nursingcrib.net/nclex/scenario-critical-thinking/ Steve, a new - TopicsExpress

nursingcrib.net/nclex/scenario-critical-thinking/ Steve, a new graduate nurse, has been working on a high acuity med-surg unit for 4 months. Many of the patients have complex and changing needs. He is now required to manage a team of 12-14 patients working with a variety of staff including NAs, LPNs and, sometimes, other RNs. Steve is especially concerned when he works with Jane. Jane is also a new and they graduated from the same school. To Steve, Jane seems disorganized, and frequently does not complete all the care Steve assigns to her. When Steve discussed this with her last week Jane said he expects too much of her and that he assigns her all the most difficult patients. Today when Steve reviews the assignment he notes that he and Jane, plus one aide, are to cover 13 patients, and that many of the patients are “complete” and require much care. 1. What other data should Steve examine? 2. What considerations should Steve use in making the assignments? 3. How can Steve help Jane? 4. What else can/should Steve do?

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