VATI RN COMPREHENSIVE PREDICTOR FOCUSED REVIEW

VATI RN COMPREHENSIVE PREDICTOR FOCUSED REVIEWManagement of Care – (9) Advance Directives – (1) Legal Responsibilities: Purpose of a Living Will (RM FUND 9.0 Chp 4) A living will is a legal document that expresses the client’s wishes regarding medical treatment in the event the client becomes incapacitated and is facing endof-life issues. Most state laws include provisions that protect health care providers who follow a living will from liability. Assignment, Delegation and Supervision – (2) Delegation and Supervision: Delegating Tasks to an Assistive Personnel (RM FUND 9.0 Chp 6) Examples of tasks nurses may delegate to Aps (provided the facility’s policy and state’s practice guidelines permit) Activities of daily living (ADLs) – bathing, grooming, dressing, toileting, ambulating, feeding (without swallowing precautions), positioning Routine tasks – bed making, specimen collection, intake and output, vital signs (for stable clients) Managing Client Care: Delegation Strategy for Effective Task Management (RM Leadership 7.0 Chp 1) Consideration for selection of an appropriate delegate include the following: education, training, and experience; knowledge and skill to perform the task; level of critical thinking required to complete the task; ability to communicate with others as it pertains to the task; demonstrated competence; the delegatee’s culture; agency policies and procedures and licensing legislation (state nurse practice acts) Case Management – (1) Cardiovascular Disorders: Tetralogy of Fallot (RM NCC RN 10.0 Chp 20) Tetralogy of Fallot – four defects that result in mixed blood flow: Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy Cyanosis at birth: progressive cyanosis over the first year of life. Systolic murmur. Episodes of acute cyanosis and hypoxia (blue or “Tet” spells) Surgical procedures – shunt placement until able to undergo primary repair; complete repair within the first year of life Collaboration with Interdisciplinary Team – (1) Communicable Diseases, Disasters, and Bioterrorism: CDC Reportable Diagnoses (RM CH RN 7.0 Chp 6) Anthrax. Botulism. Cholera. Congenital rubella syndrome (CRS). Diphtheria. Giardiasis. Gonorrhea. Hepatitis A, B, C. HIV infection. Influenza-associated pediatric mortality. Legionellosis/Legionnaires’ disease. Lyme disease. Malaria. 1 | P a g eMeningococcal disease. Mumps. Pertussis (whooping cough). Poliomyelitis, paralytic. Poliovirus infection, nonparalytic. Rabies (human or animal). Rubella (German measles). Salmonellosis. Severe acute respiratory syndrome-associated coronavirus disease (SARS-CoV). Shigellosis. Smallpox. Syphilis. Tetanus/C. tetani. Toxic shock syndrome (TSS) (other than Streptococcal). Tuberculosis (TB). Typhoid fever. Vancomycin-intermediate and vancomycin-resistant. Staphylococcus aureus (VISA/VRSA) Continuity of Care – (1) Information Technology: Change-of-Shift Report (RM FUND 9.0 Chp 5) • Nurses give this report at the conclusion of each shift to the nurse assuming responsibility for the clients. Formats include face to face, audiotaping, or presentation during walking rounds in each client’s room (unless the client has a roommate or visitors are present) An effective report should: include significant objective information about the client’s health problems; proceed in a logical sequence; include no gossip or personal opinion; relate recent changes in medications, treatments, procedures, and the discharge plan Establishing Priorities – (1) Managing Client Care: Determining Priority Care for a Group of Clients (RM Leadership 7.0 Chp 1) • Prioritize systemic before local (“life before limb”) Prioritizing interventions for a client in shock over interventions for a client who has a localized limb injury • Prioritize acute (less opportunity for physical adaptation) before chronic (greater opportunity for physical adaptation) Prioritizing the care of a client who has a new injury/illness (e.g. mental confusion, chest pain) or an acute exacerbation of a previous illness over the care of a client who has a long-term chronic illness • Prioritize actual problems before potential future problems Prioritizing administration of