Prioritizing Care Competency
A Licensed Practical Nurse (LPN) mainly offers primary nursing care and ensures patients are comfortable (Miri et al., 2021). In this instance, I would assign three patients to the plan. The first patient is a 50-year-old man who had a heart attack and has had a stent placed with typical vital signs (Client number 1). The 74-year-old man with new-onset dementia awaiting laboratory results (Client number 5) and the 52-year-old woman recently diagnosed with type 2 diabetes and awaiting to be discharged (Client number 6) should also be assigned to the LPN. These patients are medically stable and require slight assistance with their daily lives and oral medication administration. All these are tasks that the LPN can handle confidently and with ease. Our assignment writing help is at affordable prices to students of all academic levels and academic disciplines.
Care to Delegate to the LPN and CNA
A CNA and LPN play vital roles within the hospital setting. In the scenarios assigned to the LPN, he has several assessments that he should undertake and report back to me as the registered nurse. For Client Number 1, with a recent heart attack, the LPN should perform a comprehensive cardiovascular and respiratory examination. Any findings should be reported to me to facilitate the further assessment of the patient.
For Client number 5 with dementia, a neurological examination is a priority. Any findings should be reported back to me to enable further assessment. The administration of oral medication for all three patients is a task that the LPN can handle. Keeping a daily record of the patient’s vital signs is another role that can be delegated to the LPN. The LPN finally has a role to play in ensuring that the patients are comfortable. Assisting patients with daily tasks such as bathing, dressing, changing lines, and bedding is another vital role that can be delegated to the LPN. The CNA’s primary role is to assist in offering primary care to patients and assisting them with daily activities (Blay et al., 2020). Roles such as bathing and assisting patients to get dressed can also be assigned to the CNA. Turning and moving patients from place to place can be delegated to the CNA.
Interventions to Supervise
As the RN in charge, it is essential to supervise both the LPN and the CNA. As the RN, it is essential to supervise the LPN while undertaking both the cardiovascular and respiratory examination for Client Number 1 and ensuring that all findings are reported to me. I should also supervise the administration of oral medication that is to be undertaken by the LPN for all the assigned patients. Formulating a medication plan and going through it with the LPN is a critical aspect. I should keep track of the daily vital signs recorded and note any sudden changes. Supervising tasks the LPN and CNA undertake for the first time is also essential.
Priority of Care
The 18-year-old male (Client number 4), wheezing and has labored respirations unrelieved by an inhaler, should be the first person to attend to. The patient’s current situation is critical and highlights the need to undertake additional interventions to prevent progressive respiratory depression. The patient with a fractured femur (Client number 3) should be prioritized second. The patient is in obvious pain, and pain management, including medication and repositioning, should be prioritized (Cui et al., 2018).
The patient with full-thickness burns (Client number 2) that requires dressing should come third. The patient requires regular changing of dressing that requires collaboration between nurses. Medication should be administered to ensure that the patient does not experience discomfort. The dementia patient (Client number 5) should be prioritized next. Caution should be taken to ensure the patient does not hurt himself, and effort should be taken to reorient him. Laboratory results should be monitored to note any infections causing the dementia.
Client number 1 is in stable condition and should be prioritized fifth. Constant monitoring of his vital signs, heart sounds, and pain monitoring should continue. Client number 6 comes last. She is currently being discharged. Follow-up on her condition to ensure compliance with medication and other recommendations should be undertaken.
References
Alderman, J., Kastelein, C., Feo, R., Frensham, L., Salamon, Y., & Kitson, A. (2018). We are prioritizing the Fundamentals of Care Within the Prelicensure Nursing Curriculum. The Journal of Nursing Education, 57(8), 498–501. https://doi.org/10.3928/01484834-20180720-09
Blay, N., & Roche, M. A. (2020). A systematic review of activities undertaken by the unregulated Nursing Assistant. Journal of Advanced Nursing, 76(7), 1538–1551. https://doi.org/10.1111/jan.14354
Cui, C., Wang, L. X., Li, Q., Zaslansky, R., & Li, L. (2018). Implementing a pain management nursing protocol for orthopedic surgical patients: Results from a PAIN OUT project. Journal of Clinical Nursing, 27(7-8), 1684–1691. https://doi.org/10.1111/jocn.14224
Miri, K., Mohammadi, E., & Vanaki, Z. (2021). Trend in the role of licensed practical nurses in health care system: A situational analysis. Nursing Forum, 56(1), 9–18. https://doi.org/10.1111/nuf.12501
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Question 
Assigning, Delegating, Supervising, and Prioritizing Care
Prioritizing Care Competency
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.
Instructions
Client number 1: 50-year-old male who had a heart attack and stent placed with typical 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 labored 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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