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 - Bas
...
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
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