ATI RN Comprehensive Practice B Remediation- LATEST GUIDE

• Advance Directives/Self-Determination/Life Planning o Professional Responsibilities: Evaluating Client Understanding of Advance Directives ▪ Inform the client that he/she can designate a health care surrogate to make informed decisions for a them for when they become incompetent or unable to. ▪ Educate the client that the surrogate should be someone who is familiar with the client’s wishes. ▪ Educate the client that a durable power of attorney is an adjunct to a living will and it is a more effective way of ensuring that the client’s decisions about health care are honored. • Advocacy o Professional Responsibilities: Teaching About Advocacy ▪ The nurse plays the role of the informer, supporter, and mediator, for the client. ▪ It is the nurse’s responsibility to advocate for resources or services that meet the client’s health care needs. ▪ Nurses acts as advocates for communities and populations through efforts to change the health care systems and improve quality of life. • Assignment, Delegation and Supervision o Managing Client Care: Planning Tasks to Delegate to an Assistive Personnel ▪ The assistive personnel can be delegated tasks that are related to ADLs such as bathing, grooming, feeding the patient, and etc. ▪ The assistive personnel can be delegated to obtain vital signs for a patient that is in stable condition. ▪ The assistive personnel can be delegated to obtain the patient’s intake and output. o Managing Client Care: Priority Step in the Time Management Process ▪ A list of tasks that needs to be completed should be made for effective time management. ▪ Complete one client care task before beginning the next, starting with the highest priority task. ▪ Reprioritize remaining tasks based on continual reassessment of client care needs. • Case Management o Cystic Fibrosis: Evaluating the Need for a Chest Compression Vest ▪ A chest compression vest is needed to provide adequate amount of mucus production. ▪ A chest compression vest is combined with the use of nebulization therapy.