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Zorluk: Çok zorClient Care Assignments and Collaboration

The charge nurse on a medical-surgical unit is coordinating care for a group of clients. Match each clinical task to the most appropriate interprofessional team member and its corresponding scope of practice justification.

  • Evaluating the psychosocial response and understanding of a newly implemented complex pain management regimen.Registered Nurse (RN): Requires synthesis of data to evaluate the overall effectiveness of the primary care plan.
  • Monitoring drainage from a closed-wound system and reinforcing previously taught signs of surgical site infection.Practical Nurse (PN): Involves focused data collection and reinforcement of established education on a stable client.
  • Performing passive range-of-motion exercises and applying bilateral sequential compression devices (SCDs).Assistive Personnel (AP): Involves standard, unchanging procedures with highly predictable outcomes.
  • Administering the first dose of intravenous (IV) push broad-spectrum antibiotics to a client admitted with acute sepsis.Registered Nurse (RN): Involves advanced pharmacological intervention and continuous assessment for a hemodynamically unstable client.

Cevap

Task 1 matches with RN (Evaluating care plan effectiveness); Task 2 matches with PN (Focused data collection and reinforcing education); Task 3 matches with AP (Standard procedures); Task 4 matches with RN (Unstable client IV push).
Safe delegation relies on distinguishing between comprehensive assessment (RN) and focused data collection (PN), as well as identifying initial education (RN) versus reinforcement of teaching (PN). Furthermore, interventions for unstable clients (acute sepsis) or those requiring evaluation of complex new regimens must remain with the RN. Standard, routine procedures with predictable outcomes (SCDs, ROM) are safely delegated to Assistive Personnel.

Adım Adım Çözüm

1
Analyze the first task: Evaluating the response to a newly implemented complex pain regimen.
Determined this requires comprehensive assessment and care plan evaluation.
Initial evaluation of complex interventions is strictly within the RN scope of practice.
2
Analyze the second task: Monitoring wound drainage and reinforcing infection signs.
Determined this fits the PN scope of practice.
PNs excel at focused data collection on stable clients and reinforcing initial education provided by the RN.
3
Analyze the third task: Range-of-motion exercises and SCD application.
Determined this should be delegated to the AP.
These are routine, repetitive tasks with predictable outcomes that do not require clinical nursing judgment.
4
Analyze the fourth task: Administering initial IV push antibiotics to an acute sepsis client.
Determined this must be assigned to the RN.
The client is hemodynamically unstable, and first-dose IV push medications require continuous, comprehensive RN evaluation.

Anahtar Kavram

Delegation and Scope of Practice based on the NCSBN Five Rights of Delegation.
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Konular

Client Care Assignments and Collaboration

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