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ATI RN LEADERSHIP PROCTOR FOCUS REVIEW UPDATED A+ Guide

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ATI RN LEADERSHIP PROCTOR FOCUS REVIEW UPDATED A+ Guide/REVIEW Chapter 1, Managing client care: • Prioritizing client care o Systemic before local o Acute before chronic o Actual problems before ... potential ones o Listen carefully to clients and do not assume o Recognize and response to trends vs transit findings o Recognize indications of medical emergencies and complications vs expected findings o Apply clinical knowledge to procedural standars to determine the priority action • Client care assignments o Assigning is performed in a downward or lateral manner with regard to members of the healthcare team o Client factors are:  Condition of client and level of care needed  Specific care needs such as cardiac monitoring or ventilation mechanical  Special precaution needs such as isolation or fall precautions or seizures, procedures requiring time commitments o Health care team factors:  Knowledge and skill levels of the team members  Supervision that is necessary  Nurse to client ratio  Experience with similar clients  Familiarity of staff member with unit o Additional factors;  If receiving an unsafe assignment the nurse should bring the unsafe assignment to the attention of the scheduling charge nurse and negotiate new assignment, if the issue is not resolve, take the concern up the chain of command  Nurse should file a written protest to the assignment such as an assignment despite objection (ADO) or document of practice situation (DOPS) with the appropriate administratior  If not follow proper failure to accept the assignment following proper channels could be considered client abandonment. [Show More]

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