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Zorluk: OrtaClient Care Assignments and Collaboration

A charge nurse is coordinating care on a general medical unit. Match each specific client care requirement with the most appropriate healthcare team member who should be assigned or consulted to complete the task.

  • Developing an initial individualized care plan for a newly admitted clientRegistered Nurse (RN)
  • Administering routine oral medications to a client with a stable, chronic conditionPractical Nurse (PN)
  • Helping a client with stable mobility limitations perform daily hygiene activitiesAssistive Personnel (AP)
  • Providing specialized recommendations for a complex, non-healing stage 4 pressure woundWound Care Nurse Specialist

Cevap

Developing the initial care plan is assigned to the Registered Nurse (RN). Administering routine oral medications is assigned to the Practical Nurse (PN). Assisting with hygiene is delegated to the Assistive Personnel (AP). Complex wound recommendations require a consultation with the Wound Care Nurse Specialist.
Safe and effective care requires assigning tasks based on the legal scope of practice and collaborating with specialists when client needs exceed standard care parameters. The RN must perform the initial planning; the PN safely handles stable medication administration; the AP manages routine ADLs; and complex clinical issues like stage 4 wounds require a specialist's advanced expertise.

Adım Adım Çözüm

1
Analyze the requirement to develop an initial care plan.
This requires comprehensive assessment and formulation of nursing diagnoses.
These skills fall strictly within the legal scope of practice of the Registered Nurse (RN).
2
Analyze the requirement to administer routine oral medications.
This is a standard procedure for a predictable, stable condition.
This task is safely and legally within the scope of practice of the Practical Nurse (PN).
3
Analyze the requirement to help a stable client with daily hygiene.
This is a basic, non-invasive, routine activity of daily living (ADL).
Standard, unchanging ADLs can be safely delegated to Assistive Personnel (AP).
4
Analyze the requirement for complex stage 4 wound recommendations.
This requires advanced tissue evaluation and expertise beyond standard nursing care.
This situation requires interprofessional collaboration and a direct referral to a Wound Care Nurse Specialist.

Anahtar Kavram

Scope of Practice, Delegation, and Interprofessional Collaboration
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