a.
Failure to notify a physician about a child’s worsening condition
b.
Calling the supervisor about staffing concerns
c.
Delegating assessment of a new admit to the Unlicensed Assistive Personnel (UAP)
d.
Asking the Unlicensed Assistive Personnel (UAP) to take vital signs
e.
Documenting that a physician was unavailable and the nursing supervisor was notified
ANS: A, C
A nurse who fails to notify a physician about a child’s worsening condition and delegating the assessment of a new admit to a UAP do not meet the standard of care. Calling the supervisor about staffing concerns, asking the UAP to take vital signs, and documenting that a physician could not be reached and the nursing supervisor was notified all meet the standard of care.
DIF: Cognitive Level: Analysis REF: p. 11|p. 12|p. 14
OBJ: Nursing Process Step: Evaluation MSC: Safe and Effective Care Environment
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