ATI Leadership Proctored

ATI Leadership Proctored exams ABCDE principle for prioritization – Airway Breathing Circulation Disability Exposure True/False: Rarely will you ever prioritize giving pain medications - True rules for prioritization - - assess before taking action (calling the dr) - prioritize unstable over stable patients - prioritize acute over chronic conditions - prioritize systemic over local issues - pick least invasive procedure first examples of efficient nursing practice - - take time at the beginning of your shift to plan and prioritize your day - chart interventions/nursing care as soon as you complete them - group tasks together for a single patient - complete time consuming or challenging tasks earlier in your shift - wait to perform non -essential tasks for later in the day 5 rights of delegation - - right task - right circumstance - right person - right direction/communication - right supervision and evaluation what can be delegated to LPN's - medications enteral feeding foley insertions suctioning trach care wound care reinforce teaching what can be delegated to CNA's - bathing dressing the patient ambulation toileting oral feeding if no swallowing precautions positioning I&Os collecting specimens VS basic CPR RN's role - patient education patient assessment blood transfusions any tasks that involve nursing judgement right task - should be repetitive, noninvasive, and should not require a lot of supervision right circumstance - do not delegate tasks for unstable patients. we want to monitor and assess the patients ourselves right person - make sure the delegate is working within their scope of practice and is competent to provide the care we are delegating right direction/communication - provide a timeline and how you expect them to report back to you