe iclient’s ihealth iproblems; iproceed iin ia ilogical
isequence; iinclude ino igossip ior ipersonal iopinion; irelate irecent ichanges iin
imedications, itreatments, iprocedures, iand ithe idischarge iplan
➢ Legal iRights iand iResponsibilities i– i(1)
▪ Professional iResponsibilities: iUnderstanding iRegulations ifor iNursing iScope iof
iPractice i(Active iLearning iTemplate i– iBasic iConcept, iRM iLeadership i7.0 iChp. i3)
• Standards iof icare iguide, idefine, iand idirect ithe ilevel iof icare ithat ishould ibe igiven iby
ipracticing inurses. iThey ialso iare iused iin imalpractice ilawsuits ito idetermine iif ithat
ilevel iwas imaintained. iNurses ishould irefuse ito ipractice ibeyond ithe ilegal iscopeiof
ipractice iand/or ioutside iof itheir iareas iof icompetence iregardless iof ireason i(staffing
ishortage, ilack iof iappropriate ipersonnel). iNurses ishould iuse ithe iformal ichain iof
icommand ito iverbalize iconcerns irelated ito iassignment iin ilight iof icurrent ilegal
iscope iof ipractice, ijob idescription, iand iarea iof icompetence.
➢ Performance iImprovement i(Quality iImprovement) i– i(1)
▪ Maintaining ia iSafe iEnvironment: iDemonstrating iQuality iand iSafety iEducation ifor
iNurses iCompetencies i(Active iLearning iTemplate i– iBasic iConcept, iRM iLeadership
7.0 iChp. i4)
• Safe iuse iof iequipment irefers ito iappropriate ioperation iof ihealth icare-related
iequipment iby itrained istaff. iEquipment-related iinjuries ican ioccur ias ia iresult iof
imalfunction, idisrepair, ior imishandling iof imechanical iequipment. iNurses imust
iensure ithat ithey i have ithe icompetence i necessary ito iuse i equipment ifor i tasks ithat
ifall iwithin itheir iscope iof ipractice. iNurses ishould iuse iequipment ionly iafter
ireceiving isufficient iinstruction. iEquipment ishould ibe iregularly iinspected iby ithe
iengineering ior imaintenance idepartment iand iby ithe iuser iprior ito iuse. iFaulty
iequipment i(frayed icords, idisrepair) ican istart ia ifire ior icause ian ielectrical ishock iand
ishould ibe iremoved ifrom iuse iand ireported iimmediately iper iagency ipolicy.
➢ Referrals i– i(2)
▪ Alzheimer’s iDisease: iResources ifor iHome iCare i(Active iLearning iTemplate i– iSystem
iDisorder, iRM iAMS iRN i10.0 iChp i8)
• Refer ito isocial iservices iand icase imanagers ifor ilong-term/home imanagement,
iAlzheimer’s iAssociation, icommunity ioutreach iprograms, iand isupport igroups
▪ Nutrition iand iOral iHydration: iPriority iFinding iFollowing ian iIschemic iStroke i(Active
iLearning iTemplate i– iSystem iDisorder, iRM iFUND i9.0 iCh i39)
• Identify iif isomeone ihas idysphagia, ithis ipatient iwill ineed ipureed ifoods; iclear iand
ifull iliquids iplus ipureed imeats, ifruits iand iscrambled ieggs, ilow iresidue: ilow iin ifiber
❖ Safety iand iInfection iControl i– i(6)
➢ Accident/Error/Injury iPrevention i– i(2)
▪ Adverse iEffects, iInteractions, iand iContraindications: iPriority iAction ito ian iAllergic
iResponse i(Active iLearning iTemplate i– iMedication, iRM iPharm iRN i7.0 iChp i5)
• Treat iwith iepinephrine, ibronchodilators, iand iantihistamines. iProvide irespiratory
isupport iand iinform ithe iprovider.
▪ Health iPromotion iof iInfants i(2 iDays ito i1 iYear): iCar iSeat iSafety i(Active iLearning
iTemplate i– iBasic iConcept, iRM iNCC iRN i10.0 iChp i3)
