ATI NURSING LEADERSHIP
PROCTORED: FOCUS REVIEW
Chapter 1, Managing client care:
Prioritizing client care
o Systemic before local
o Acute before chronic
o Actual problems before potential ones
o Listen carefully to clients and do not assume
o Recognize and response to trends vs transit findings
o Recognize indications of medical emergencies and complications
vs expected findings
o Apply clinical knowledge to procedural standards to determine
the priority action
Client care assignments
o Assigning is performed in a downward or lateral manner with
regard to members of the healthcare team
o Client factors are:
Condition of client and level of care needed
Specific care needs such as cardiac monitoring or
ventilation mechanical
Special precaution needs such as isolation or fall
precautions or seizures, procedures requiring time
commitments
o Health care team factors:
Knowledge and skill levels of the team members
Supervision that is necessary
Nurse to client ratio
Experience with similar clients
Familiarity of staff member with unit
, o Additional factors;
If receiving an unsafe assignment the nurse should bring
the unsafe assignment to the attention of the scheduling
charge nurse and negotiate new assignment, if the issue is
not resolve, take the concern up the chain of command
Nurse should file a written protest to the assignment such
as an assignment despite objection (ADO) or document of
practice situation (DOPS) with the appropriate
administrator
If not follow proper failure to accept the assignment
following proper channels could be considered client
abandonment.
o Delegations to an assistive personnel
ADLS
Bathing, dressing, toileting, ambulating, feeding if pt has
no problems with swallowing
Positioning
Routine task, bed making
Specimen collection
Intake and output
Vital signs for stable clients
Quality improvement
o Standards of care should reflect optimal goals and based on
evidence
Outcomes indicators-client outcomes related to standard
under review
Structure indicators- setting in which care is provided and
the available human and material resources
Process indicators- how client care is provided and are
established by policies and procedures( clinical practice
guidelines)
Benchmarks- are goals that are set to determine at what
level the outcome indicators should be met
PROCTORED: FOCUS REVIEW
Chapter 1, Managing client care:
Prioritizing client care
o Systemic before local
o Acute before chronic
o Actual problems before potential ones
o Listen carefully to clients and do not assume
o Recognize and response to trends vs transit findings
o Recognize indications of medical emergencies and complications
vs expected findings
o Apply clinical knowledge to procedural standards to determine
the priority action
Client care assignments
o Assigning is performed in a downward or lateral manner with
regard to members of the healthcare team
o Client factors are:
Condition of client and level of care needed
Specific care needs such as cardiac monitoring or
ventilation mechanical
Special precaution needs such as isolation or fall
precautions or seizures, procedures requiring time
commitments
o Health care team factors:
Knowledge and skill levels of the team members
Supervision that is necessary
Nurse to client ratio
Experience with similar clients
Familiarity of staff member with unit
, o Additional factors;
If receiving an unsafe assignment the nurse should bring
the unsafe assignment to the attention of the scheduling
charge nurse and negotiate new assignment, if the issue is
not resolve, take the concern up the chain of command
Nurse should file a written protest to the assignment such
as an assignment despite objection (ADO) or document of
practice situation (DOPS) with the appropriate
administrator
If not follow proper failure to accept the assignment
following proper channels could be considered client
abandonment.
o Delegations to an assistive personnel
ADLS
Bathing, dressing, toileting, ambulating, feeding if pt has
no problems with swallowing
Positioning
Routine task, bed making
Specimen collection
Intake and output
Vital signs for stable clients
Quality improvement
o Standards of care should reflect optimal goals and based on
evidence
Outcomes indicators-client outcomes related to standard
under review
Structure indicators- setting in which care is provided and
the available human and material resources
Process indicators- how client care is provided and are
established by policies and procedures( clinical practice
guidelines)
Benchmarks- are goals that are set to determine at what
level the outcome indicators should be met
