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Saunders Comprehensive Review For The NCLEX-PN Examination, 8 Ed./
Chapter 7. Prioritizing Client Care: Leadership, Delegation, and EmergencyAce Your Saunders Comprehensive Review For The NCLEX-PN Examination, 8 Ed. Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Practical Nurse (LPN) Students
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Saunders Comprehensive Review For The NCLEX-PN Examination, 8 Ed. | Practical Nurse (LPN) School Study Aid
Chapter 7. Prioritizing Client Care: Leadership, Delegation, and Emergency
27 Picmonics to Learn | 1 hr 5 mins
Guidelines for Prioritizing
- First-level priority problems
- Airway, Breathing, Circulation (ABCs)
- Second-level Priority Problems
- MAA-U-AR
- Mental Status Change
- Acute Pain
- Acute Urinary Elimination Problems
- Untreated Medical Problems
- Abnormal Laboratory Values
- Risk of Infection, Safety or Security
- Third-Level Priority Problems
- Long-Term Treatments
2 mins
The Nursing Process
- ADPIE
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
2 mins
Assessment
- Health History
- Objective Data
- Subjective Data
- TEST-TAKING STRATEGY: KEY WORDS
- Identify
- Determine
- Obtain Information
- CONSIDERATIONS
- Assessment Always Done Before Treatments
3 mins
Diagnosis
- A COMPARISON
- Medical Diagnosis
- Nursing Diagnosis
- Collaborative Problem
- Data Interpretation and Analysis
- Significant Data
- Patterns or Clusters
- Parts of Nursing Diagnosis Statement
- Problem
- Etiology
- Defining Characteristics
- TEST-TAKING STRATEGY: KEY WORDS
- Maslow’s Pyramid
- Patient’s Concerns
2 mins
Implementation
- Types of Nursing Interventions
- Direct Care Interventions
- Indirect Care Interventions
- A Community (Public Health) Intervention
- Implementing the Care Plan
- Partnership with the Patient/Family
- Performing the Nursing Action
- Documenting Nursing Care
- Delegating Nursing Care
- TEST-TAKING STRATEGY: KEY WORDS
- Intervene
- Priority Action
3 mins
Planning
- Nursing Care Plan
- Tailored to Patient
- Short-and-Long-Term Goals
- SMART GOALS
- Specific
- Measurable
- Attainable
- Realistic
- Time-Oriented
2 mins
Evaluation
- Consider the Effectiveness of Care
- Reassess
- Make Necessary Modifications
- Continuously Ensure Favorable Patient Outcome
- TEST-TAKING STRATEGY: KEY WORDS
- Evaluate
- Outcome
- Consider the Degree of Effectiveness
2 mins
Maslow's Hierarchy of Needs
- Physiological Needs
- Oxygen, Water, Nutrition
- Body temperature, Elimination, Shelter, Sexual Expression
- Safety and Security
- Physical Safety
- Physiological Safety
- Love and Belonging
- Affection and Companionship
- Esteem
- Self Respect and Respect for Others
- Self Actualization
- Fulfillment
2 mins
Airway, Breathing, Circulation (ABC's)
- Airway Assessment
- Changed Sound of Voice
- "See-saw" Respirations
- Stridor
- Breathing Assessment
- Normal Respiratory Rate: 12–20 Breaths/Min
- Use of Accessory Muscles in Respiration
- Cyanosis
- Circulation Assessment
- Color of Hands and Digits
- Normal Capillary Refill Time (CRT): 2 Seconds
- Decreased LOC
- Considerations
- Initial ‘Look, Listen and Feel” Assessment
- Emergency Treatment
- Prioritization in Exam Questions
5 mins
Cardiopulmonary Resuscitation (CPR) for Adults
- Steps Before CPR
- Scan Scene
- Activate Emergency Response System
- Check For Breathing (Max 10 Seconds)
- Open Airway
- Compressions, Airway, Breathing (CAB)
- Compressions: 2 Inches Deep (100-120 Compressions/Min)
- Airway: Ensure Airway is Still Open
- Breathing: Administer 2 Rescue Breaths
- Considerations
- Repeat C-A-B Sequence (30:2) Until Help Arrives
3 mins
Physiological Needs
- Physiological Hierarchy
- First Basic Need
- Physiological Need
- Oxygen
- Food/Water
- Elimination
- Temperature
- Rest
- Shelter
2 mins
Safety and Security
- Safety and Security Needs
- Second Basic Needs
- Safety and Security Needs
- Physical Safety
- Physiological Safety
- Financial Security
2 mins
Love and Belonging
- Love and Belonging Hierarchy
- Third Basic Need
- Love and Belonging Needs
- Love and Affection
- Relationships
59 secs
Esteem
- Esteem HIERARCHY
- Fourth Basic Need
- Eteem Need
- Esteem for Oneself
- Reputation and Respect
53 secs
Self-Actualization
- Self-Actualization Hierarchy
- Fifth Need
- Self-Actualization Needs
- Helping Others
- Objectivity
- Personal Growth
2 mins
Interprofessional Team Member Roles
- Roles of Members of the Health Care Team
- Physician
- Advanced Practice Registered Nurse
- Nurse
- Unlicensed Assistive Personnel
- Physical Therapist
- Occupational Therapist
- Respiratory Therapist
- Social Worker
- Pharmacist
- Dietitian
4 mins
5 Rights of Delegation
- Right Task
- Right Circumstance
- Right Person
- Right Direction/Communication
- Right Supervision/Evaluation
1 min
Principles of Delegation
- Delegation
- Assigning Responsibility
- Unlicensed Assistive Personnel (UAP)
- Noninvasive Procedures
- Licensed Practical Nurse (LPN)
- Stable Patients with Predictable Outcome
- Dressing Changes
- Catheterization
- Select Med Administration
- Registered Nursing (RN)
- Unstable Patients
- Parenteral Therapy
- Discharge Planning & Health Education
3 mins
Nursing Delivery Systems
- TYPES OF DELIVERY SYSTEMS
- Functional Nursing
- Team Nursing
- Primary Nursing
- Total Patient Care
2 mins
Theories of Leadership
- Theories of Leadership
- Great Man
- Charismatic
- Relational
- Shared
- Quantum
- Effective Leader Behaviors and Qualities
- Takes Action
- Inspires
- Guidance and Assistance
- Communicates
- Thinks Critically
2 mins
Leadership Styles
- Theories of Leadership Approaches
- Authoritarian Leadership
- Democratic Leadership
- Laissez-Faire Leadership
- Situational Leadership
- Bureaucratic Leadership
- Transformational Leadership
- Transactional Leadership
- Servant Leadership
3 mins
Documentation Guidelines
- Factual
- Objective Information
- Subjective Information from Patient
- Objective Supports Subjective
- Accurate
- Avoid Unnecessary Words and Details
- Exact Measurements
- Current
- Assessments
- Document ASAP
- Treatment and Response
- Change in Status
- Admission, Transfer, Discharge or Death
- Organized
- Document in a Logical Order
- Ensure Information Recorded is Complete
4 mins
Reports
- Reporting
- Shared Communication
- ISBAR
- ISBAR
- Identify
- Situation
- Background
- Assessment
- Recommendation
- Types of Reports
- Change-of-Shift/Handoff Reports
- Telephone/Telemedicine Reports
- Transfer and Discharge Reports
2 mins
Phases of Disaster Management
- Mitigation
- Preparedness
- Response
- Recovery
2 mins
FEMA Levels of Disaster
- Levels of Disaster
- Level I Disaster
- Level II Disaster
- Level III Disaster
- Nurse's Role In Disaster Planning
- Personal and Professional Preparedness
2 mins
Triage
- Simple Triage And Rapid Treatment (START)
- Tags
- Red: Immediate (Critical)
- Yellow: Delayed (Urgent)
- Green: Minor (Ambulatory)
- Black: Deceased (Expired)
- Step 1: Movement
- Ability to Walk
- Step 2: Respirations
- Spontaneous Breathing
- Respiratory Rate
- Step 3: Perfusion
- Check Circulation
- Step 4: Mental Status
- Mental Status
4 mins
Fire - Environmental Emergencies
- R.A.C.E
- Rescue
- Alarm
- Confine
- Extinguish
- P.A.S.S.
- Nursing Considerations
- Fire Exits
- Do Not Use Elevators
- Manual Ventilation
2 mins
