CHAPTER 3 – UNDERSTANDING CLIENT ADVOCACY

It is the nurses’ role in supporting clients by ensuring they are properly informed, that their

rights are respected, and that they are receiving the proper level of care.

The complex health care system puts clients in a vulnerable position. Nurses are clients’ voices

when the system is not acting in their best best interest.

Do not direct or control their decisions.

CHAPTER 1 – USING TIME APPROPRIATELY

“life before limb”

Acute before chronic

Actual problems before potential future problems

Listen carefully to clients and don’t assume.

Recognize and respond to trends vs. transient findings: recognizing a gradual deterioration in a

client’s level of consciousness and/or Glasgow Coma Scale score

Recognizing indications of increasing intracranial pressure in a client who has a new diagnosis of

a stroke vs. the findings expected following a stroke

Recognize the timing of administration of antidiabetic and antimicrobial medications is more

important than administration of some other medications

CHAPTER 1 – INTERVENTION FOR INCORRECT TRANSFER TECHNIQUE

Intervene if only necessary (unsafe clinical practice)

Right supervision: delegate the ambulation of a client to an AP. Observe the AP to ensure safe

ambulation of the client and provide positive feedback to the AP after completion of the task

CHAPTER 1 – RESOLVING STAFF CONFLICT

Use I statemtns and remember to focus on the problem, not on personal differences

Listen carefully to what others are saying, and try to understand their perspective

Move a conflict that is escalating to a private location or post pone the discussion until a later

time to give everyone a chance to regain control of their emotions

CH 1 – CLIENT TRIAGE IN EMERGENCY DEPARTMENT

Give priority to clients who have a reasonable chance of survival with prompt intervention.

Clients who have a limited likelihood of survival even with intense intervention are assigned the

lowest priority.

ABCDE

Ch 3 – decision making in end-of-life care