OK, here it goes:
The breakfast trays should be given out by the NA
- occupy other patients, get those call bells quiet!
While that's being done you
can get to Mr. Johnson & his central line - this is a priority & your responsibility as the charge nurse.
The new grad RN
can begin the insulin injections (with practice comes experience...), starting with the 6AM blood glucose of 400 (priority), & after the LPN
calls Ms. Johnson's family regarding her change in condition she can assist the new grad RN
. (since pt.'s change in condition was expected this could be done by the "very familiar to the unit" LPN, the LPN then can oversee the orientee with the other insulin injections & continue to monitor the patient with the blood glocose of 400 after their injection)
Meanwhile, the receptionist
can call maintenance regarding the overflowing toilet. (the rationale should be obvious here)
After you've dealt with Mr. Johnson's central line (& making sure the above has been done) you
can call the Medical Director & get chewed out!
(since all of the above is being done simultaneously you will be able to respond to the Medical Director within a reasonable amount of time). Hope this helps!!!