Virtual ATI Comprehensive Predictor
Delegation for effective task management. - ANSA 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?
TO PN - ANSMonitoring findings
Reinforcing client teaching
Tracheostomy Care
Suctioning
NG tube patency
Enteral Feedings
Insert Catheter
Administering Meds
TO AP - ANSADLs Bathing, Grooming, Dressing, Toliet
Ambulating
Feeding
Positioning
Routine tasks
Bed making
Specimen Collection, I and Os
Vitals For stable clients
Concepts of management—Strategies to identify solutions to community health problems -
ANSPlanning
Organizing:
Controlling:
Directing:
,Staffing:
Planning: - ANSWhat needs to be done, and who is going to do it
Organizing: - ANSLines of authority, communications, and where decisions are made
Directing: - ANSInfluences and motivates people to perform
Controlling: - ANSThe evaluation of performance and unit goals to ensure outcomes are met
Staffing: - ANSAdequate staffing, and staffing mix
Characteristics of managers: - ANSHold 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
Conflict Management between health care workers - ANS
Autonomy: - ANSThe ability of the client to make personal decisions, even when those
decisions might not be in the client's own best interest
Beneficence: - ANSCare that is in the best interest of the client
Fidelity: - ANSKeeping one's promise to the client about care that was offered
Justice: - ANSFair treatment in matters related to physical and psychosocial care and use of
resources
Nonmaleficence: - ANSThe nurse's obligation to avoid causing harm to the client
Veracity: - ANSThe nurse's duty to tell the truth
Examples when an incident report should be filed: - ANSMedication errors, Procedure/treatment
errors, Equipment related injuries/errors, Needlestick injuries, Client falls, Visitor/Volunteer
injuries, Threat made to client or staff, Loss of property.
Establishing Priorities---Facility Protocols: Triage evaluation of peds - ANSEmergent:
Urgent
Nonurgent:
Expectant:
Emergent: - ANSHighest priority, life threatening injuries but also have high survival rate once
stable
, Urgent: - ANSSecond highest priority can wait 40-60 mins for treatment
Nonurgent: - ANSMinor injuries that are not life threatening and do not need immediate attention
Expectant: - ANSLowest priority, expected to die, Comfort care, but not restorative care
Determining Priority Care for a group of clients - ANS
Prioritizing Care for multiple home care clients - ANSLife before limb
Acute before Chronic
Actual problems before potential problems
Listen carefully to clients and don't assume
Trends vs Transient findings Complications vs expected findings
Prioritizing Care for post op clients - ANSAirway, Breathing, Circulation, Disability,
Examination/Exposure
Maslow's Hierarchy - ANSPhysiological, Safety and Security, Love and Belonging, Self-esteem,
Self-Actualization
Speaking to a client who has a hearing Impairment - ANSLearn the clients' preferred method of
communications and make accommodations.
Avoid covering your mouth
Sit and face the client
Speak slowly and clearly
Encourage the use of hearing devices
Try lowering vocal pitch before increasing volume
Do not shout
Use brief sentences with simple words
Minimize background noise
Ask for a sign language interpreter if necessary
Write down what clients do not understand
Fractures: Care for a new Cast - ANSShow the procedure on a doll
Delegation for effective task management. - ANSA 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?
TO PN - ANSMonitoring findings
Reinforcing client teaching
Tracheostomy Care
Suctioning
NG tube patency
Enteral Feedings
Insert Catheter
Administering Meds
TO AP - ANSADLs Bathing, Grooming, Dressing, Toliet
Ambulating
Feeding
Positioning
Routine tasks
Bed making
Specimen Collection, I and Os
Vitals For stable clients
Concepts of management—Strategies to identify solutions to community health problems -
ANSPlanning
Organizing:
Controlling:
Directing:
,Staffing:
Planning: - ANSWhat needs to be done, and who is going to do it
Organizing: - ANSLines of authority, communications, and where decisions are made
Directing: - ANSInfluences and motivates people to perform
Controlling: - ANSThe evaluation of performance and unit goals to ensure outcomes are met
Staffing: - ANSAdequate staffing, and staffing mix
Characteristics of managers: - ANSHold 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
Conflict Management between health care workers - ANS
Autonomy: - ANSThe ability of the client to make personal decisions, even when those
decisions might not be in the client's own best interest
Beneficence: - ANSCare that is in the best interest of the client
Fidelity: - ANSKeeping one's promise to the client about care that was offered
Justice: - ANSFair treatment in matters related to physical and psychosocial care and use of
resources
Nonmaleficence: - ANSThe nurse's obligation to avoid causing harm to the client
Veracity: - ANSThe nurse's duty to tell the truth
Examples when an incident report should be filed: - ANSMedication errors, Procedure/treatment
errors, Equipment related injuries/errors, Needlestick injuries, Client falls, Visitor/Volunteer
injuries, Threat made to client or staff, Loss of property.
Establishing Priorities---Facility Protocols: Triage evaluation of peds - ANSEmergent:
Urgent
Nonurgent:
Expectant:
Emergent: - ANSHighest priority, life threatening injuries but also have high survival rate once
stable
, Urgent: - ANSSecond highest priority can wait 40-60 mins for treatment
Nonurgent: - ANSMinor injuries that are not life threatening and do not need immediate attention
Expectant: - ANSLowest priority, expected to die, Comfort care, but not restorative care
Determining Priority Care for a group of clients - ANS
Prioritizing Care for multiple home care clients - ANSLife before limb
Acute before Chronic
Actual problems before potential problems
Listen carefully to clients and don't assume
Trends vs Transient findings Complications vs expected findings
Prioritizing Care for post op clients - ANSAirway, Breathing, Circulation, Disability,
Examination/Exposure
Maslow's Hierarchy - ANSPhysiological, Safety and Security, Love and Belonging, Self-esteem,
Self-Actualization
Speaking to a client who has a hearing Impairment - ANSLearn the clients' preferred method of
communications and make accommodations.
Avoid covering your mouth
Sit and face the client
Speak slowly and clearly
Encourage the use of hearing devices
Try lowering vocal pitch before increasing volume
Do not shout
Use brief sentences with simple words
Minimize background noise
Ask for a sign language interpreter if necessary
Write down what clients do not understand
Fractures: Care for a new Cast - ANSShow the procedure on a doll
