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Zorluk: OrtaClient Care Assignments and Collaboration

A practical nurse (PN) is preparing to delegate routine morning care tasks to an assistive personnel (AP) on a medical-surgical unit. Place the following actions in the correct chronological sequence to ensure a safe and effective delegation process.

  1. 1Evaluate the stability of the clients to determine if the tasks are appropriate for delegation.
  2. 2Verify the competency and training of the assistive personnel to perform the specific tasks.
  3. 3Communicate clear instructions, including expectations for when to report abnormal findings.
  4. 4Monitor the assistive personnel's progress and provide guidance as needed during the shift.
  5. 5Review the documented outcomes and assess the clients' responses to the delegated care.

Cevap

The correct sequence follows the Five Rights of Delegation: First, evaluate client stability (Right Circumstance). Second, verify AP competency (Right Person). Third, communicate clear instructions (Right Direction). Fourth, monitor progress (Right Supervision). Finally, review documented outcomes (Right Evaluation).
Safe delegation follows a systematic process based on the Five Rights of Delegation. The nurse must first assess the client's stability (Right Circumstance) before determining if the AP is competent for the task (Right Person). Clear instructions must then be provided (Right Direction/Communication) prior to task execution. Finally, the nurse provides ongoing monitoring (Right Supervision) followed by reviewing the outcomes (Right Evaluation).

Adım Adım Çözüm

1
Identify the first requirement of the delegation process.
The nurse must determine if the task and circumstances are appropriate.
Delegation cannot proceed without confirming the client's stability (Right Task/Circumstance).
2
Determine the next requirement before assigning the task.
The nurse must verify the AP's qualifications.
The AP must be competent to perform the task safely (Right Person).
3
Identify the action taken immediately before the AP begins the task.
The nurse provides clear, specific instructions.
The AP needs to know exactly what to do and when to report back (Right Direction/Communication).
4
Determine the nurse's role while the task is being performed.
The nurse monitors the AP's progress.
The nurse retains accountability and must ensure the task is done correctly (Right Supervision).
5
Identify the final step after the task is completed.
The nurse reviews the outcomes and client responses.
The delegation process concludes with evaluating the results and documentation (Right Evaluation).

Anahtar Kavram

NCSBN Five Rights of Delegation
Tahmini Süre:1m 0s
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Konular

Client Care Assignments and Collaboration

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