Health Care > QUESTIONS & ANSWERS > Lectures 12 Prioritization, Delegation, and Staff Management study guide latest version (All)

Lectures 12 Prioritization, Delegation, and Staff Management study guide latest version

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1. Acute is a higher priority than a chronic - COPD - CHF - Appendicitis (highest priority, acute) 2. Fresh post-op (within first 12 hours) is a higher priority than medical or other surgical.... - COPD - CHF - Appendicitis - 2 hours post op colectomy (Highest priority, 2-hours post-op) - 2-day post op coronary bypass patient 3. Unstable patients are a higher priority than stable patients. - Words in an answer that makes a patient unstable or stable Stable Unstable - Use of the word stable - Use of the word unstable - Chronic illness - Acute illness - Post-op grater than 12 hours - Post-op less than 12 hours - Local or regional anesthesia - General anesthesia in the first 12 - Lab abnormalities of an A or B level hours - The phrase: “ready for discharge” or - Lab abnormalities of a C or D level “admitted 24 hours ago” - The phrase “not ready for - Unchanged Assessments discharge” or “newly admitted (less - Experiencing the typical, expected than 24 hours ago)” or “newly signs and symptoms of their illness diagnosed” with which they were diagnosed - Changed assessments - Experiencing unexpected signs and symptoms - Applying Rule 3: Example 1. - A 16-year-old female with meningococcal meningitis who has had a temperature of 400c since admission three days ago. - Diagnosis is more severe but increased temp is expected (and 3 days is past 24 hour mark) - A 67-year-old male with irritable bowel syndrome (IBS) that has a spiked temperature of 39.60c this afternoon. - Diagnosis is less severe but increased temp is unexpected (and this afternoon) he is now the higher priority patient. He could have a ruptured bowl and is going septic. [Show More]

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