ATI Comprehensive Remediation_latest 2020 complete A+ guide.

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ATI Comprehensive Remediation Management of Care • Advance Directives/Self-Determination/Life Planning - (2) o Legal Responsibilities: Responding to a Client's Wishes for a Living Will (Active Learn... ing Template - Basic Concept, RM FUND 9.0 Ch 4)  Provide the patient with written information  Document the client’s advance directive status  Ensure the advance directive status reflects the clients wishes o Professional Responsibilities: Providing Information to a Client About Advance Directives (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 3)  An advance directive is a legal document that expresses the clients wishes regarding medical treatment in the event the client becomes incapacitated and is facing end of life issues  Staff should give clients who do not have advance directives information regarding health care decisions  Clients should be given information about how formulate an advance directive and have a health care representative present • Assignment, Delegation and Supervision - (1) o Managing Client Care: Appropriate Assignment for Assistive Personnel (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 1)  Can only delegate tasks appropriate for skill level and education of personal being delegated to  Right task, right circumstance, right person, right direction and communication, right supervision and evaluation  Cannot delegate skills that require clinical judgement or education • Collaboration with Interdisciplinary Team - (1) o Cystic Fibrosis: Priority Finding to Report to the Provider (Active Learning Template - System Disorder, RM NCC RN 10.0 Chp 19)  Sweat chloride greater than 70  Oxygen saturation below 80%  pCO2 above or below 38-42 • Informed Consent - (1) o Professional Responsibilities: Validating Informed Consent Prior to a Surgical Procedure (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 3)  Ensure provider gave enough information for patient to know procedure  Nurse must watch patient sign the document  Nurse must reinforce information and forward any questions to the provider • Referrals - (3) o Coordinating Client Care: Providing Assistance for a Client Who Has a New Colostomy (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 2)  Provide information regarding acquisition of supplies for ostomy care  Set up home health to provide ostomy care to patient  Provide education about ostomy care to patient, such as how to burp and empty ostomy o Coordinating Client Care: Referral for Care Following Discharge (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 2)  Use interprofessional team to decide amount of care needed following discharge  Provide a route for continuity of care following discharge  Involve family in planning of care o Stroke: Priority Action When Initiating Discharge Planning (Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 15)  Educate about signs and symptoms of another stoke  Decide how much care patient will require after discharge  Possibly refer to home health, outpatient PT and OT Safety and Infection Control • Accident/Error/Injury Prevention - (2) o Health Promotion of Infants (2 Days to 1 Year): Car Seat Safety (Active Learning Template - Basic Concept, RM NCC RN 10.0 Chp 3)  Should remain in rear facing car seat until 2 years of age or manufacture recommended height  Do not place rear facing car seats in front seat  Back seat is safest place for infants and children o Medications for Anxiety and Trauma- and Stressor-Related Disorders: Interventions for a Client Taking Alprazolam (Active Learning Template - Medication, RM MH RN 10.0 Chp 21)  Client should alcohol use  Manifestations of oral toxicity include lethargy, confusion, and drowsiness  Administer medication with food to prevent GI upset • Emergency Response Plan - (2) o Communicable Diseases, Disasters, and Bioterrorism: Nursing Responsibilities When Implementing a Disaster Management Plan (Active Learning Template - Basic Concept, RM CH RN 7.0 Chp 6)  Nurses should assess the community for disasters most likely to occur  Make a list of agencies and response times  Identify responsibilities of nurses at each triage level o Facility Protocols: Developing an Emergency Preparedness Plan (Active Learning Template - Basic Concept, RM Leadership 7.0 Chp. 5)  Assess facilities capability to handle specific threats  Assist in identifying roles of employees  Nurse should develop action plan for personal family needs • Ergonomic Principles - (1) o Ergonomic Principles: Placing a Client in Side-Lying Position (Active Learning Template - Nursing Skill, RM FUND 9.0 Ch 14)  Pillow should be placed on side facing up when lying on one side  Pillow should be placed between legs  This is okay but client should be turned regularly since pressure is mainly on hip and shoulder • Handling Hazardous and Infectious Materials - (1) o Infection Control: Hazardous Material Incidents (Active Learning Template - Basic Concept, RM FUND 9.0 Ch 11)  Hazardous materials should be placed in biohazardous bag  Contaminated surfaces should be cleaned with hydrogen peroxide or bleach  all hazardous materials should be treated with at least standard precautons • Home Safety - (1) o Nursing Care and Discharge Teaching: Newborn Home Safety Instructions (Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 26)  Cord should be kept dry and diaper folded under it  Manual expression of milk may be needed to initiate breastfeeding  Hot water should not be set higher than 120 • Standard Precautions/Transmission-Based Precautions/Surgical Asepsis - (1) o Cancer Disorders: Teaching About Infection Prevention (Active Learning Template - Basic Concept, RM AMS RN 10.0 Chp 92) ......................Continues (full guide) [Show More]

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