VIRTUAL ATI COMPREHENSIVE
PREDICTORHSN 25\26 GET IT RIGHT
A nurse is responsible for providing clear directions when a task is initially
delegated and for periodic reassessment and evaluation of the outcome of
the task.
RNs must delegate tasks so that they can complete higher level tasks.
RNs may delegate to other RNs, PNs or APs.
PNs may delegate to other PNs or APs.
Predictability of outcome: Is this routine, or is this new, is there potential for
complications
Potential for harm: Is the client stable? Risks? Aspiration, Bleeding
Complexity of Care: Does the delegatee have the license to perform the task,
and the training?
Need for problem solving: Does this require the nursing process?
Assessment skills or judgment
Level of client interaction: Is there psychosocial support needed? - Ans--
Delegation for effective task management.
Monitoring findings
Reinforcing client teaching
Tracheostomy Care
Suctioning
NG tube patency
Enteral Feedings
Insert Catheter
Administering Meds - Ans--TO PN
ADLs Bathing, Grooming, Dressing, Toliet
Ambulating
,Feeding
Positioning
Routine tasks
Bed making
Specimen Collection, I and Os
Vitals For stable clients - Ans--TO AP
Planning
Organizing:
Controlling:
Directing:
Staffing: - Ans--Concepts of management—Strategies to identify solutions
to community health problems
What needs to be done, and who is going to do it - Ans--Planning:
Lines of authority, communications, and where decisions are made - Ans--
Organizing:
Influences and motivates people to perform - Ans--Directing:
The evaluation of performance and unit goals to ensure outcomes are met -
Ans--Controlling:
Adequate staffing, and staffing mix - Ans--Staffing:
Hold formal positions of authority and power, Possess clinical expertise,
Network with members of the team, Coach subordinates, Make decisions for
the organization: Resources, Budget, Hiring, and Firing - Ans--
Characteristics of managers:
- Ans--Conflict Management between health care workers
The ability of the client to make personal decisions, even when those
decisions might not be in the client's own best interest - Ans--Autonomy:
Care that is in the best interest of the client - Ans--Beneficence:
, Keeping one's promise to the client about care that was offered - Ans--
Fidelity:
Fair treatment in matters related to physical and psychosocial care and use
of resources - Ans--Justice:
The nurse's obligation to avoid causing harm to the client - Ans--
Nonmaleficence:
The nurse's duty to tell the truth - Ans--Veracity:
Medication errors, Procedure/treatment errors, Equipment related
injuries/errors, Needlestick injuries, Client falls, Visitor/Volunteer injuries,
Threat made to client or staff, Loss of property. - Ans--Examples when an
incident report should be filed:
Emergent:
Urgent
Nonurgent:
Expectant: - Ans--Establishing Priorities---Facility Protocols: Triage
evaluation of peds
Highest priority, life threatening injuries but also have high survival rate once
stable - Ans--Emergent:
Second highest priority can wait 40-60 mins for treatment - Ans--Urgent:
Minor injuries that are not life threatening and do not need immediate
attention - Ans--Nonurgent:
Lowest priority, expected to die, Comfort care, but not restorative care - Ans--
Expectant:
- Ans--Determining Priority Care for a group of clients
Life before limb
Acute before Chronic
Actual problems before potential problems
PREDICTORHSN 25\26 GET IT RIGHT
A nurse is responsible for providing clear directions when a task is initially
delegated and for periodic reassessment and evaluation of the outcome of
the task.
RNs must delegate tasks so that they can complete higher level tasks.
RNs may delegate to other RNs, PNs or APs.
PNs may delegate to other PNs or APs.
Predictability of outcome: Is this routine, or is this new, is there potential for
complications
Potential for harm: Is the client stable? Risks? Aspiration, Bleeding
Complexity of Care: Does the delegatee have the license to perform the task,
and the training?
Need for problem solving: Does this require the nursing process?
Assessment skills or judgment
Level of client interaction: Is there psychosocial support needed? - Ans--
Delegation for effective task management.
Monitoring findings
Reinforcing client teaching
Tracheostomy Care
Suctioning
NG tube patency
Enteral Feedings
Insert Catheter
Administering Meds - Ans--TO PN
ADLs Bathing, Grooming, Dressing, Toliet
Ambulating
,Feeding
Positioning
Routine tasks
Bed making
Specimen Collection, I and Os
Vitals For stable clients - Ans--TO AP
Planning
Organizing:
Controlling:
Directing:
Staffing: - Ans--Concepts of management—Strategies to identify solutions
to community health problems
What needs to be done, and who is going to do it - Ans--Planning:
Lines of authority, communications, and where decisions are made - Ans--
Organizing:
Influences and motivates people to perform - Ans--Directing:
The evaluation of performance and unit goals to ensure outcomes are met -
Ans--Controlling:
Adequate staffing, and staffing mix - Ans--Staffing:
Hold formal positions of authority and power, Possess clinical expertise,
Network with members of the team, Coach subordinates, Make decisions for
the organization: Resources, Budget, Hiring, and Firing - Ans--
Characteristics of managers:
- Ans--Conflict Management between health care workers
The ability of the client to make personal decisions, even when those
decisions might not be in the client's own best interest - Ans--Autonomy:
Care that is in the best interest of the client - Ans--Beneficence:
, Keeping one's promise to the client about care that was offered - Ans--
Fidelity:
Fair treatment in matters related to physical and psychosocial care and use
of resources - Ans--Justice:
The nurse's obligation to avoid causing harm to the client - Ans--
Nonmaleficence:
The nurse's duty to tell the truth - Ans--Veracity:
Medication errors, Procedure/treatment errors, Equipment related
injuries/errors, Needlestick injuries, Client falls, Visitor/Volunteer injuries,
Threat made to client or staff, Loss of property. - Ans--Examples when an
incident report should be filed:
Emergent:
Urgent
Nonurgent:
Expectant: - Ans--Establishing Priorities---Facility Protocols: Triage
evaluation of peds
Highest priority, life threatening injuries but also have high survival rate once
stable - Ans--Emergent:
Second highest priority can wait 40-60 mins for treatment - Ans--Urgent:
Minor injuries that are not life threatening and do not need immediate
attention - Ans--Nonurgent:
Lowest priority, expected to die, Comfort care, but not restorative care - Ans--
Expectant:
- Ans--Determining Priority Care for a group of clients
Life before limb
Acute before Chronic
Actual problems before potential problems