Engage Fundamentals PN Clinical Judgement Process

Name some factors that influence RN Decision making in the acute care setting?

-Awareness of client status -Goals/Outcomes -Options to meet goals -Routines -Education -Nursing Roles -Teamwork -Resources -Support from other staff -Patient Education

Clinical judgement relies on the nursing process. List the 5 steps of the RN nursing process in order for review

1. Assessment 2. Analysis 3. Planning 4. Intervention 5. Evaluation

3 different aspects of Clinical Decision

1. Critical Thinking 2. Critical Reasoning 3. Clinical Judgement

List the four steps of the PN nursing process in order for review.

1. Data Collection 2. Planning 3. Intervention 4. Evaluation

Can this be delegated? Administration of eye drops

NO administration of eye drops cannot be delegated. Medical administration, including eye drops, must be performed by a licensed person- an RN or PN, or a licensed medication technician in some facilities.

Can Wound care of a new wound be delegated?

No Wound care cannot be delegated; Wound care is a skill that requires judgement both in assessment and data collection and choice of treatment. It wouldn't be inappropriate to delegate to an AP; The RN must assess and make decisions about treatment

Can Assessment of urine be delegated?

No assessment of urine cannot be delegated; should be completed by the RN

Can this be delegated? Assessment of the respiratory system?

No; assessment of the respiratory system cannot be delegated and should be completed by the RN

Can this be delegated? Collection of a stool sample?

YES you can delegate a collection of stool sample to an AP

Can measurement of pulse be delegated?

Yes, measurement of pulse can be delegated. Measurement of vital signs, including pulse, can be delegated to the AP.

Can this be delegated? Ambulation to the Bathroom?

Yes; ambulation to the bathroom can be delegated by the AP

Can this be delegated? Measurement of Urine

Yes; urine measurement can be delegated TO THE ap

Clinical decision making is

a framework for developing the plan of care.