Exam (elaborations)
COMPREHENSIVE EXAM 2/3 ELEVATOR SPEECHES FUNDAMENTALS
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Comp 2 and 3 Elevator Speeches
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11/15/23, 10:59 AM Comp 2 and 3 Elevator SpeechesCOMPREHENSIVE EXAM 2/3 ELEVATOR
SPEECHES
FUNDAMENTALS
Isolation Precautions
Saunders Pg. 175
Standard Precautions
o All pts in all settings regardless of diagnosis or infectiveness
o Hand washing, gloves, hand washing after gloves are removed
o Masks, eye protection, gowns when appropriate for pt contact
o Apply to blood, all body fluids, secretions, excretions, nonintact skin, mucous membranes
o Clean spills of blood or body fluids w/a solution of bleach and water (1:10) or agency-approved
disinfectant
Transmission-Based Precautions
Airborne Droplet Contact
Diseases Measles Adenovirus Colonization or infection w/a multi-
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Chickenpox (varicella) Diphtheria (pharyngeal) drug resistant organism (MRSA, VRE)
Disseminated varicella Epiglottitis Enteric infections (Clostridium difficile)
zoster (Shingles) Influenza (Flu) Respiratory infections (RSV)
Pulmonary or laryngeal TB Meningitis Influenza
COVID Mumps Wound infections
PNA – Mycoplasmal or Skin infections (Cutaneous diphtheria,
meningococcal herpes simplex, impetigo, pediculosis,
Parvovirus B19 scabies, staphylococci, varicella zoster)
Pertussis (Whooping Cough) Eye infections (conjunctivitis)
PNA Indirect contact transmission may
Rubella occur when contaminated object or
Scarlet fever instrument or hands are encountered
Sepsis
Streptococcal pharyngitis
Barrier Private room Private room OR cohort room Private room OR cohort room (pts
Protection Negative pressure room – (pts w/same causative w/same causative organism)
minimum of 6-12 air organism) Gloves and gown whenever enter pt’s
exchanges/hour w/HEPA Healthcare workers – Surgical room
filtration mask mask when within 3 feet of pt
Door closed except upon Pt – surgical mask when pt
entry and exit leaves room
UV germicide irradiation
or HEPA filter used in room
Healthcare workers – N95
or higher
Pt – surgical mask placed
when pt leaves room (only
leaves room when
necessary)
Delegation – UAP, LVN/LPN
Saunders Pg. 81
Process of transferring performance of a selected nursing task in a situation to an individual who is competent
and has the authority to perform that specific task
Delegation involves achieving outcomes and sharing activities with other individuals who have the authority
to accomplish the task
The nurse practice act and any practice limitations (institutional policies and procedures, and job descriptions
of personnel provided by the institution) define which aspects of care can be delegated and which must be
performed by a registered nurse
Even though a task may be delegated to someone, the nurse who delegates maintains ultimate accountability
for the task
The nurse cannot delegate any activity that
involves nursing judgment or critical decision
making
The 5 rights of delegation: right task, right
circumstances, right person, right
direction/communication, and right supervision/evaluation
Box 7-9: Principles and Guidelines of Delegating
Delegate the right task to the right delegate. Be familiar with the experience of the delegates, their scopes of
practice, their job descriptions, agency policy and procedures, and the state nurse practice act
Provide clear directions about the task and ensure that the delegate understands the expectations
Determine the degree of supervision that may be required
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Provide the delegate w/the authority to complete the task; provide a deadline for completion of the task
Evaluate the outcome of care that has been delegated
Provide feedback to the delegate regarding his or her performance.
In general, noninvasive interventions, such as skin care, ROM exercises, ambulation, grooming, and hygiene
measures, can be assigned to the assistive personnel (AP)
In general, a LVN can perform AP tasks and certain invasive tasks, such as dressing changes, suctioning,
urinary catheterization, and medication administration (oral, subQ, IM, and selected piggyback
medications), according to the education and job description of the LPN/LVN. The LVN can data collect and
also review with the pt teaching plans that were initiated by the RN
A RN can perform VN, AP tasks and is responsible for assessment and planning care, initiating teaching, and
administering medications IV
An RN can care for stable and unstable pts
An LVN care for stable pts
An AP provides basic care that does not require any type of assessment; they can perform routine tasks in pt
care
Interdisciplinary Care – OT Role
How to Collect Midstream Urine Sample – Teaching
Saunders Pg. 759
Used for urine C&S
Clean perineal area and urinary meatus w/bacteriostatic solution
Collect the midstream urine sample in a sterile container
Send specimen to lab immediately
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Indwelling Catheter – Female, Proper Insertion
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