Access over 35 million academic & study documents

Care Delegation And Prioritization

Content type
User Generated
Subject
Nursing
School
Rasmussen University
Type
Homework
Rating
Showing Page:
1/3
Content
Module 02 Assignment - Assigning, Delegating, Supervising, and Prioritizing Care
Competency
Integrate leadership and management principles and attributes in nursing practice
Scenario
You are assigned to six patients on the medical surgical unit working with a LPN/LVN
and share a CNA with another RN. You are receiving report for your patients and need to
identify what activities you will be assigning, delegating, supervising, and prioritizing for
the shift.
Instructions
o Client number 1: 50-year old male who had a heart attack and stent placed with
normal vital signs
o Client number 2: 46-year-old female with full-thickness burns to the leg who
needs to have dressings changed
o Client number 3: 33-year-old male firefighter who has fallen and broken his right
femur after surgery with pain in his leg
o Client number 4: 18-year-old male with wheezing and labored respirations
unrelieved by an inhaler
o Client number 5: 74-year-old female with new onset dementia awaiting lab results
o Client number 6: 52-year-old female who has been recently diagnoses with
diabetes type 2 and is getting discharged
1. Describe the patients you will be assigning to the LPN
The LPN, for this assignment, will be assigned client number one, client number five
and client number six. These patients are medically stable and require focused
assessments, oral medication administration and aid with activities of daily living.
The care required for these patients is within the scope of the LPN practicing in
Minnesota (Minnesota Board of Nursing, 2013).
2. Describe the care that you will be delegating to the LPN and CNA
The LPN will aid with focused assessment for each of the assigned patient and report
findings to the RN. For client number one, the LPN will perform a focused heart and
lung assessment; ensuring to report normal and abnormal findings to the RN for
further assessment. For client number five, the LPN will perform a focused neuro
exam; ensuring to report any changes in level of consciousness, mentation or
orientation to the RN. The LPN will be delegated medication administration. For
client one, five and six, the LPN can assist in administering oral medications. The
LPN will also be delegated vital signs for these patients and activities of daily living.
The LPN can help patient number one with ambulation, toileting, bathing and
dressing. The LPN will help patient number five with orientation, ambulation,
toileting, bathing and dressing. Keeping close monitoring of this patient will also be

Sign up to view the full document!

lock_open Sign Up
Showing Page:
2/3
helpful, as the patient is newly diagnosed with dementia and may need additional
supervision to remain safe. The LPN will also help, as needed, with client number
six’s activities of daily living such as ambulating and linen changes.
The CNA will be delegated vital signs, bathing, toileting, ambulating and linen
changes. The CNA can aid with patient repositioning, and weight, intake and output
measurements. The CNA will complete these measurements and care tasks on stable
patients.
3. List the interventions that you would want to supervise for the LPN and CNA
o Focused assessment of the LPN- heart and lung assessment of patient one, neuro
assessment of patient five, report normal and abnormal findings to the RN
o Oral medication administration- RN should review the administration with the
LPN and develop a plan for medications throughout the shift
o LPN/CNA report ambulation and bathing to RN
o Any task or care provision that the LPN or CNA is completing for the first time
o LPN/CNA report any elevated, low or out of range vital signs
4. List the clients and care from the highest to lowest priority
a. The highest priority patient and care is client number four. This eighteen year
old patient has labored breathing following the administration of an inhaler.
His current respiratory status indicates the need for additional interventions to
prevent continued or progressed respiratory depression.
b. The next patient priority is client number three. This patient has a femur
fracture and is reporting pain. The pain crisis is the next priority and will
require additional intervention such as pain medications, patient repositioning
and ice.
c. The next patient priority is client number two; the patient with the full-
thickness burns. This patient requires a dressing change. The dressing change
will require coordination by the nurse to ensure patient comfort during the
dressing change procedure. Medications may need to be administered to
promote this. The dressing change should be completed in a timely fashion to
prevent infection. A skin assessment should also be completed during the
dressing change to assess the burn site for infection or bleeding.
d. The next patient priority is client number five. This patient with newly
diagnosed dementia will require a coordinated care approach between the RN
and the LPN. The priority will be keeping the patient safe, reorienting the
patient to her surrounding and ensuring the patient does not experience further
deterioration of her neurologic status. An infection may be the source of
dementia symptoms. It will be vital to review labs and to monitor for signs or
symptoms of infection.
e. The next patient priority is client number one. This patient recently had a
cardiac surgery and is presenting as stable, at this time. It will remain
important to monitor for signs of complications such as changes in vital signs,
perfusion, heart sounds, lung sounds, pain and neuro status.

Sign up to view the full document!

lock_open Sign Up
Showing Page:
3/3

Sign up to view the full document!

lock_open Sign Up
Unformatted Attachment Preview
Content • Module 02 Assignment - Assigning, Delegating, Supervising, and Prioritizing Care • Competency Integrate leadership and management principles and attributes in nursing practice • • Scenario You are assigned to six patients on the medical surgical unit working with a LPN/LVN and share a CNA with another RN. You are receiving report for your patients and need to identify what activities you will be assigning, delegating, supervising, and prioritizing for the shift. Instructions o Client number 1: 50-year old male who had a heart attack and stent placed with normal vital signs o Client number 2: 46-year-old female with full-thickness burns to the leg who needs to have dressings changed o Client number 3: 33-year-old male firefighter who has fallen and broken his right femur after surgery with pain in his leg o Client number 4: 18-year-old male with wheezing and labore ...
Purchase document to see full attachment
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.

Anonymous
I was struggling with this subject, and this helped me a ton!

Studypool
4.7
Indeed
4.5
Sitejabber
4.4