Prioritization is an important skill to gain

Prioritization is an important skill to gain as a nurse. Consider this scenario and discuss how you will prioritize your day. Order the following using the table below: In which order will you visit the patients after morning report? Place the patients in order in the first column – you can use the diagnosis in parenthesis for identification of patient 1, 2, etc.) Below the table, write a paragraph as to the rationale for the order of patient visits. In column 2, identify 3 priority cares/interventions for each patient In column 3, provide rationale as to why you are doing that activity/intervention and why it is a priority. In column 4, identify who the activity/intervention could be delegated to (who could be asked to complete) Scenario: The nurse’s assignment includes five patients with the following diagnoses and conditions: A 65 y/o 8 hours post-op — a partial colectomy and has a history of COPD. The patient has a urinary catheter, NG tube to low intermittent suction, and IV fluids infusing. S/he has a fever of 101 degrees F and crackles in both lung bases. (Colectomy/COPD) A 48 y/o female is receiving blood transfusions for hemolytic anemia; she is currently stable. (Hemolytic Anemia) A 55 y/o male was admitted through the emergency department (ED) during the night with a cough, fever, and general malaise. The patient’s history indicates possible exposure to TB; he is currently in an airborne isolation room awaiting sputum culture results. (Possible TB) A 78 y/o male was transferred out of the ICU yesterday following an acute MI with complications of ventricular tachycardia and pulmonary edema. The patient is on telemetry and is currently in a normal sinus rhythm and his CHF is resolving. (MI/CHF) A 16 y/o patient with new type 1 diabetes mellitus who plans on being discharged home after lunch. The diabetic education is not yet complete and discharge instructions are pending. (T1DM) Priorities of Visits and Activities/Interventions Order to Visit Activities/ Interventions Rationale for the activities/interventions one is doing for the patient RN, LPN, or UAP 1st patient to visit: 1. 1. 1. 2. 2. 2. 3. 3. 3. 2nd patient to visit: 1. 1. 1. 2. 2. 2. 3. 3. 3. 3rd patient to visit: 1. 1. 1. 2. 2. 2. 3. 3. 3. 4th patient to visit: 1. 1. 1. 2. 2. 2. 3. 3. 3. 5th patient to visit: 1. 1. 1. 2. 2. 2. 3. 3. 3. Rationale for order of visit:

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