ATI Capstone Content Review: Leadership and Community Health - Tips of the Week

ATI Capstone Content Review: Leadership and Community Health - Tips of the Week Whew! It has been a busy term but here we are close to the finish line. To help you prepare for your comprehensive final assessment, please be sure to read back through your pre-assignment quizzes and post-assessment assignments. Also, if there are any of your focused reviews that you have not had a chance to complete yet, please do so now to give you a boost with the topics you missed on your assessments. To create a focused review, just log into the site, click on the ‘my results’ tab, then the ‘practice assessments’ tab. You will see ‘create’ next to your assessments: Once you click on ‘create’, select all topics to review and then click on ‘create focused review’. One last look at prioritization: When prioritizing, remember the four orders: 1. Any immediate threats to safety (ABCs, Maslow) 2. Actual problems for which the client is requesting help 3. Actual or potential problems of which the client may not be aware 4. Actual or potential future problems Let’s look at some examples: Scenario #1 You receive report in the morning and are assigned the following clients. Prioritize the order in which you will assess these clients: A client needing assistance with feeding due to hemiparesis. A client on a ventilator with a PRN order for tracheal suctioning. A client going to OR for an appendectomy at 0900. A client needing reinforcement of teaching regarding self-administration of insulin. Scenario #1 Key The order of care should be as follows: 1. A client on a ventilator with a PRN order for tracheal suctioning should be seen 1st—ABCs and Safety! 2. A client going to OR for an appendectomy at 0900 should be seen 2nd to ensure that the procedure is started on time. 3. A client needing assistance with feeding due to hemiparesis can be seen 3rd as hunger and thirst come before teaching according to Maslow’s Hierarchy of Needs. 4. A client needing reinforcement of teaching regarding self-administration of insulin can be seen last. Scenario #2 You receive report in the morning and are assigned the following clients. Prioritize the order in which you will assess these clients: A client requesting discharge instructions because his ride home is waiting. A client requesting pain medication. A client who had an episode of urinary incontinence, resulting in urine on the floor next to the bed. A client needing a dressing change for an infected wound. Scenario #2 Key ………………………………………………………………….CONTINUED……………………………………………………………..