VATI RN COMPREHENSIVE PREDICTOR FOCUSED REVIEW
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VATI RN COMPREHENSIVE PREDICTOR FOCUSED REVIEW Management of Care – (9) Advance Directives – (1) Legal Responsibilities: Purpose of a Living Will (RM FUND 9.0 Chp 4) A living w... ill is a legal document that expresses the client’s wishes regarding medical treatment in the event the client becomes incapacitated and is facing endof-life issues. Most state laws include provisions that protect health care providers who follow a living will from liability. Assignment, Delegation and Supervision – (2) Delegation and Supervision: Delegating Tasks to an Assistive Personnel (RM FUND 9.0 Chp 6) Examples of tasks nurses may delegate to Aps (provided the facility’s policy and state’s practice guidelines permit) Activities of daily living (ADLs) – bathing, grooming, dressing, toileting, ambulating, feeding (without swallowing precautions), positioning Routine tasks – bed making, specimen collection, intake and output, vital signs (for stable clients) Managing Client Care: Delegation Strategy for Effective Task Management (RM Leadership 7.0 Chp 1) Consideration for selection of an appropriate delegate include the following: education, training, and experience; knowledge and skill to perform the task; level of critical thinking required to complete the task; ability to communicate with others as it pertains to the task; demonstrated competence; the delegatee’s culture; agency policies and procedures and licensing legislation (state nurse practice acts) Case Management – (1) Cardiovascular Disorders: Tetralogy of Fallot (RM NCC RN 10.0 Chp 20) Tetralogy of Fallot – four defects that result in mixed blood flow: Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy Cyanosis at birth: progressive cyanosis over the first year of life. Systolic murmur. Episodes of acute cyanosis and hypoxia (blue or “Tet” spells) Surgical procedures – shunt placement until able to undergo primary repair; complete repair within the first year of life [Show More]
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