RN COMPREHENSIVE PREDICTOR LATEST UPDATED
VERSION: GRADED A+
Assignment, Delegation and Supervision
-can only delegate tasks appropriate for the skill and education level of the health care team member
who is receiving the assignment
-RNs cannot delegate the nursing process, client education, or tasks that require clinical judgment to
PNs or AP
-Use nursing judgment and knowledge related to the scope of practice and delegatee's skill level when
delegating
-Use the 5 rights of delegation (right task; right circumstance; right person; right
direction/communication;right supervision/evaluation
-Supervision is after delegation and oversees the staff members performance of the delegated task
Client Rights
-Nurses must make sure that clients understand their rights
-Regardless of client age, nursing needs, or settings of care, they have the same rights
-1) must be informed of all aspects of care and take an active roll in the decision-making process
-2) accept, refuse, or request modification to the plan of care
-3) Receive care that is delivered by competent individuals who treat the client with respect
Continuity of Care
-Refers to the consistency of care provided as clients move through the health care system
-It enhances the quality of client care and facilitates the achievement of positive client outcomes
-use documents to record and communicate client information
-discharge planning serves as a starting point for continuity of care. As client care needs are identified,
measures can be taken to prepare for the provision of needed support
-Nurses are responsible for facilitating continuity of care and coordinating care through documentation,
reporting, and collaboration
Establishing Priorities
-Apply knowledge of pathophysiology when establishing priorities for interventions with multiple clients
-requires that the nurse make decisions based on evidence obtained: during shift reports and other
communication with the healthcare team; through careful review of documents; and by continuously
and accurately collecting client data
-"life before limb:" prioritize interventions for clients in shock over clients with localized limb injury
-Prioritize acute (less opportunity for physical adaptation) before chronic (greater opportunity for
physical adaptation)
-Prioritize actual problems before potential future problems
Accident/Error/Injury Prevention
, -identify deficits that may impede client safety
-use medical and surgical asepsis (hand hygiene is primary behavior)
-use protective masks, gloves, gowns, and eyewear to help control the contact and spread of micro-
organisms to staff and clients
-maintain a sterile field
-use correct precautions (contact, airborne, droplet) for clients
Emergency Response Plan
-a disaster is a mass casualty or intra-facility event that at least temporarily overwhelms or interrupts
the normal flow of services of a hospital
-internal emergencies: include loss of electric power or potable water; severe damage or casualties
within the facility related to fire, weather, explosion, or a terrorist attack
-Internal emergency readiness includes safety and hazardous materials protocols, and infection control
policies and practices
-External emergencies include hurricanes, floods, volcano eruptions, disease epidemics, industrial
accidents, chemical plant explosions, major transportation accidents, building collapse, and terrorist
attacks.
-External emergency readiness includes a plan for participation in community-wide emergencies and
disasters
Handling Hazardous and Infectious Materials
-identify the hazardous material with available resources
-try to contain the material in one place prior to the arrival of the hazardous materials team
-for biological hazardous materials, wash skin with copious amounts of water and antibacterial soap
-take measures to protect yourself and avoid contact
-if individuals are contaminated, decontaminate them as much as possible at the scene or as close as
possible to the scene
Safe Use of Equipment
-use equipment in a responsible and knowledgeable manner
-make sure pt with precautions have their own equipment
-make sure to provide education for clients who will be using equipment such as crutches, wheelchairs,
etc.
-make sure to have any specialized equipment ready when pt's are being transferred
-if there are any problems with equipment, notify the correct people immediately
Ante/Intra/Postpartum and Newborn Care
-Hep C: do not breastfeed with cracked or bleeding nipples
-Hep C: when nipples are cracked or bleeding, discard breastmilk until nipples are completely healed
-Researchers do not believe Hep. C can be transmitted through breastfeeding
-test baby when they turn 2 to see if they have Hep. C with a similar test to that given to adults
-breastfeeding causes the release of oxytocin (stimulates uterine contraction and helps uterine tone)
Health Promotion/Disease Prevention
VERSION: GRADED A+
Assignment, Delegation and Supervision
-can only delegate tasks appropriate for the skill and education level of the health care team member
who is receiving the assignment
-RNs cannot delegate the nursing process, client education, or tasks that require clinical judgment to
PNs or AP
-Use nursing judgment and knowledge related to the scope of practice and delegatee's skill level when
delegating
-Use the 5 rights of delegation (right task; right circumstance; right person; right
direction/communication;right supervision/evaluation
-Supervision is after delegation and oversees the staff members performance of the delegated task
Client Rights
-Nurses must make sure that clients understand their rights
-Regardless of client age, nursing needs, or settings of care, they have the same rights
-1) must be informed of all aspects of care and take an active roll in the decision-making process
-2) accept, refuse, or request modification to the plan of care
-3) Receive care that is delivered by competent individuals who treat the client with respect
Continuity of Care
-Refers to the consistency of care provided as clients move through the health care system
-It enhances the quality of client care and facilitates the achievement of positive client outcomes
-use documents to record and communicate client information
-discharge planning serves as a starting point for continuity of care. As client care needs are identified,
measures can be taken to prepare for the provision of needed support
-Nurses are responsible for facilitating continuity of care and coordinating care through documentation,
reporting, and collaboration
Establishing Priorities
-Apply knowledge of pathophysiology when establishing priorities for interventions with multiple clients
-requires that the nurse make decisions based on evidence obtained: during shift reports and other
communication with the healthcare team; through careful review of documents; and by continuously
and accurately collecting client data
-"life before limb:" prioritize interventions for clients in shock over clients with localized limb injury
-Prioritize acute (less opportunity for physical adaptation) before chronic (greater opportunity for
physical adaptation)
-Prioritize actual problems before potential future problems
Accident/Error/Injury Prevention
, -identify deficits that may impede client safety
-use medical and surgical asepsis (hand hygiene is primary behavior)
-use protective masks, gloves, gowns, and eyewear to help control the contact and spread of micro-
organisms to staff and clients
-maintain a sterile field
-use correct precautions (contact, airborne, droplet) for clients
Emergency Response Plan
-a disaster is a mass casualty or intra-facility event that at least temporarily overwhelms or interrupts
the normal flow of services of a hospital
-internal emergencies: include loss of electric power or potable water; severe damage or casualties
within the facility related to fire, weather, explosion, or a terrorist attack
-Internal emergency readiness includes safety and hazardous materials protocols, and infection control
policies and practices
-External emergencies include hurricanes, floods, volcano eruptions, disease epidemics, industrial
accidents, chemical plant explosions, major transportation accidents, building collapse, and terrorist
attacks.
-External emergency readiness includes a plan for participation in community-wide emergencies and
disasters
Handling Hazardous and Infectious Materials
-identify the hazardous material with available resources
-try to contain the material in one place prior to the arrival of the hazardous materials team
-for biological hazardous materials, wash skin with copious amounts of water and antibacterial soap
-take measures to protect yourself and avoid contact
-if individuals are contaminated, decontaminate them as much as possible at the scene or as close as
possible to the scene
Safe Use of Equipment
-use equipment in a responsible and knowledgeable manner
-make sure pt with precautions have their own equipment
-make sure to provide education for clients who will be using equipment such as crutches, wheelchairs,
etc.
-make sure to have any specialized equipment ready when pt's are being transferred
-if there are any problems with equipment, notify the correct people immediately
Ante/Intra/Postpartum and Newborn Care
-Hep C: do not breastfeed with cracked or bleeding nipples
-Hep C: when nipples are cracked or bleeding, discard breastmilk until nipples are completely healed
-Researchers do not believe Hep. C can be transmitted through breastfeeding
-test baby when they turn 2 to see if they have Hep. C with a similar test to that given to adults
-breastfeeding causes the release of oxytocin (stimulates uterine contraction and helps uterine tone)
Health Promotion/Disease Prevention
