ATI Leadership B
RN Duty: Informed Consent
Review Previously provided info about the procedure
Sealed Radiation Therapy Implant
Visitors- max of 30min per day and stay 6ft away from client
Keep Pt in a Private Room
RN to avoid turning back to pt when wearing a lead apron
HC associated Infections on unit; Auditing Quality Control Process RN's First Action to Take:
Use Benchmarks to establish standards
E.D. admitting pt's after an earthquake. Emerg Disaster Plan is implemented; large number of
casualties. Which Pt needs immediate evaluation by a provider?
Crushing Chest Wound (Red Tag)
Massive Head Injury (Blk- little to no chance of survival)
Open compound fractures in both legs (Yellow-can wait a short time)
6inch scalp laceration (Green- non-emergent)
New RN & AP arguing over AP not restocking unit supplies. AP leaves, Nurse Mgr tells RN:
"I would like you to approach the AP to resolve the problem"
Encourage Face-to-face communication to resolve the conflict
An occupational health nurse is triaging pts at the site of an industrial explosion. Example of a Green
Tag (Class III) Pt:
Facial Contusion- Green
Open Femur Fracture- Yellow
Hypovolemic Shock- Red
Penetrating spinal Injury- Red
Med-Surg Acute care facility. Which event requires an incident report?
Med administered 45 min late because it was unavailable. Acceptable practice is 30 min before or
after ordered time.
Presentation of "Role of the Nurse as a Client Advocate;" What should nurse mgr include in
presentation?
nfo about confidentiality disclosure is an example of an RN being a pt advocate
, Shift assignments: RN, LPN & AP; Which task can be delegated to an LPN?
Reinforcing Teaching to a client- LPN
Vitals- AP
Post-mortem care- AP
Simple Dressing Change- AP
Annual performance review for a staff nurse; Strategies to be used in the review process:
Include Peer Reviews by AP, Have Nurse complete a self-appraisal prior to the review, conduct a
performance checklist
Indicator of neglect: Older pt w/ dementia
Meds brought to hospital are expired
Home Health RN teaching about online resources regarding validity of information; Most credible
source source of information:
Website affiliated with a government agency
Alzheimer's Pt's Daughter, "I don't know how much longer I can keep this up"
RN Response, "Let's discuss options for respite care"
LPN's & AP's; Charge nurse should intervene in what situation:
LPN develops POC for a pt with pneumonia; This is not within the scope of practice for an LPN
Immediate Intervention:
Pt with Hx of esophageal varices who has diaphoresis and pallor. Diaphoresis and pallor indicate pt
may be hemorrhaging from ruptures esophageal varices.
Which situation indicates a legal issue:
phlebitis at IV site that was placed 4 days ago. IV has been in place too long. Failure to meet the
standard of care and a possible long-lasting injury to the client.
Advanced Directives:
Must be documentation in the MR about whether a client has AD's or not
Effective Communication regarding delegation to AP
"Check urinary output at 11am for John Doe and report to me immediately"
RN Duty: Informed Consent
Review Previously provided info about the procedure
Sealed Radiation Therapy Implant
Visitors- max of 30min per day and stay 6ft away from client
Keep Pt in a Private Room
RN to avoid turning back to pt when wearing a lead apron
HC associated Infections on unit; Auditing Quality Control Process RN's First Action to Take:
Use Benchmarks to establish standards
E.D. admitting pt's after an earthquake. Emerg Disaster Plan is implemented; large number of
casualties. Which Pt needs immediate evaluation by a provider?
Crushing Chest Wound (Red Tag)
Massive Head Injury (Blk- little to no chance of survival)
Open compound fractures in both legs (Yellow-can wait a short time)
6inch scalp laceration (Green- non-emergent)
New RN & AP arguing over AP not restocking unit supplies. AP leaves, Nurse Mgr tells RN:
"I would like you to approach the AP to resolve the problem"
Encourage Face-to-face communication to resolve the conflict
An occupational health nurse is triaging pts at the site of an industrial explosion. Example of a Green
Tag (Class III) Pt:
Facial Contusion- Green
Open Femur Fracture- Yellow
Hypovolemic Shock- Red
Penetrating spinal Injury- Red
Med-Surg Acute care facility. Which event requires an incident report?
Med administered 45 min late because it was unavailable. Acceptable practice is 30 min before or
after ordered time.
Presentation of "Role of the Nurse as a Client Advocate;" What should nurse mgr include in
presentation?
nfo about confidentiality disclosure is an example of an RN being a pt advocate
, Shift assignments: RN, LPN & AP; Which task can be delegated to an LPN?
Reinforcing Teaching to a client- LPN
Vitals- AP
Post-mortem care- AP
Simple Dressing Change- AP
Annual performance review for a staff nurse; Strategies to be used in the review process:
Include Peer Reviews by AP, Have Nurse complete a self-appraisal prior to the review, conduct a
performance checklist
Indicator of neglect: Older pt w/ dementia
Meds brought to hospital are expired
Home Health RN teaching about online resources regarding validity of information; Most credible
source source of information:
Website affiliated with a government agency
Alzheimer's Pt's Daughter, "I don't know how much longer I can keep this up"
RN Response, "Let's discuss options for respite care"
LPN's & AP's; Charge nurse should intervene in what situation:
LPN develops POC for a pt with pneumonia; This is not within the scope of practice for an LPN
Immediate Intervention:
Pt with Hx of esophageal varices who has diaphoresis and pallor. Diaphoresis and pallor indicate pt
may be hemorrhaging from ruptures esophageal varices.
Which situation indicates a legal issue:
phlebitis at IV site that was placed 4 days ago. IV has been in place too long. Failure to meet the
standard of care and a possible long-lasting injury to the client.
Advanced Directives:
Must be documentation in the MR about whether a client has AD's or not
Effective Communication regarding delegation to AP
"Check urinary output at 11am for John Doe and report to me immediately"
