ATI Comprehensive Remediation
Management of Care
• Advance Directives/Self-Determination/Life Planning - (2)
o Legal Responsibilities: Responding to a Client's Wishes for a Living Will (Active Learning Template - Ba
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ATI Comprehensive Remediation
Management of Care
• Advance Directives/Self-Determination/Life Planning - (2)
o Legal Responsibilities: Responding to a Client's Wishes for a Living Will (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 4)
Provide the patient with written information
Document the client’s advance directive status
Ensure the advance directive status reflects the clients wishes
o Professional Responsibilities: Providing Information to a Client About Advance Directives (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 3)
An advance directive is a legal document that expresses the clients wishes regarding medical treatment in the event the client becomes incapacitated and is facing end of life issues
Staff should give clients who do not have advance directives information regarding health care decisions
Clients should be given information about how formulate an advance directive and have a health care representative present
• Assignment, Delegation and Supervision - (1)
o Managing Client Care: Appropriate Assignment for Assistive Personnel (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 1)
Can only delegate tasks appropriate for skill level and education of personal being delegated to
Right task, right circumstance, right person, right direction and communication, right supervision and evaluation
Cannot delegate skills that require clinical judgement or education
• Collaboration with Interdisciplinary Team - (1)
o Cystic Fibrosis: Priority Finding to Report to the Provider (Active Learning Template - System Disorder, RM NCC RN 10.0 Chp 19)
Sweat chloride greater than 70
Oxygen saturation below 80%
pCO2 above or below 38-42
• Informed Consent - (1)
o Professional Responsibilities: Validating Informed Consent Prior to a Surgical Procedure (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 3)
Ensure provider gave enough information for patient to know procedure
Nurse must watch patient sign the document
Nurse must reinforce information and forward any questions to the provider
• Referrals - (3)
o Coordinating Client Care: Providing Assistance for a Client Who Has a New Colostomy (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 2)
Provide information regarding acquisition of supplies for ostomy care
Set up home health to provide ostomy care to patient
Provide education about ostomy care to patient, such as how to burp and empty ostomy
o Coordinating Client Care: Referral for Care Following Discharge (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 2)
Use interprofessional team to decide amount of care needed following discharge
Provide a route for continuity of care following discharge
Involve family in planning of care
o Stroke: Priority Action When Initiating Discharge Planning (Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 15)
Educate about signs and symptoms of another stoke
Decide how much care patient will require after discharge
Possibly refer to home health, outpatient PT and OT
Safety and Infection Control
• Accident/Error/Injury Prevention - (2)
o Health Promotion of Infants (2 Days to 1 Year): Car Seat Safety (Active Learning Template - Basic Concept, RM NCC RN 10.0 Chp 3)
Should remain in rear facing car seat until 2 years of age or manufacture recommended height
Do not place rear facing car seats in front seat
Back seat is safest place for infants and children
o Medications for Anxiety and Trauma- and Stressor-Related Disorders: Interventions for a Client Taking Alprazolam (Active Learning Template - Medication, RM MH RN 10.0 Chp 21)
Client should alcohol use
Manifestations of oral toxicity include lethargy, confusion, and drowsiness
Administer medication with food to prevent GI upset
• Emergency Response Plan - (2)
o Communicable Diseases, Disasters, and Bioterrorism: Nursing Responsibilities When Implementing a Disaster Management Plan (Active Learning Template - Basic Concept, RM CH RN 7.0 Chp 6)
Nurses should assess the community for disasters most likely to occur
Make a list of agencies and response times
Identify responsibilities of nurses at each triage level
o Facility Protocols: Developing an Emergency Preparedness Plan (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 5)
Assess facilities capability to handle specific threats
Assist in identifying roles of employees
Nurse should develop action plan for personal family needs
• Ergonomic Principles - (1)
o Ergonomic Principles: Placing a Client in Side-Lying Position (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 14)
Pillow should be placed on side facing up when lying on one side
Pillow should be placed between legs
This is okay but client should be turned regularly since pressure is mainly on hip and shoulder
• Handling Hazardous and Infectious Materials - (1)
o Infection Control: Hazardous Material Incidents (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 11)
Hazardous materials should be placed in biohazardous bag
Contaminated surfaces should be cleaned with hydrogen peroxide or bleach
all hazardous materials should be treated with at least standard precautons
• Home Safety - (1)
o Nursing Care and Discharge Teaching: Newborn Home Safety Instructions (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 26)
Cord should be kept dry and diaper folded under it
Manual expression of milk may be needed to initiate breastfeeding
Hot water should not be set higher than 120
• Standard Precautions/Transmission-Based Precautions/Surgical Asepsis - (1)
o Cancer Disorders: Teaching About Infection Prevention (Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 92)
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