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NURS 100 ATI Capstone Content Review Tips of the Week - Leadership.Graded A West Coast University

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ATI Capstone Content Review Tips of the Week – Leadership One last look at prioritization: When prioritizing, remember the four orders: 1. Any immediate threats to safety (ABCs, Maslow) 2. Actua... l problems for which the client is requesting help 3. Actual or potential problems of which the client may not be aware 4. Actual or potential future problems Scenario #1 Let’s look at some examples: You receive report in the morning and are assigned the following clients. Prioritize the order in which you will assess these clients: A client needing assistance with feeding due to hemiparesis. A client on a ventilator with a PRN order for tracheal suctioning. A client going to OR for an appendectomy at 0900. A client needing reinforcement of teaching regarding self-administration of insulin. Scenario #1 Key The order of care should be as follows: 1. A client on a ventilator with a PRN order for tracheal suctioning should be seen 1st—ABCs and Safety! 2. A client going to OR for an appendectomy at 0900 should be seen 2nd to ensure the procedure is started on time. 3. A client needing help with feeding due to hemiparesis can be seen 3rd, hunger & thirst come before teaching according to Maslow’s Hierarchy. 4. A client needing reinforcement of teaching regarding self-administration of insulin can be seen last. Scenario #2 You receive report in the morning and are assigned the following clients. Prioritize the order in which you will assess these clients: A client requesting discharge instructions because his ride home is waiting. A client requesting pain medication. A client who had an episode of urinary incontinence, resulting in urine on the floor next to the bed. A client needing a dressing change for an infected wound. Scenario #2 Key The order of care should be as follows: 1. A client who had an episode of urinary incontinence, resulting in urine on the floor next to the bed. 2. A client requesting pain medication. 3. A client needing a dressing change for an infected wound. 4. A client requesting discharge instructions because his ride home is waiting. Think Safety first!! The urine spill needs to be cleaned first to prevent an injury. The pain medication should be given before completing the dressing change because the pain is acute, but the wound is already established. Once client care needs are addressed, then teaching can take place. Scenario #3 You are the nurse on the day shift and the following events are occurring. Prioritize the order in which you would address these issues: The Emergency Department is full, and another nurse wants to give you a report on a patient being transferred to you unit. A client is experiencing pallor, a heart rate of 42, and has a change in level of consciousness. Lunch trays need to be passed out to your clients. A family member of one of your client’s has a question to ask you. [Show More]

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