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Zorluk: OrtaClient Care Assignments and Collaboration

A clinical coordinator on an orthopedic rehabilitation unit is delegating tasks for the upcoming shift. Match each clinical task with the appropriate team member and rationale based on their legal scope of practice.

  • Developing the comprehensive care plan for a newly transferred client with a complex pelvic fracture.Registered Nurse (RN) - Initial Care Planning
  • Administering a scheduled subcutaneous anticoagulant to a client whose condition is stable.Practical Nurse (PN) - Routine Medication Administration
  • Emptying a urinary drainage bag and recording the output volume at the end of the shift.Assistive Personnel (AP) - Basic Care Tasks
  • Performing an assessment on a client who exhibits sudden dyspnea and tachycardia.Registered Nurse (RN) - Unstable Client Assessment

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The Registered Nurse (RN) must handle the initial care planning and the assessment of the unstable client. The Practical Nurse (PN) is assigned the routine medication administration. The Assistive Personnel (AP) is delegated the task of emptying the drainage bag and recording the output.
Effective delegation requires matching the task complexity and client stability with the legal scope of practice for each team member. The RN handles all complex planning and unstable client assessments. The PN manages care and medication for stable clients with predictable outcomes. The AP assists with standard, non-invasive activities of daily living and measurement collection.

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1
Analyze the acuity and stability of each client situation presented.
Two tasks involve stable/routine situations (medication and drainage bag), while two involve complex or unstable situations (initial care plan and sudden dyspnea).
Determining client stability is the first step in the delegation process according to NCSBN guidelines.
2
Identify the tasks that require the nursing process, advanced judgment, or clinical reasoning.
Developing the comprehensive care plan and assessing sudden dyspnea require advanced judgment.
These tasks must remain with the Registered Nurse and cannot be delegated to a PN or AP.
3
Match the remaining routine tasks to the appropriate team member's scope of practice.
Subcutaneous injections fall under the PN's scope of practice, while standard, non-invasive hygiene and output measurement fall under the AP's scope.
Delegating to the most appropriate, lowest-cost resource who is safely licensed/certified to perform the task ensures effective team collaboration.

Anahtar Kavram

Delegation and Scope of Practice (RN, PN, AP)
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Konular

Client Care Assignments and Collaboration

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