University:
West Coast University
Course:
NURS 420 | Principles of Leadership and Management
Academic year:

2022
Views:

405

Pages:

1
Author:

Amira Hester

Leadership Nursing Roles: CNA- Handles your patient’s hygiene needs, ADLs, toileting, monitoring patient safety and linen changes. They can also walk your patient if there is a physician order. LPN- Similar role as RN but cannot push or give any intravenous medications. Also is responsible for nursing interventions but not nursing assessment. RN- Provides nursing assessments applies the nursing process and can give intravenous medications/fluids. 1. Delegate sterile skills such as dressing changes to the RN or LPN. Where nonskilled care is required, you can delegate the stable client to the nursing assistant. Choose the most critical pt to assign to the RN, such as the client who has recently returned from chest surgery. Pts who are being discharged should have final assessments done by the RN. 2. The LPN, like the RN, can monitor clients with IV therapy, insert urinary catheters and feeding tubes, apply restraints, discontinue IVs, drains, and sutures. 3. Do not delegate what you EAT (evaluate, assess, teach) 4. LPN cannot handle blood Advanced Directives: A written document by a competent person, regarding their health care preference. An Advance Directive may include a living will and/or a durable power of attorney for health care. A living will is a written directive regarding the course, continuation, or discontinuation of medical treatment in the event that a person becomes incompetent. A durable power of attorney for health care is a written designation to authorize one or more person(s) to make health care decisions in the event of a person becoming incompetent to make their own decisions. Informed consent is the legal obligation to provide full disclosure to a patient regarding potential risks and outcomes of tests and treatments. The obligation is operative in the development of the Advance Directive because the corollary is the right not to consent to treatment. 49

Leadership

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