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 and attributes are essential in nursing practice to promote patient safety, improve patient outcomes, and ensure the efficient utilization of resources. In this scenario, the RN is assigned six patients on the medical-surgical unit and will work with an LPN/LVN and a CNA. The RN needs to integrate leadership and management principles and attributes in assigning tasks to the LPN/LVN and delegating tasks to the CNA while prioritizing patient care.
Client number 1 is a 50-year-old male who had a heart attack and stent placed with normal vital signs. The RN can assign the monitoring of vital signs, medication administration, and patient education to the LPN/LVN, while the RN focuses on developing the patient’s care plan and coordinating the interdisciplinary team’s efforts.
Client number 2 is a 46-year-old female with full-thickness burns to the leg who needs to have dressings changed. The RN can delegate the task of changing the dressings to the CNA while ensuring that the CNA is competent in performing the task and monitoring the patient’s response to the intervention.
Client number 3 is a 33-year-old male firefighter who has fallen and broken his right femur after surgery with pain in his leg. The RN can assign the administration of pain medication and monitoring for adverse effects to the LPN/LVN, while the RN focuses on the assessment of the patient’s pain level and developing an effective pain management plan.
Client number 4 is an 18-year-old male with wheezing and labored respirations unrelieved by an inhaler. The RN can assign the administration of nebulizer treatments and monitoring for respiratory distress to the LPN/LVN, while the RN focuses on the assessment of the patient’s respiratory status and coordinating with the respiratory therapy team.
Client number 5 is a 74-year-old female with new onset dementia awaiting lab results. The RN can assign the monitoring of vital signs, medication administration, and assistance with activities of daily living to the LPN/LVN, while the RN focuses on the assessment of the patient’s cognitive status and developing an effective care plan for patients with dementia.
Client number 6 is a 52-year-old female who has been recently diagnosed with diabetes type 2 and is getting discharged. The RN can delegate the task of providing patient education on diabetes self-management to the LPN/LVN, while the RN focuses on developing an effective discharge plan and coordinating with the interdisciplinary team.
In supervising the LPN/LVN and CNA, the RN should ensure that the assigned tasks are within their scope of practice and competence level. The RN should provide clear instructions, monitor the patient’s response to interventions, and provide feedback to the LPN/LVN and CNA to promote professional development.
In prioritizing patient care, the RN should use the principles of the nursing process, including assessment, diagnosis, planning, implementation, and evaluation. The RN should prioritize patients based on their acuity level, potential for harm, and the need for timely interventions. The prioritization should be flexible and dynamic to adjust to the changing patient’s condition and the availability of resources.
In conclusion, integrating leadership and management principles and attributes in nursing practice is essential to ensure safe, efficient, and effective patient care. In this scenario, the RN can assign tasks to the LPN/LVN, delegate tasks to the CNA, supervise the interventions, and prioritize patient care using the nursing process. By using these principles, the RN can promote patient safety, improve patient outcomes, and ensure the efficient utilization of resources.