The implications/justifications of the RN's decision about the application of transmission based
The RN’s decision to ignore the transmission based precautions are not in any way justifiable and they further dampen the spirit and obligation of the healthcare professional to assure of quality and safe care within the clinical setting. This decision and the subsequent actions predisposes the RN to a high likelihood of acquiring infections and further, in their role and service to other patients exposing them to contact or communicable infections (Treas & Wilkinson, 2014). With the HIPPA guidelines clear on the role of the healthcare profession al and the healthcare facilities on preventing health acquired infections, then the RN’s actions stand to work against the very objective of the healthcare system (Treas & Wilkinson, 2014).
The principles of management and delegation
Approaching the supervisor, assigning the staff and ensuring safe patient outcomes:
The RN has to inform the supervisor of the intended delegation of some tasks to the unlicensed assistive personnel (UAP); the purpose here is to facilitate the process of gaining the qualifications of the UAPs so that the RN can use this as the basis for determining the competency of the UAPs for the specific roles and tasks assigned (Treas & Wilkinson, 2014).
In recognition of the fact that the other colleague has called in sick, the RN has to take full responsibility of the entire patient population with the help of the available UAPs. In this case, and within the principles of delegation, the RN has to ensure that they only delegate the tasks but still retain the nursing process so that they are fully answerable for the outcomes. In this role of retaining the RN will supervise the UAPs and ensure that even within their limited experience and skill, they can effectively discharge service safely to assure of positive patient outcomes (Pillitteri, 2013).
Nursing diagnosis
Problem statement: Damaged skin integrity
R/T (Related to): A significant colony of pathogens or agents of infection
Etiology: Chicken pox
Characteristics: Fatigue, weak, dehydration, redness of the skin
Outcome: The patient will regain skin integrity in the next 5 days
References
Pillitteri, A. (2013). Maternal & child health nursing: Care of the childbearing & childrearing family (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Treas, L. S., & Wilkinson, J. M. (2014). Basic Nursing: Concepts, Skills, & Reasoning. FA Davis.
