clinical care assigments/ AP Nurses can only delegate tasks appropriated for the skill and education level of the health care team member who is receiving the assignment Nurse scope of practic... e What you can and cannot do as a nurse organizing care for multiple clients nurses must continuously set and reset priorities in order to meet the needs of multiple clients and to maintain client safety. priority finding to report prioritize systemic before local, acute before chronic, actual problems before potential problems, listen carefully don't assume, recognize and respond to trends vs transient findings making a clinical decision about hydration status do an assessment of limbs and skin turgor to address if dehydrated or not, then follow diet if NPO and give more IV if necessary, Assisting a client who is preparing for death Let the Pt. discuss their concerns with you, be open minded to the discussion and be an advocate for your Pt. Use therapeutic communication to help ease anxiety. discharge teaching for cataract surgery have someone drive you home, relax for 24 hours after surgery, do not rub eye, sleep on back or unoperated side, bandage and protect eye for 2 days and 2 nights client care in antepartum clinic Provide high quality care, observe and monitor pregnant moms for any changes in her or the baby, evaluate fetal well being performance review for AP formal system for conducting performance appraisals should be in place and used consistently. performance appraisal tools should reflect the staff member's job description and can be based on various types of scales and survey's. understanding of libel The publication of a false statement that deliberately or carelessly damages someone's reputation prioritization of client care establishing priorities in nursing practice requires that the nurse make these decisions based on evidence obtained during shift reports, review of documentation, continuously and accurately collecting client data. newborn data collection How the baby reacts, ABC's, vitals, if there are any problems during birth or after birth. Blood tests. Responding to family requests Make sure family requests don't go against Pt. will and wishes if written down. Be an advocate for Pt. still. Let them know what you can and cannot do. Maintaining client confidentiality Nurses must not disclose clients' information to unauthorized individuals OR family members who request it in person or by telephone or email. Nurses should ask any person inquiring about a client's status for the code and disclose information only when the individual can give the code. So if something arises, have that family member or individual know to contact the CLIENT to get information. teaching about chlamydia can cause serious long term complications if not treated, get treated right away, let others sexual active partners know and inform them of situation. evaluating fire safety performance RACE is so important to follow, know the location of exits, alarms, fire extinguishers, and oxygen turnoff valves, make sure equipment does not block fire doors, know the evacuation plan for unit and the facility. delegating AP of a disaster RN's cannot delegate the nursing process, client education, or tasks that require clinical judgment to AP Droplet precautions Methods of infection control that must be used for patients known or suspected to be infected with pathogens transmitted by large particle droplets expelled during coughing, sneezing, talking, or laughing. Home oxygen therapy safety use and store oxygen equipment according to the manufacturer's recommendation, use a no smoking sign on front door of home, educate and inform family members, follow general fire safety guidelines. [Show More]
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