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Nursing Management and Professional Concepts 2e: 3.6 Spotlight Application

Nursing Management and Professional Concepts 2e
3.6 Spotlight Application
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table of contents
  1. Cover
  2. Title Page
  3. Copyright
  4. Table Of Contents
  5. Introduction
  6. Preface
  7. Standards and Conceptual Approach
  8. Chapter 1 - Overview of Management and Professional Issues
    1. 1.1 Overview
  9. Chapter 2 - Prioritization
    1. 2.1 Prioritization Introduction
    2. 2.2 Tenets of Prioritization
    3. 2.3 Tools for Prioritizing
    4. 2.4 Critical Thinking and Clinical Reasoning
    5. 2.5 Time Management
    6. 2.6 Spotlight Application
    7. 2.7 Learning Activities
    8. II Glossary
  10. Chapter 3 - Delegation and Supervision
    1. 3.1 Delegation & Supervision Introduction
    2. 3.2 Communication
    3. 3.3 Assignment
    4. 3.4 Delegation
    5. 3.5 Supervision
    6. 3.6 Spotlight Application
    7. 3.7 Learning Activities
    8. III Glossary
  11. Chapter 4 - Leadership and Management
    1. 4.1 Leadership & Management Introduction
    2. 4.2 Basic Concepts
    3. 4.3 Implementing Change
    4. 4.4 Spotlight Application
    5. 4.5 Learning Activities
    6. IV Glossary
  12. Chapter 5 - Legal Implications
    1. 5.1 Legal Implications Introduction
    2. 5.2 Understanding the Legal System
    3. 5.3 Professional Liability and Your Nursing License
    4. 5.4 Frequent Allegations and SBON Investigations
    5. 5.5 Protecting Your Nursing License
    6. 5.6 Other Legal Issues
    7. 5.7 Spotlight Application
    8. 5.8 Learning Activities
    9. V Glossary
  13. Chapter 6 - Ethical Practice
    1. 6.1 Ethical Practice Introduction
    2. 6.2 Basic Ethical Concepts
    3. 6.3 Ethical Dilemmas
    4. 6.4 Ethics Committees
    5. 6.5 Ethics and the Nursing Student
    6. 6.6 Spotlight Application
    7. 6.7 Learning Activities
    8. VI Glossary
  14. Chapter 7 - Collaboration Within the Interprofessional Team
    1. 7.1 Collaboration Within the Interprofessional Team Introduction
    2. 7.2 IPEC Core Competencies
    3. 7.3 Values and Ethics for Interprofessional Practice
    4. 7.4 Roles and Responsibililites of Health Care Professionals
    5. 7.5 Interprofessional Communication
    6. 7.6 Teams and Teamwork
    7. 7.7 Conflict Resolution
    8. 7.8 Nursing Responsibilities in Interprofessional Collaborative Practice
    9. 7.9 Spotlight Application
    10. 7.10 Learning Activities
    11. VII Glossary
  15. Chapter 8 - Health Care Economics
    1. 8.1 Health Care Economics Introduction
    2. 8.2 Trends Related to Increased Health Care Costs
    3. 8.3 Health Care Funding
    4. 8.4 Health Care Reimbursement Models
    5. 8.5 Budgets and Staffing
    6. 8.6 Resource Stewardship and Case Management
    7. 8.7 Spotlight Application
    8. 8.8 Learning Activities
    9. VIII Glossary
  16. Chapter 9 - Quality and Evidence-Based Practice
    1. 9.1 Quality and Evidence-Based Practice Introduction
    2. 9.2 Quality Care
    3. 9.3 Measuring and Improving Quality
    4. 9.4 Evidence-Based Practice and Research
    5. 9.5 Spotlight Application
    6. 9.6 Learning Activities
    7. IX Glossary
  17. Chapter 10 - Advocacy
    1. 10.1 Advocacy Introduction
    2. 10.2 Basic Advocacy Concepts
    3. 10.3 Individual and Interpersonal Advocacy
    4. 10.4 Community and Organization Advocacy
    5. 10.5 Policy Advocacy
    6. 10.6 Steps to Becoming an Advocate
    7. 10.7 QSEN: Advocating for Patient Safety and Quality Care in Nursing Education
    8. 10.8 Spotlight Application
    9. 10.9 Learning Activities
    10. X Glossary
  18. Chapter 11 - Preparation for the RN Role
    1. 11.1 Preparation for the RN Role Introduction
    2. 11.2 Preparing for the NCLEX
    3. 11.3 Obtaining Your Nursing License
    4. 11.4 Applying for a Nursing Position
    5. 11.5 Transitioning to the RN Role
    6. 11.6 Lifelong Learner
    7. 11.7 Spotlight Application
    8. 11.8 Learning Activities
    9. XI Glossary
  19. Chapter 12 - Burnout and Self-Care
    1. 12.1 Burnout & Self-Care Introduction
    2. 12.2 Stress in the Health Care System
    3. 12.3 Identifying Stress in Self
    4. 12.4 Acknowledging Stress in Others
    5. 12.5 Organizational Stress & Retention Cycle
    6. 12.6 Mitigating Stress With Self-Care
    7. 12.7 Emerging Models
    8. 12.8 Spotlight Application
    9. 12.9 Learning Activities
    10. XII Glossary
  20. Answer Keys
    1. Chapter 1
    2. Chapter 2
    3. Chapter 3
    4. Chapter 4
    5. Chapter 5
    6. Chapter 6
    7. Chapter 7
    8. Chapter 8
    9. Chapter 9
    10. Chapter 10
    11. Chapter 11
    12. Chapter 12
  21. Appendix: Classroom Activities
  22. Master Glossary

3.6 Spotlight Application

You are an RN and are reporting to work on a 16-bed medical/renal unit in a county hospital for the 0700 – 1500 shift today. The client population is primarily socioeconomically disadvantaged. Staff for the shift includes four RNs, one LPN/VN, and two UAP.

You are a new RN graduate on the unit, and your orientation was completed two weeks ago. The LPN/VN has been working on the unit for ten years. Both UAP have been on the unit for six months and are certified nursing assistants after completing basic nurse aide training. You, as one of four RNs on the unit, have been assigned four clients. You share the LPN with the other RNs, and there is one UAP for every two RNs.

The charge nurse has assigned you the following four clients. Scheduled morning medications are due at 0800 and all four require some assistance with their ADLs.

  • Client A: An obese 52-year-old male with hypertension and diabetes requiring insulin therapy. He has been depressed since recently being diagnosed with end-stage renal disease requiring hemodialysis. He needs his morning medications and assistance getting dressed for transport to hemodialysis in 30 minutes.
  • Client B: A 83-year-old female client with acute pyelonephritis admitted two days ago. She has a PICC line in place and is receiving IV vancomycin every 12 hours. The next dose is due at 0830 after a trough level is drawn.
  • Client C: A 78-year-old male recently diagnosed with bladder cancer. He has bright red urine today but reports it is painless. He has surgery scheduled at 0900 and the pre-op checklist has not yet been completed.
  • Client D: A malnourished 80-year-old male client admitted with dehydration and imbalanced electrolyte levels. He is being discharged home today and requires health teaching.

Reflective Questions

  1. At the start of the shift, you determine which tasks, cares, activities, and/or procedures you will delegate to the LPN and UAP. What factors must you consider prior to delegation?
  2. What tasks will you delegate to the LPN/VN?
  3. What tasks will you delegate to the UAP?

Annotate

Next Chapter
3.7 Learning Activities
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            Nursing Management and Professional Concepts 2e Copyright © by Chippewa Valley Technical College is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.
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