Hello! I'd appreciate all the input i can get on this. I apologize now because I'm sure this will be kind of lengthy. Ok, i have a staffing assignment for a management class. Last semester, i really want to pass, but i need some help. The assignment is to pick the staff to go with each patient, and to prioritize the patients in numerical order. The staff available are: LPN (for 5 years and hostile with you), BSN (new grad and just finished orientation), CNA (8 years, likes to talk more than anything). In summary, here is what i THINK the order of priority and the staffing should be. I'm a novice, so please give me some direction
#1: cirrosis of liver; hepatic coma x 2 days, skin on coccyx and R ankle reddened, hyperlimentation with central line, peripheral line for blood. Staff= BSN, CNA
#2: Thrombophlebitis, bed rest, warm packs to legs, IV heparin. Staff= RN, CNA
#3: New dx IDDM, Diabetic comma. Woke up, does own FSBS, needs to learn to do insulin. Staff= RN, CNA
#4: Infectious hepatitis, new admit, BR, BRP, enteric precautions, needs to be taught about infection control, transmittal, etc. Staff= BSN, CNA
#5: Pneumonia; admit yesterday in RDm BR, IV antibiotics, O2 4L, PRN suction, Sputum specimen, Xray Staff=BSN, CNA
#6: Acute Bronchitis hx of COPD; needs smoking cessation, needs med education, d/c in AM, multiple meds, nervous, anxiety. Staff = LPN, CNA
#7: Dehydration and Alzheimers; Going to transfer out to nursing home, not eating well, can ambulate with a lot of assistance. Staff= LPN, CNA
#8: Pulmonary malignancy; ambulates, restless last night because chest pain, SOB, anxious and complains. Staff= LPN, CNA
#9:RSV; loud, angry, IPPB and nebulize, O2 2L Staff= RN, CNA
Like I said. incredibly new at this. I'm sure I butchered it. All comments welcome, much guidance appreciated.
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