Soru

Zorluk: OrtaClient Care Assignments and Collaboration

The interprofessional healthcare team is coordinating care on a busy medical-surgical unit. To ensure safe and effective care, match each clinical task with the team member whose scope of practice or professional role is most appropriate for the assignment.

  • Completing the initial comprehensive admission assessment and establishing the nursing care plan.Registered Nurse (RN)
  • Administering scheduled enteral tube feedings and reinforcing previous ostomy care teaching.Practical Nurse (PN)
  • Assisting a stable, two-day postoperative client with morning hygiene and transferring to a chair.Assistive Personnel (AP)
  • Evaluating a client's specific mobility deficits and designing a customized progressive ambulation program.Physical Therapist (PT)

Cevap

Clinical tasks must be assigned according to the legal scope of practice: comprehensive assessments to the RN, routine medication and teaching reinforcement to the PN, basic care to the AP, and mobility evaluation to the PT.
Delegation and interprofessional collaboration require assigning tasks to team members based on their legal scope of practice and specialized training. The RN must handle initial assessments and care planning. The PN manages stable clients, performs routine procedures, and reinforces teaching. The AP handles basic care for stable clients. The PT evaluates and prescribes interventions for mobility and rehabilitation.

Adım Adım Çözüm

1
Identify the task requiring comprehensive assessment and initial care planning.
Matched with the Registered Nurse (RN).
Initial assessments and the creation of a care plan require advanced clinical judgment and fall exclusively within the RN scope of practice.
2
Identify the task involving enteral feedings and reinforcing teaching.
Matched with the Practical Nurse (PN).
The PN is qualified to administer enteral feedings for stable clients and can reinforce education that was originally provided by the RN.
3
Identify the task involving basic hygiene and transferring a stable client.
Matched with Assistive Personnel (AP).
Routine, standard care tasks with predictable outcomes can be safely delegated to the AP.
4
Identify the task involving evaluating mobility needs and designing an exercise program.
Matched with the Physical Therapist (PT).
Evaluating musculoskeletal function and prescribing physical rehabilitation programs are the specific expertise of the PT.

Anahtar Kavram

Client care assignments must be delegated based on the legal scope of practice, team member competency, and client stability.
Bu soruyu puanla