Integrate leadership and management principles and attributes in nursing practice
Scenario
You are assigned to six patients on the medical surgical unit working with a LPN/LVN and share a CNA with another RN. You are receiving report for your patients and need to identify what activities you will be assigning, delegating, supervising, and prioritizing for the shift.
Instructions
- Client number 1: 50-year old male who had a heart attack and stent placed with normal vital signs
- Client number 2: 46-year-old female with full-thickness burns to the leg who needs to have dressings changed
- Client number 3: 33-year-old male firefighter who has fallen and broken his right femur after surgery with pain in his leg
- Client number 4: 18-year-old male with wheezing and labored respirations unrelieved by an inhaler
- Client number 5: 74-year-old female with new onset dementia awaiting lab results
- Client number 6: 52-year-old female who has been recently diagnoses with diabetes type 2 and is getting discharged
- Describe the patients you will be assigning to the LPN
- Describe the care that you will be delegating to the LPN and CNA
- List the interventions that you would want to supervise for the LPN and CNA
- List the clients and care from the highest to lowest priority
- Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.
Leadership and management principles are crucial in nursing practice to provide efficient and effective patient care. This essay will explore how to integrate leadership and management principles and attributes in nursing practice using a scenario involving six patients on a medical-surgical unit. The essay will describe the patients assigned to the LPN/LVN, the care to be delegated to the LPN and CNA, interventions to supervise for the LPN and CNA, and prioritize patient care.
Firstly, the LPN/LVN will be assigned patient number one, the 50-year-old male who had a heart attack and stent placed with normal vital signs. The LPN/LVN will be responsible for administering medications such as aspirin, nitroglycerin, and beta-blockers as ordered. The LPN/LVN will also be responsible for monitoring vital signs and performing hourly rounds to ensure the patient’s comfort and well-being.
Secondly, the care to be delegated to the LPN and CNA will include patient number two, the 46-year-old female with full-thickness burns to the leg who needs to have dressings changed. The LPN/LVN will delegate the task of changing the dressings to the CNA, while supervising the process to ensure that it is done correctly. The LPN/LVN will also instruct the CNA on how to report any signs of infection, such as redness, swelling, and warmth around the wound.
Thirdly, the LPN/LVN will supervise the administration of pain medication and monitoring of patient number three, the 33-year-old male firefighter who has fallen and broken his right femur after surgery with pain in his leg. The CNA will be responsible for assisting the patient with activities of daily living, such as toileting and hygiene, while the LPN/LVN will monitor the patient’s vital signs and pain level to ensure that the prescribed medication is effective.
Fourthly, the LPN/LVN will supervise the administration of nebulized medication and oxygen therapy for patient number four, the 18-year-old male with wheezing and labored respirations unrelieved by an inhaler. The CNA will assist the patient with positioning and other activities of daily living, while the LPN/LVN will monitor the patient’s respiratory status and intervene as necessary to ensure the patient’s comfort and well-being.
Fifthly, the LPN/LVN will supervise the monitoring and documentation of patient number five, the 74-year-old female with new onset dementia awaiting lab results. The CNA will assist with activities of daily living while the LPN/LVN will assess and document the patient’s mental status, vital signs, and other significant observations, such as changes in behavior or mood.
Finally, the LPN/LVN will be responsible for patient number six, the 52-year-old female who has been recently diagnosed with diabetes type 2 and is getting discharged. The LPN/LVN will provide discharge instructions to the patient and family members, including how to manage blood glucose levels, medications, and follow-up appointments.
In prioritizing patient care, patient number three, the 33-year-old male firefighter with a broken femur and pain, would be the highest priority. This patient requires frequent monitoring and pain management to ensure comfort and prevent complications such as infection or deep vein thrombosis. Patient number two, the 46-year-old female with full-thickness burns to the leg, would be the second priority, as her wounds require frequent dressing changes and close monitoring for signs of infection. Patient number four, the 18-year-old male with wheezing and labored respirations, would be the third priority, as he requires immediate intervention to manage his respiratory distress. Patient number one, the 50-year-old male with a heart attack and stent placed,