2. ATI: 11.Priority Setting Flashcards Preview

ATI: Nursing Concepts > 2. ATI: 11.Priority Setting > Flashcards

Flashcards in 2. ATI: 11.Priority Setting Deck (10):
1

priority setting

ability to use nursing judgement when making decisions about the rank order in which nursing actions should be taken

2

priority-based clinical judgements

-Which client should I see first?
-Which interventions should I provide now and which can be done later?
-What can or should be delegated to other personnel so I have time to perform tasks that their scope of practice does not allow them to do?
-Are there legal consequences if I postpone or do not complete a task?

3

sources of data establish priorities

-shift report
-communications with staff and other members of the interdisciplinary team
-review of documents
-client assessment data
-concerns verbalized by client or client's representative

4

priority setting frameworks

-Maslow's Hierarchy of Needs
*self-actulization
*self-esteem
*love and belonging
*safety and security
*physiological

5

nursing process

-assessment/data collection
*analysis
*planning
*implementation
*evaluation

6

ABC's

1.airway
2.breathing
3.circulation

7

safety and risk reduction

-risk assessment
*safety risk to client
*greatest risk to client
*significance of risk compared to other risks

8

tools to help set priorities

-develop a schedule that outlines the care that the client will need
-determine what interventions must be done
*immediately
*according to a specified time
*before the end of the shift
-delegate tasks to assistive personnel when time is compromised
-use a priority setting framework to help make client care decisions

9

time management skills

-estimate time needed for various activities
-group activities together
-mentally visualize procedure when obtaining needed equipment
-document client care as it is given
-enlist the aid of other staff when needed
-complete more difficult tasks early on
-say "no" when asked for help if time is already compromised
-avoid socializing with other students/staff when not on break

10

advanced priority setting

-know the job description of various levels of nurses
-use the five rights of delegation
-assign tasks/clients to proper level of nurse
-thoroughly assess clients at the beginning of the shift
-use assertive communication skills
-use critical thinking when making clinical judgements
-reprioritize on an ongoing basis