Prioritization, Delegation And Assignment Decisions

Front 1

Levels of Priority Setting

Back 1

 Airway, breathing, cardiac/circulation, vital signs (ABCs plus V)
 Mental status changes, untreated medical issues, acute pain, acute elimination problems, abnormal lab results, and risk
 Health problems other then what is found at the first two levels such as long term issues in health education, rest, coping and so on

Front 2

Maslow’s hierarchy of needs

Back 2

 Survival needs (air, food and water)
 Safety and security
 Affiliation (love, relationships)
 Self esteem
 Self-actualization

Front 3

Eliminating Unnecessary work

Back 3

 ADLs
 Duplicate Paperwork
 Socialization in the workplace
 Streamlining your work
• Avoid crisis management
 Gather materials
 Cluster activities
 Do not ignore your intuition
 Clarify before beginning task
 Stick to your schedule
 Limit interruptions
 Finding the fastest way

Front 4

RN responsibilities that cannot be delegated:

Back 4

 Initial admission client assessment
 Decisions & judgment on client outcomes
 Formulation of client plan of care
 Interventions requiring professional nursing judgment, decisions & skills
 Evaluation of client care decisions & judgments

Front 5

Five Rights of Delegation

Back 5

 Right task
 Right circumstance
 Right person
 Right direction/communication
 Right supervision/evaluation

Front 6

Four Cs of directions

Back 6

 Clear
 Concise
 Correct
 Complete

Front 7

SBAR

Back 7

 Situation-what is happening at the present time
 Background-What are the circumstances leading up to the situation
 Assessment-What do I think the problem is
 Recommendation-What should we do to correct the problem