"Prioritizing" Question

[hanpat13]

Would you all just debate this question for a while and I'll sit back and take it all in...this is from ERI and it goes something like this: (I could hardly remember the question, so it's not pretty)

RN team leader has 15 clients and is responsible for all IV meds. At 9:00 am, three clients require: antibiotics IVPB, IV needs to be started in client going to surg within the hour, and the third needs a unit of whole blood to be started. RN schededuled for in service (mandatory). Order to perform:

a. Ask another RN to start IV while you hang IVPB and blood, then go to in service

b. Hang blood and let IVPB med and IV start wait while going to inservice; notify supervisor

c. Ask someone else to attend in-service and bring back the info, hang IVPB, start IV, then start blood

d. Hang IVPB, start blood, call surgery to see if iv can be started there, assign RN to watch the team leader's clients and go to in-service

Thanks a bunch! I have many, many more if you guys enjoy answering, I'll keep writing!

[SFCardiacRN]

I think the critical thinking behind the question is to do everything else first so you can watch for reactions while the blood goes in. The inservice, though mandatory, is not a priority over patient care.

[hanpat13]

Unfortunately, I don't know the answer! This is from a sample exit test (ERI Exit exam our seniors took last year...ours will follow the same format but it won't be the same test) and it does not tell us which ones we missed or why!

Anyone else have experience with ERI?

[BEANURSE]

I have to take ERIs and pass them at the national average to advance to each semester of my program.....so I have taken many ERIs!