Leadership and Management Attributes
Describe the patients you will be assigning to the LPN
Client number 1, Client number 5, and Client number 6 will be assigned to the LPN. These patients are medically stable but require focused assessments, oral medication administration, and assistance with daily living activities (Knutson et al., 2021). The care required for these patients is within the scope of the LPN. Hire our assignment writing services in case your assignment is devastating you.
Describe the care that you will be delegating to the LPN and CAN.
The LPN will assist with each assigned patient’s focused assessment and report findings to the RN. The LPN will perform a focused heart and lung assessment on Client Number 1, reporting normal and abnormal findings to the RN for further evaluation. The LPN will perform a focused neuro exam on Client Number 5, reporting any changes in the level of consciousness, mentation, or orientation to the RN (Weberg., 2018). Medication administration will be delegated to the LPN. The LPN can help Client Number 1, Client Number 5, and Client Number 6 administer oral medications. Vital signs and activities of daily living will also be delegated to the LPN for these patients (McBride & Tietze, 2018). Client number 1 can benefit from the LPN’s assistance with ambulation, toileting, bathing, and dressing. Client number 5 will be assisted with orientation, ambulation, toileting, bathing, and dressing by the LPN. Close monitoring of this patient will also be beneficial, as the patient has recently been diagnosed with dementia and may require additional supervision to remain safe. The LPN will also assist Client Number 6 with activities of daily living, such as ambulation and linen changes, as needed. Vital signs, bathing, toileting, ambulating, and linen changes will be delegated to the CNA. The CNA can assist with patient repositioning as well as weight, intake, and output measurements. On stable patients, the CNA will complete these measurements and care tasks.
List the interventions that you would want to supervise for the LPN and CAN.
The LPN/CNA should report any elevated, low, or out-of-range vital signs. The LPN-focused assessment will include Client number 1’s heart and lung assessment, Client number 5’s neuro assessment, and report normal and abnormal findings to the RN.
LPNs and CNAs must report the ambulation of Client Number 2 and Client Number 3 and the bathing of all Clients to the RN.
Any task or service that the LPN or CNA is performing for the first time on any of the clients is to be monitored. Also, for oral medication administration for any client on a doctor’s prescription, the RN should review the administration with the LPN and develop a medication plan for the entire shift.
List the clients and care from the highest to lowest priority
Client number four is an 18-year-old male with wheezing and laboured breathing that is not relieved by an inhaler.
Client number three is a 33-year-old male firefighter who fell and broke his right femur after surgery and is experiencing leg pain.
Client number two is a 46-year-old female with full-thickness burns on her leg who requires dressing changes.
Client No. 5 is a 74-year-old female with new-onset dementia who is awaiting lab results.
Client number one is a 50-year-old male who had a heart attack and placed a stent while maintaining normal vital signs.
Client number 6 is a 52-year-old female who was recently diagnosed with type 2 diabetes and discharged.
References
Knutson, L., Johnson, P., Sidebottom, A., & Fyfe-Johnson, A. (2021). Development of a Hospital-Based Integrative Healthcare Program. Retrieved 14 October 2021.
McBride, S., & Tietze, M. (2018). Nursing Informatics for the Advanced Practice Nurse, Second Edition. Springer Publishing Company.
Nursingworld.org. (2021). Retrieved 14 October 2021, from https://www.nursingworld.org/~4af4f2/globalassets/docs/ana/ethics/principlesofdelegation.pdf.
Weberg. (2018). Leadership in Nursing Practice. Jones & Bartlett Learning.
Weiss, S., Tappen, R., & Grimley, K. Essentials of nursing leadership and management
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Question
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 an LPN/LVN and share a CNA with another RN. You are receiving reports for your patients and need to identify what activities you will be assigning, delegating, supervising, and prioritizing for the shift.
Leadership and Management Attributes
Instructions
Client number 1: 50-year-old male who had a heart attack and stent placed with normal vital signs
Client number 2: 46-year-old female with full-thickness burns to the leg who needs to have dressings changed
Client number 3: 33-year-old male firefighter who has fallen and broken his right femur after surgery with pain in his leg
Client number 4: 18-year-old male with wheezing and laboured respirations unrelieved by an inhaler
Client number 5: 74-year-old female with new onset dementia awaiting lab results
Client number 6: 52-year-old female who has been recently diagnosed with type 2 diabetes and is getting discharged
Describe the patients you will be assigning to the LPN
Describe the care that you will be delegating to the LPN and CNA
List the interventions that you would want to supervise for the LPN and CNA
List the clients and care from the highest to lowest priority
Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.
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