Order ID | 53563633773 |
Type | Essay |
Writer Level | Masters |
Style | APA |
Sources/References | 4 |
Perfect Number of Pages to Order | 5-10 Pages |
Realistic Priority Setting Assignment Help
You are a registered nurse providing total patient care to four patients on an orthopedic unit during the 7 AM to 3 PM shift. Given the following patient information, prioritize your activities for the shift in eight 1-hour blocks of time.
Be sure to include time for handoffs, planning your day’s activities, breaks, and lunch. Be realistic about what you can accomplish.
What activities will you delegate to the next shift? What overall goals have guided your time management? What personal values or priorities were factors in setting your goals?
Room 101 A | Ms. Jones |
84 years old. Fractured left hip, secondary to fall at home. Disoriented since admission, especially at night. Fall precautions ordered. Moans frequently. Being given IV pain medication every 2 hours prn. Vital signs and checks for circulation, feeling, and movement in toes ordered every 2 hours. Scheduled for surgery at 10:30 AM. Preoperative medications scheduled for 9:30 AM and 10:00 AM. Consent yet to be signed. Family members will be here at 8:00 AM and have expressed questions about the surgery and recovery period. Patient to return from surgery at approximately 2:30 PM. Will require postoperative vital signs every 15 minutes. |
Room 101 B | Ms. Wilkins |
26 years old. Compound fracture of the femur with postoperative fat emboli, now resolved. Ten-pound Buck’s traction. Has been in the hospital 3 weeks. Very bored and frustrated with prolonged hospitalization. Upset about roommate who calls out all night and keeps her from sleeping. Wants to be moved to new room. Has also requested to have hair washed today. Has IV medication running at 100 mL/hour. IV antibiotic piggybacks at 8:00 AM and 12:00 PM. Oral medications at 8:00 AM, 9:00 AM, and 12:00 PM. |
Room 102 A | Mr. Jenkins |
47 years old. C5 quadriplegic due to diving accident 14 years ago. Two days postoperative above-knee amputation due to osteomyelitis. Cultures show methicillin-resistant Staphylococcus aureus. Strict wound isolation. Has been hospitalized for 2 weeks. Expressing great deal of anger and frustration to anyone who enters room. IV site red and puffy. IV needs to be restarted. Dressing change of operative site ordered daily. Heat lamp treatments ordered b.i.d. to small pressure sores on coccyx. IV antibiotic piggybacks at 8:00 AM, 10:00 AM, 12:00 PM, and 2:00 PM. Main IV bag to run out at 10:00 AM. 6:00 AM laboratory results to be called to physician this morning. Needs total assistance in performing activities of daily living, such as bathing and feeding self. |
Room 103 A | Mr. Novak |
19 years old. Severe tear of rotator cuff in left shoulder while playing football. One-day postoperative rotator cuff repair. Very quiet and withdrawn. Refusing pain medication, which has been ordered every 2 hours prn. Says he can handle pain and does not want to “mess up his body with drugs.” He wants to be recruited into professional football after this semester. Nonverbal signs of grimacing, moaning, and inability to sleep suggest that moderate pain is present. Physician states that likelihood of Mr. Novak ever playing football again is very low but has not yet told the patient. Girlfriend frequently in room at patient’s bedside. IV infusing at 150 mL/hour. IV antibiotics at 8:00 AM and 2:00 PM. Has not had a sponge bath since admission 2 days ago. |