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Zorluk: OrtaClient Care Assignments and Collaboration

A practical nurse (PN) on an orthopedic surgical unit is planning to delegate the ambulation of a client who is 2 days post-operative following a total hip arthroplasty to an assistive personnel (AP). Arrange the steps of the delegation process in the correct chronological order from first to last.

  1. 1Evaluate the client's physiological stability and current pain level.
  2. 2Confirm the assistive personnel's competency with post-operative hip precautions.
  3. 3Communicate the specific distance to walk and the required mobility aids.
  4. 4Monitor the initial bed-to-walker transfer to ensure correct body alignment.
  5. 5Review the assistive personnel's report regarding the client's activity tolerance.

Cevap

The correct sequence follows the NCSBN Five Rights of Delegation: assess the client's condition, confirm the AP's competency, provide specific instructions, supervise the initial performance, and finally evaluate the client's response.
The delegation process must follow a structured, chronological path to ensure client safety and legal compliance. The PN must first assess the client's stability to establish the Right Circumstance. Only after establishing clinical stability should the PN verify the AP's specific competency for the task, ensuring the Right Person. Once competency is confirmed, the PN communicates clear parameters to provide the Right Direction. During the execution of the task, the PN provides necessary oversight for the Right Supervision. Finally, the PN reviews the outcome and documentation to complete the Right Evaluation.

Adım Adım Çözüm

1
Assess the client's stability.
The PN determines the client is physiologically ready for the task.
Delegation cannot occur safely until the 'Right Circumstance' is established through nursing assessment.
2
Verify AP competency.
The PN ensures the AP knows how to maintain total hip precautions.
The PN must ensure the 'Right Person' is performing the task to prevent client injury (e.g., hip dislocation).
3
Provide clear directions.
The AP receives exact parameters for the ambulation.
The 'Right Direction/Communication' ensures the AP knows exactly what is expected and what to report.
4
Supervise the transfer.
The PN directly observes the highest-risk portion of the task.
The 'Right Supervision' allows the PN to correct any unsafe practices immediately during the initial transfer.
5
Evaluate the outcome.
The PN gathers feedback on how the client tolerated the activity.
The 'Right Evaluation' closes the delegation loop and allows the PN to update the plan of care.

Anahtar Kavram

NCSBN Five Rights of Delegation Sequence
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Konular

Client Care Assignments and Collaboration

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