A pediatric charge nurse receives a float registered nurse (RN) from an adult medical-surgical unit for the shift. To ensure safe client assignments and effective supervision, arrange the following actions by the charge nurse in the correct sequential order.
- 1Interview the float RN to assess their clinical competencies and pediatric experience.
- 2Orient the float RN to the unit's physical layout, emergency equipment, and safety protocols.
- 3Assign the float RN to care for clinically stable clients with predictable outcomes.
- 4Communicate specific expectations regarding when to seek assistance from the designated resource nurse.
- 5Evaluate the float RN's care delivery and client responses periodically throughout the shift.
Cevap
The correct sequence is to first interview the float RN to assess competencies, then orient them to the unit, followed by assigning them to stable clients, communicating expectations for seeking assistance, and finally evaluating their care delivery throughout the shift.
When a float nurse arrives on a unit, the charge nurse must follow a structured process to ensure client safety, mirroring the Five Rights of Delegation. First, the charge nurse must assess the float nurse's specific skills (Right Person). Second, the charge nurse ensures a safe environment by orienting the nurse to the unit (Right Circumstance). Third, the charge nurse makes an appropriate assignment, giving the float nurse stable clients with predictable outcomes (Right Task/Assignment). Fourth, the charge nurse provides clear expectations and identifies a resource person (Right Direction/Communication). Finally, the charge nurse monitors the float nurse's performance throughout the shift (Right Supervision/Evaluation).
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Anahtar Kavram
Principles of Safe Assignment and Supervision for Float Nursing Staff