You are a Registered nurse in the ward with a nurse assistant on the shift. Your partner is on break, but the Nurse in charge is on the floor and doesn’t take the patient load. Plan and delegate (5 rights of delegation) the following: Patient 1 underwent a laparoscopic abdominoperineal (AP) resection 3 weeks ago. He was transferred to the ward for further rehabilitation following post-operative atelectasis, his colostomy bag is full and needs to be changed. He is very anxious about the care of the stoma and requires assistance as the stoma is retracted. Patient 2 is day 22 post-STEMI, transferred from the cardiac ward 9/7 ago post stenting and is pending discharge this week as meeting all rehabilitation goals. Patient 2 gets your attention on entering the 4-bed- room on the way to check Patient 1’s call bell and states she has ‘chest pain’. Patient 3- MVA 2/12 ago: spinal injury, fractured pelvis, R) Colles fracture and 3 broken ribs (right side). has a history of anxiety. Patient 3 asks Emily to get him some pain relief for 7/10 pain when she answered the call bell.

Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter4: Revenue Cycle Management
Section: Chapter Questions
Problem 27R
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You are a Registered nurse in the ward with a nurse assistant on the shift. Your partner is on break, but the Nurse in charge is on the floor and doesn’t take the patient load. Plan and delegate (5 rights of delegation) the following:

 

  • Patient 1 underwent a laparoscopic abdominoperineal (AP) resection 3 weeks ago.
    He was transferred to the ward for further rehabilitation following post-operative atelectasis, his colostomy bag is full and needs to be changed. He is very anxious about the care of the stoma and requires assistance as the stoma is retracted.
  • Patient 2 is day 22 post-STEMI, transferred from the cardiac ward 9/7 ago post stenting and is pending discharge this week as meeting all rehabilitation goals. Patient 2 gets your attention on entering the 4-bed- room on the way to check Patient 1’s call bell and states she has ‘chest pain’.
  • Patient 3- MVA 2/12 ago: spinal injury, fractured pelvis, R) Colles fracture and 3 broken ribs (right side). has a history of anxiety. Patient 3 asks Emily to get him some pain relief for 7/10 pain when she answered the call bell.
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