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Zorluk: OrtaAssignment, Delegation and Supervision

A registered nurse (RN) is supervising an unlicensed assistive personnel (UAP) on a medical-surgical unit. The RN walks into a client's room and observes the UAP using an unsafe technique to transfer a client with right-sided hemiparesis from the bed to a wheelchair. In what order should the RN take the following actions? Arrange the actions in the correct sequence from first to last.

  1. 1Intervene immediately and assist the UAP in completing the transfer safely.
  2. 2Assess the client for any injuries, pain, or distress resulting from the movement.
  3. 3Discuss the incorrect technique with the UAP in a private location outside the client's room.
  4. 4Review and demonstrate the proper transfer method for a client with hemiparesis.
  5. 5Evaluate the UAP's competency by observing a subsequent client transfer.

Cevap

The correct sequence of actions prioritizes immediate client safety, followed by client assessment, private feedback, corrective education, and follow-up evaluation.
When supervising delegated tasks, the registered nurse must first ensure client safety by immediately intervening in unsafe situations. Once the client is physically secure, a nursing assessment is performed to rule out injuries. After client safety and stability are confirmed, the nurse addresses the staff member's performance privately to maintain professionalism. The nurse then provides corrective education and completes the supervision process by evaluating the staff member's future competency.

Adım Adım Çözüm

1
Intervene to complete the transfer safely.
The client is protected from immediate physical harm.
Immediate action is required to prevent a fall or injury when an unsafe situation is observed.
2
Assess the client for injuries.
The client's physical status is verified.
The nursing process requires assessment to identify any harm that may have occurred during the unsafe movement.
3
Discuss the event privately with the UAP.
Constructive feedback is initiated appropriately.
Feedback should be given in private to maintain a professional environment and protect the dignity of the UAP.
4
Demonstrate the correct transfer technique.
The UAP receives the necessary education to correct their practice.
Effective supervision includes providing teaching and clear expectations for future performance.
5
Observe the UAP during a future transfer.
The UAP's competency is verified.
The delegation and supervision process requires evaluation to ensure that corrective education was effective and safe practice is maintained.

Anahtar Kavram

Delegation and Supervision: Correcting Unsafe Practice
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