ATI Comprehensive Remediation Andrew Long Legal Responsibilities:
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NRSE MISC
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The University Of Bradford (UoB)
ATI Comprehensive Remediation Andrew Long
Legal Responsibilities: Responding to a Client's Wishes for a Living Will (RN QSEN -
Patient-centered Care, Active Learning Template - Basic Concept, RM FUND 9.0 Ch 4)
A living will is a legal document that expresses the client’s wishes regarding m...
ATI Comprehensive Remediation Andrew Long
Legal Responsibilities: Responding to a Client's Wishes for a Living Will (RN QSEN -
Patient-centered Care, Active Learning Template - Basic Concept, RM FUND 9.0 Ch 4)
A living will is a legal document that expresses the client’s wishes regarding medical
treatment in the event the client becomes incapacitated and is facing end-of-life issues.
Document the client’s advance directive status and whether or not it is on file.
Ensure the status of the advanced directive is current with clients wishes.
Most state laws include provisions that protect health care providers who follow a living
will from liability.
Professional Responsibilities: Priority Action for Suspected Negligence (RN QSEN -
Teamwork and Collaboration, Active Learning Template - Basic Concept, RM Leadership
7.0 Chp. 3)
Priority action would be patient safety. The nurse should assess if harm has come to
patient due to negligence and attempt to provide proper care.
The nurse should report the suspected nurse to nurse management.
The nurse should document findings and actions objectively.
Managing Client Care: Appropriate Assignment for Assistive Personnel (RN QSEN - Safety
, Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 1)
5 rights should be implemented for patient safety: right task, right circumstance, risk
person, right delegation and right directions/supervision.
Cannot delegate skills the require judgement or education.
Only delegate tasks that are appropriate to the training, skill level, and education of the
assistive personnel.
Whomever delegates tasks assume responsibility.
Managing Client Care: Delegating Client Care Tasks to a Staff Member (RN QSEN -
Teamwork and Collaboration, Active Learning Template - Basic Concept, RM Leadership
7.0 Chp. 1)
Nurses can not delegate any portions of the nursing process.
Education is never delegated but reinforcement can be delegated.
Basic care needs and ADLs can be delegated to staff members.
Nurses must delegate appropriately and supervise adequately to ensure that clients
receive safe quality care.
Managing Client Care: Priority Action When Giving an Assignment to a Newly Licensed
Nurse (RN QSEN - Teamwork and Collaboration, Active Learning Template - Basic
Concept, RM Leadership 7.0 Chp. 1)
Preceptors are assigned to newly licensed nurses for a limited time.
Assignment should be within the education level of the newly licensed nurse.
, An orientation period helps newly licensed nurses translate the knowledge, skills and
attitudes learned in nursing school into practice. Patient assignment should be adjusted
accordingly to how far they are in this process.
Assignments should progress as new nurse progresses.
Professional Responsibilities: Client Right to Refuse Medication (RN QSEN - Patient-
centered Care, Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 3)
Client has right to refuse medication, nurse can only recommend, advise, suggest or urge
compliance.
Nurse should document patient refusal and reason why if possible.
Patient only has refusal right taken away if court ordered to take medication.
Grief, Loss, and Palliative Care: Educating Staff Nurses About Organ Donation (RN QSEN
- Teamwork and Collaboration, Active Learning Template - Basic Concept, RM FUND 9.0
Ch 36)
Recognize that requests for tissue and organ donations must be made by specifically
trained personnel.
Provide support and education to family members as decisions are being made. Use
private areas for discussions regarding donation.
Be sensitive to cultural and religious influences.
Maintain ventilatory and cardiovascular support to vital organs.
Information Technology: Priority Information to Include in Change-of-Shift Report (RN
QSEN - Teamwork and Collaboration, Active Learning Template - Basic Concept, RM
FUND 9.0 Ch 5)
Should include significant OBJECTIVE information about client’s health status and
problem.
NO gossip or personal opinion.
Report should include any lines, drains, or special considerations.
Relate recent changes in medications, treatments, procedures, and discharge plan.
Formats should include face to face, audiotaping, or presentation during walking rounds
in each client’s room.
Facility Protocols: Developing an Emergency Preparedness Plan (RN QSEN - Safety ,
Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 5)
Each facility must have an emergency operating plan.
Health care institutions use a planning committee to develop emergency preparedness
plans. The committee reviews information regarding the potential for various types of
natural and man-made emergencies based on the characteristics of the community.
The committee should also determine what resources are necessary to meet potential
emergencies and included in the plan.
Committees should consist of multiple interdisciplinary representatives to effectively
provide care.
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