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Chapters 21, 22, 23
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Prioritizing Care
Systematic process of ranking patient needs so that life-threatening and urgent problems are addressed first
First-Level Problems (ABC+VL)
Immediate life-threatening issues involving airway
Second-Level Problems
Urgent but not immediately life-threatening issues such as mental status changes
Third-Level Problems
Long-term or non-urgent issues such as chronic health management
Goal Setting (Time Management)
Reviewing daily patient outcomes and nurse responsibilities to plan care and activities effectively
Time Analysis
Reflecting on how time is spent during patient care to identify strengths and areas for improvement
Priority Setting (Time Management)
Organizing patient care activities within appropriate time frames based on patient condition
Interruption Control
Managing socialization and interruptions so they do not interfere with essential patient care tasks
Evaluation (Time Management)
Reflecting at the end of the day on how effectively time was used and identifying improvements
SBAR Communication
A structured method for communicating critical information using Situation
SBAR Situation
Brief statement of the current problem or reason for communication
SBAR Background
Relevant clinical history or context related to the patient’s condition
SBAR Assessment
Nurse’s evaluation of the patient’s current condition or problem
SBAR Recommendation
Suggested action or request for provider input or orders
Five Rights of Delegation
Framework ensuring safe delegation: right task
Right Task
Delegating tasks that are appropriate according to policy and the delegatee’s job description
Right Circumstance
Delegating only when the patient is stable and the situation is appropriate
Right Person
Ensuring the delegatee has the competence and skills to perform the task
Right Directions and Communication
Providing clear instructions
Right Supervision and Evaluation
Monitoring performance