So here are some basics about Nursing Prioritization and Delegation...
Emergent Priority (1st): requires immediate attention and continuous evaluation yet have a high survival rate
- chest pain
- severe respiratory deficits
- chemical splashes to the eyes
Urgent Priority (2nd): injuries non life threatening..treated within 1-2 hours and are evaluated every 30 to 60 minutes thereafter.
- simple fracture
- asthma without respiratory distress
- abdominal pain
- renal stone
Nonurgent Priority (3rd): clients can wait several hours before being seen and require 1-2 hours of evaluated thereafter.
- minor laceration
- cold symptoms
So if someone came in with a chest pain because they ate something wrong and another person that came in with a high blood pressure, do pick the chest pain first.
CNAs (Certified Nursing Assistant)
- skin care, feeding, toileting, vital signs (not initials), height, weight, IOs, ROM exercises, ambulation, transporting, grooming, and hygiene meaures of stable clients.
LPNs/LVNs (Licensed Practical Nurse)
- physiologically stable clients with predictable outcomes
- dressings, suctionings, urinary catheterization, med administrations (only oral, subcutaneous, and intramuscular), no rectal or IV meds
- care for individual in a structured health care environment
- care for individuals, families, groups, and communities in both structured and unstructured health settings.
- RN (all):
- assessment/planning care, initiating teaching, IV meds
RN can not delegate these tasks:
- initial assessments of clients
- evaluation of client data
- nursing judgement
- client/family educatoin/evaluation
- nsg diagnosis
Prioritization, Delegation, and Assignment: Practice Exercises for Medical-Surgical Nursing by La Charity