priority frame work

PRIORITY SETTING FRAMEWORKS

  • Source: Assessment Technologies Institute. (n.d.). ATI Complete: Comprehensive assessment and review program [Educational software]. Assessment Technologies Institute. https://www.atitesting.com/

LEARNING OBJECTIVES

  • Components for Priority-Setting Frameworks:

    • Discuss the various components necessary for establishing priority-setting frameworks in healthcare.

  • Prioritizing Client Care:

    • Learn to prioritize the delivery of client care rooted in a priority-setting framework.

  • Organizing Care:

    • Organize health care among a group of clients utilizing a priority-setting framework.

WHY IT MATTERS

  • Importance of Priority:

    • Indicates Importance: Prioritization reflects the importance of various health care tasks crucial for client well-being.

    • Determines Order of Care: Establishing priorities ensures that care is delivered in an appropriate order.

  • Safety and Risk Reduction:

    • Maintaining priorities helps in risk reduction and enhances patient safety throughout the healthcare process.

MASLOW’S HIERARCHY OF NEEDS

  • A fundamental framework that elucidates the prioritization of needs, typically structured as a pyramid with different levels of basic to complex needs.

ABCDE FRAMEWORK

  • A: Airway:

    • Question: Is the airway open and clear?

  • B: Breathing:

    • Question: Can the patient breathe effectively?

  • C: Circulation:

    • Question: Is the heart pumping blood effectively? What about perfusion to vital organs?

  • D: Disability:

    • Question: Is the client alert, oriented, or have there been any changes in their level of consciousness (LOC)?

  • E: Exposure:

    • Action: Uncover the client as necessary to assess for hidden injuries (e.g., rashes, burns, etc.).

THE NURSING PROCESS (AAPI)

  • Assessment/Data Collection:

    • Collect both objective and subjective data regarding the client's health status.

  • Analysis:

    • Determine the client’s needs based on the collected data.

  • Planning:

    • Develop SMART goals and desired outcomes for the client’s care.

    • SMART Goals:

      • Specific, Measurable, Achievable, Relevant, Time-bound.

  • Implementation:

    • Execute the planned interventions to meet the healthcare goals.

  • Evaluation:

    • Review whether the goals have been met or not, adjusting the care plan as necessary based on outcomes.

SURVIVAL POTENTIAL FRAMEWORK AND TRIAGE

  • Triage Categories:

    • Immediate/Emergent (Red):

    • Life-threatening injuries where there is a high probability of survival if treated immediately.

    • Urgent/Delayed (Yellow):

    • Serious injuries that pose no immediate threat to life but require timely care.

    • Nonurgent or Minimal (Green):

    • Refers to ‘walking wounded’ indicating individuals with minor injuries who can wait for treatment.

    • Expectant (Black):

    • Patients who are deceased or not expected to survive even with medical intervention.