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NUR 212 EXAM TEST LATEST UPDATE 2022 STUDY QUIDE REVIEW GRADED A+

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NUR 212 EXAM TEST LATEST UPDATE 2022 STUDY QUIDE REVIEW GRADED A+

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NUR 212 EXAM TEST LATEST UPDATE 2022 STUDY QUIDE
REVIEW GRADED A+
Prioritization


Prioritization- a process that envisions client outcomes


• When you are deciding about which should come first you are predicting an advance of

which one is needed b/c you are expecting an outcome

• Predicting problems based upon the choices that are available and weighing any future events

• Making decisions clinically you are always prioritizing

• Must have knowledge about disease in order to prioritize and take care of patient based on

a whole bunch of stuf

• Triage- used in emergency medicine as a way of sorting patients into most critical or stable,

who needs something the most and you can wait a while

• Ways to prioritize:

▪ ABC

▪ Vital signs

▪ Past history to predict the future

▪ Length of time that will be required for care of the day: ex dressing change could afect

prioritization of the day

▪ Maslow’s hierarchy of needs

▪ Patient situations are dynamic b/c what you get in report is probably a reflection from

15 minutes or 2 hours ago and things can change quickly from report to current or from

bed

1 to bed 2

▪ Stable vs unstable, Predictable vs unpredictable, Known vs unknown

NUR 212 EXAM TEST LATEST UPDATE 2022 STUDY QUIDE
REVIEW GRADED A+

,NUR 212 EXAM TEST LATEST UPDATE 2022 STUDY QUIDE
REVIEW GRADED A+
• Post-op patient would be higher if they haven’t been evaluated yet b/c their condition

is unknown

• Patients who are admitted usually go bad within 24 hours of admission; a new admission is

high priority than someone who has been admitted for a couple of days as long as their VS are

stable

• Have to make a decision on which needs or problems require attention immediately, which

can be postponed and for how long

• In order to prioritize safely and accurately you need to know:

▪ the purpose of the care or activity

▪ current status where we are, where we want to go and what you want to achieve

▪ what team members you have to rely on and what their role is

▪ First priority: Life threatening, is the person likely to die if this is not done, will someone

else be in danger if I tend to this task, is it essential to patient or unit safety and is it

essential for nursing care. Asepsis is essential

• Levels of prioritization- based on Maslow’s hierarchy

1. First: ABC’s, vital signs, chest pain (b/c predict cardiac death if not addressed)

2. Second: altered mental status changes (confusion), untreated medical issues, acute pain

(not chest pain related), acute elimination problems, abnormal labs and any risk

3. Third: education, rest, coping, support and self-esteem

• Family & patient preference and request when possible, but they don’t take priority

• As a guide for prioritization use the nurse practice act, ANA code of ethics, statue of nursing

practice & policy and procedures for job description. Example if a post-op patient is

ambulating

NUR 212 EXAM TEST LATEST UPDATE 2022 STUDY QUIDE
REVIEW GRADED A+

, NUR 212 EXAM TEST LATEST UPDATE 2022 STUDY QUIDE
REVIEW GRADED A+
and their sutures come undone it is a priority to get them replaced, but by law we can’t do that

we would notify the surgeon

• Students, novices new hire, temp, float pool, travel nurses take vary degree in supervision and

time, must be accounted for when prioritizing

• Can’t delegate nursing actions to non-nurses when the actions are a nurse function

• RN is accountable for nursing judgement decisions & supervision of delegation

• Clinical situations change constantly

▪ Urgent and important takes high priority ex. Patient condition becomes life threatening

▪ Urgent, but not important

▪ Important, but not urgent ex. Debriefing about something that happened today

▪ Urgent time sensitive, but not important ex. Submitting a study and the study

doesn’t show any changes

▪ Urgent and important over important ant urgent


Delegation


5 rights of delegation


1. Right person

2. Right task

3. Right circumstance

4. Right time

5. Right supervision


When delegating a task, you still are responsible for the task



NUR 212 EXAM TEST LATEST UPDATE 2022 STUDY QUIDE
REVIEW GRADED A+

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