Priority Nursing Case Study

Nurses are taught to care for patients in the order of severity. Prioritizing nursing care is very important, and when nurses do not use the proper nursing skills to prioritize nursing care for a patient then, it could compromise patient care. Therefore, the following is the priority I would place my patients in. 1) Chest Pain patient, 2) Elderly confused patient, 3) Post-op Cardiac patient, 4) Crohn’s disease patient. The patient being admitted from the emergency room is the highest priority patient because of the diagnosis of chest pain. The RN needs to obtain baseline vital signs and complete new admission assessment. The patient also needs to be placed on a cardiac monitor. In this case I would delegate the task to the LPN such as …show more content…
The priority on this patient would be to manage pain. The patient is up and walking around and able to communicate all needs. The priority nursing issue with this patient would be to monitor patient for pain and also monitor patient when they start their prep for a colonoscopy. The nurse needs to document how the patient tolerates the oral prep drink. Many tasks can be delegated to the CNA for this patient. The CNA can obtain vital signs and if the patient needs any assistance with cleaning up after any loose bowel movements. The importance of communication with the delegator and delegatee is very important as the RN is responsible for the entire care and outcomes with the patients. The following is the outline Nursing Care Delivery System;
A. Functional nursing (task nursing)
1. Needs of clients broken down into tasks
2. Tasks are assigned to various levels of health care workers according to licensure and skill
3. Example: RN gives medications and UAP give bed baths for one group of clients
4. Tasks delegated by the charge nurse
5. Team members focus on delegated tasks and this results in fragmentation of care and lack accountability by the team member
B. Team nursing
1. Most common nursing care delivery
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G. Differentiated practice
1. Identifies distinct levels of nursing practice based on defined abilities that are incorporated into job descriptions 2. Structures nursing roles according to education, experience, and competency
H. Client-centered care
1. The RN coordinates a team of multi-functional unit-based caregivers
2. All client care services are unit-based, including admission, discharge, diagnostic testing and support services 3. Uses UAPs to perform delegated client care task (ATI, Management of Care). Delegation of patient care entails being able to be accurate on giving directives to other employees. The RN must be a team player and be able to multitask. The legal concerns that are very important because the RN is ultimately responsible for the care and outcome of all these patients. Even though, the RN delegates the care to other employees that does not mean the RN is not responsible for the care that is being provided. Patients and families can complain on the license of the RN or even take some issues to the court. The RN needs to remember that everything they do can come back on

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