ATI Comprehensive Remediation Management of Care

ATI Comprehensive Remediation

Management of Care
 Advance Directives/Self-Determination/Life Planning - (2)
o Legal Responsibilities: Responding to a Client's Wishes for a Living Will (Active Learning
Template - Basic Concept, RM FUND 9.0 Ch 4)
 Provide the patient with written information
 Document the client’s advance directive status
 Ensure the advance directive status reflects the clients wishes
o Professional Responsibilities: Providing Information to a Client About Advance
Directives (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 3)
 An advance directive is a legal document that expresses the clients wishes
regarding medical treatment in the event the client becomes incapacitated and is
facing end of life issues
 Staff should give clients who do not have advance directives information regarding
health care decisions
 Clients should be given information about how formulate an advance directive and
have a health care representative present
 Assignment, Delegation and Supervision - (1)
o Managing Client Care: Appropriate Assignment for Assistive Personnel (Active Learning
Template - Basic Concept, RM Leadership 7.0 Chp. 1)
 Can only delegate tasks appropriate for skill level and education of personal being
delegated to
 Right task, right circumstance, right person, right direction and communication,
right supervision and evaluation
 Cannot delegate skills that require clinical judgement or education
 Collaboration with Interdisciplinary Team - (1)
o Cystic Fibrosis: Priority Finding to Report to the Provider (Active Learning Template - System
Disorder, RM NCC RN 10.0 Chp 19)
 Sweat chloride greater than 70
 Oxygen saturation below 80%
 pCO2 above or below 38-42
 Informed Consent - (1)
o Professional Responsibilities: Validating Informed Consent Prior to a Surgical
Procedure (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 3)
 Ensure provider gave enough information for patient to know procedure
 Nurse must watch patient sign the document
 Nurse must reinforce information and forward any questions to the provider
 Referrals - (3)
o Coordinating Client Care: Providing Assistance for a Client Who Has a New
Colostomy (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 2)
 Provide information regarding acquisition of supplies for ostomy care
 Set up home health to provide ostomy care to patient
 Provide education about ostomy care to patient, such as how to burp and empty
ostomy
o Coordinating Client Care: Referral for Care Following Discharge (Active Learning Template -
Basic Concept, RM Leadership 7.0 Chp. 2)




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,  Use interprofessional team to decide amount of care needed following discharge
 Provide a route for continuity of care following discharge
 Involve family in planning of care
o Stroke: Priority Action When Initiating Discharge Planning (Active Learning Template - Basic
Concept, RM AMS RN 10.0 Chp 15)
 Educate about signs and symptoms of another stoke
 Decide how much care patient will require after discharge
 Possibly refer to home health, outpatient PT and OT


Safety and Infection Control
 Accident/Error/Injury Prevention - (2)
o Health Promotion of Infants (2 Days to 1 Year): Car Seat Safety (Active Learning Template -
Basic Concept, RM NCC RN 10.0 Chp 3)
 Should remain in rear facing car seat until 2 years of age or manufacture
recommended height
 Do not place rear facing car seats in front seat
 Back seat is safest place for infants and children
o Medications for Anxiety and Trauma- and Stressor-Related Disorders: Interventions for a
Client Taking Alprazolam (Active Learning Template - Medication, RM MH RN 10.0 Chp 21)
 Client should alcohol use
 Manifestations of oral toxicity include lethargy, confusion, and drowsiness
 Administer medication with food to prevent GI upset
 Emergency Response Plan - (2)
o Communicable Diseases, Disasters, and Bioterrorism: Nursing Responsibilities When
Implementing a Disaster Management Plan (Active Learning Template - Basic Concept, RM CH RN 7.0 Chp
6)
 Nurses should assess the community for disasters most likely to occur
 Make a list of agencies and response times
 Identify responsibilities of nurses at each triage level
o Facility Protocols: Developing an Emergency Preparedness Plan (Active Learning Template -
Basic Concept, RM Leadership 7.0 Chp. 5)
 Assess facilities capability to handle specific threats
 Assist in identifying roles of employees
 Nurse should develop action plan for personal family needs
 Ergonomic Principles - (1)
o Ergonomic Principles: Placing a Client in Side-Lying Position (Active Learning Template -
Nursing Skill, RM FUND 9.0 Ch 14)
 Pillow should be placed on side facing up when lying on one side
 Pillow should be placed between legs
 This is okay but client should be turned regularly since pressure is mainly on hip
and shoulder
 Handling Hazardous and Infectious Materials - (1)
o Infection Control: Hazardous Material Incidents (Active Learning Template - Basic Concept,
RM FUND 9.0 Ch 11)
 Hazardous materials should be placed in biohazardous bag
 Contaminated surfaces should be cleaned with hydrogen peroxide or bleach
 all hazardous materials should be treated with at least standard precautons




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