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ATI RN COMPREHENSIVE PREDICTOR REMEDIATION VERSION 11.
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ATI RN COMPREHENSIVE PREDICTOR REMEDIATION VERSION ATI RN COMPREHENSIVE PREDICTOR REMEDIATION VERSION 11.
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[Type here] [Type here] [Type here] ATI RN COMPREHENSIVE PREDICTOR REMEDIATION VERSION 11 Management of Care Assignment, Delegation and Supervision Managing Client Care: Assignment to Delegate to a Float Nurse ● The float nurse should be assigned to patients she has experience with similar client types to those patients. ● The assignment should take into account the level of familiarity the nurse has of the unit she is on. ● If the nurse feels that her assignment is unsafe she should speak to the charge nurse about her concerns. Collaboration with Interdisciplinary Team Managing Client Care: Implementing Facility Protocols [Type here] [Type here] [Type here] ● First, discharge am bulatory patients requiring minimal care ● next, make arrangements for continuation of care for clients who still require assistance, such as at a tertiary care facility ● DON'T discharge patients who are unstable or require continuing nursing care and assessment unless that are in imminent danger Multiple Sclerosis: Priority Referral for a Client Who Has Amyotrophic Lateral Sclerosis ● Plan for disease progression ● Consider r eferral to occupational and physical therapy for home environment assessment to determine safety and ease of mobility. ● Refer to a speech language therapist for dysarthria and dysphagia. Concepts of Management Managing Client Care: Effective Negoti ation Strategies ● Planning ● Organizing ● Staffing Client Rights Coordinating Client Care: Client Right to Leave Against Medical Advice ● A client who is legally competent has the legal right to leave the facility at any time. ● The nurse should immediately notify the provider. If the client is at risk for harm, it is imperative that the nurse explain the risk involved in leaving the facility . ● The individual should sign a form relinquishing responsibility for any complications that arise from discontinuing prescribed care. ● The nurse should document all communication, as well as the specific advice that was provided for the client. ● A nurse who tries to prevent the client from leaving the facility can face legal charges of assault, battery, and false imprisonment Establishing Priorities Medical Conditions: Prioritizing Care for Antepartum Clients [Type here] [Type here] [Type here] ● Cervical insufficiency – expul sion of the products of conception occur due to tissue changes and alterations in the length of the cervix (1st priority) ● Hyperemesis Gravidarum – excessive nausea and vomiting that is prolonged past 12 weeks of gestation and results in 5% weight loss from pre -pregnancy weight (3rd priority) ● GDM (gestational diabetes mellitus) – impaired intolerance to glucose with the first onset or recognition during pregnancy. The ideal blood glucose level during pregnancy should be between 70 -110 mg/dL (2nd priority ) Legal Rights and Responsibilities Cultural and Spiritual Nursing Care: Communicating With a Client Who Speaks a Language Different From the Nurse ● Nurses should accommodate each client’s cultural beliefs and values whenever possible, unless they are in direct conflict with essential health practices ● Study the client and their environment for examples of cultural relevance ● Use only a facility -approved me dical interpreter Epidemiology and Communicable Diseases: Reportable Infectious Diseases ● Tuberculosis ● Hepatitis A ● Hepatitis C Professional Responsibilities: Recognizing and Intervening for a Tort ● Unintentional - negligence, malpractice ● Quasi -intentional - breach of confidentiality, defamation of character ● Intentional - assault, battery, false imprisonment Continuity of Care Information Technology: Using Correct Documentation ● Begin each entry with the date and time ● Record entries legibly, in non erasable black ink, and do not leave blank spaces in the nurses’ notes [Type here] [Type here] [Type here] ● Sign all documentation as the facility requires, generally with name and title Safety and Infection Control Ergonomic Principles Mobility and Immobility: Evaluating Client Understanding of Crutch Safety ● Most weight should be in the forearms, do not lean on armpits. ● When going down stairs, put your bad leg first. ● When going up, put your good leg first. Musculoskeletal Trauma: Discharge Teaching Following Surgery for Carpal Tunnel Syndrome ● Meds: NSAIDs and corticosteroid injections ● Splint or hand brace for immobilization. ● Elevate the hand above the heart. ● Hand movements and heavy lifting might be restricted 4 -6 weeks. Safe Use of Equipment Vital Signs: Adverse Reaction to a Cooling Blanket ● Shivering ● Cardiac dysrhythmias ● seizures Standard Precautions/Transmission -Based Precautions/Surgical Asepsis Medical and Surgical Asepsis: Maintaining Aseptic Technique ● Keep all objects above the waist and within vision (do not turn back to sterile field) ● Only dry, sterile items touch the field (1 -inch border is nonsterile) ● Wash hands and don sterile glo ves to perform procedure Home Safety Nursing Care and Discharge Teaching: Teaching About Newborn Safety ● Keep small objects out of reach ● Do not leave a newborn alone on bed, couch, or table because they could fall off
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