*NURSING > EXAM > Acute Care Final Exam Focused Review, Fall 2017/complete review/RATED A (All)

Acute Care Final Exam Focused Review, Fall 2017/complete review/RATED A

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• Safety – 9 key areas where nursing practice should be improved o Medication Administration o Clearly communicating patient data and clinical assessments o Attentiveness/surveillance o Clinic... al reasoning or judgment o Prevention of errors or complications o Intervention (carrying out nursing actions in an appropriate and timely manner) o Interpretation of authorized provider orders o Professional responsibility and patient advocacy o Mandatory reporting • Delegation – Know the 5 rights o As a nursing leader, you will delegate certain nursing tasks and activities to unlicensed assistive personnel (UAP), such as patient care technicians (PCTs) or patient care assistants (PCAs). o Delegation is the process of transferring to a competent person the authority to perform a selected nursing task or activity in a selected patient care situation. This process requires precise and accurate communication. o The nurse is always accountable for the task or activity that is delegated! o An important process that is sometimes not consistently performed by busy medical- surgical nurses is supervision of the UAP to whom the task or activity has been delegated. ▪ Supervision is guidance or direction, evaluation, and follow-up by the nurse to ensure that the task or activity is performed appropriately. ▪ Examples of delegated tasks are turning and positioning, vital signs, and intake and output measurements. o Be sure to follow these five rights when you delegate and supervise a nursing task or activity to a UAP: ▪ Right task: The task is within the UAP's scope of practice and competence. ▪ Right circumstances: The patient care setting and resources are appropriate for the delegation. ▪ Right person: The UAP is competent to perform the delegated task or activity. ▪ Right communication: The nurse provides a clear and concise explanation of the task or activity, including limits and expectations. ▪ Right supervision: The nurse appropriately monitors, evaluates, intervenes, and provides feedback on the delegation process as needed. o Other activities or patient care responsibilities may be assigned by a registered nurse (RN) to another RN or to a licensed practical or vocational nurse (LPN/LVN). o Each state designates which tasks may be safely delegated and assigned to nursing team members. [Show More]

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