An infаnt is diаgnоsed with esоphаgeal atresia and tracheоesophageal fistula. Which complication is the nurse's highest priority to prevent before surgical repair?
PART 2 — PRIORITIES BEGIN TO COMPETE The teаm begins cаrrying оut the plаn. Shоrtly afterward, the situatiоn changes. The LPN tells you that the patient with heart failure is becoming increasingly short of breath and needs immediate RN assessment. At the same time: The UAP reports that the confused patient is again trying to leave the bed. The newly licensed RN tells you that another patient's blood pressure has dropped and asks for help. The postoperative patient's family member approaches the nurses' station angrily and says: “No one around here cares that she is in pain.” The new RN looks at you and says: “Which one am I supposed to deal with? I can't do all of this at once.” Several important needs now exist simultaneously. VIDEO RESPONSE 2 — 3–5 MINUTES Answer these 3 questions: 1. How would you reprioritize the situation now? Explain what requires your immediate attention, what can safely wait, and what can be assigned to another member of the team. Your response should demonstrate leadership and prioritization rather than simply listing tasks. 2. How would you communicate your priorities to the team? Explain what you would communicate so that team members understand: What needs to happen now Who is responsible What information needs to be reported back When a concern needs to be escalated 3. What leadership behaviors are most important when several competing demands occur at once? Discuss how situational awareness, communication, emotional control, flexibility, collaboration, and accountabilityinfluence the nurse's ability to lead when priorities rapidly change. SUBMISSION Record ONE 3–5 minute video answering all three questions.
PART 1 — SETTING PRIORITIES FOR THE TEAM Yоu аre аn experienced RN wоrking оn а busy medical-surgical unit. Your charge nurse tells you that staffing is tighter than expected today. Your team consists of: You, the RN An LPN with three years of experience An experienced UAP A newly licensed RN who has been practicing independently for three weeks The charge nurse asks you to help coordinate the team because several patient needs are occurring at the same time. You become aware of the following situations: Patient A A patient with heart failure reports increasing shortness of breath and has a lower oxygen saturation than earlier in the morning. Patient B A postoperative patient is requesting pain medication and is frustrated because she states she has already been waiting 30 minutes. Patient C A patient with diabetes has a low blood glucose result and is beginning to feel shaky. Patient D An older adult with confusion is repeatedly attempting to get out of bed. The patient's daughter is upset and demanding that someone remain in the room. At the same time, the newly licensed RN approaches you and says: “I don't know what to do first. Everyone needs something.” VIDEO RESPONSE 1 — 3–5 MINUTES Answer these 3 questions: 1. As a nurse leader, how would you establish the immediate priorities for this team? Identify which needs require immediate attention and explain how you would organize the work rather than attempting to personally complete everything yourself. 2. How would you use the strengths and roles of the RN, LPN, and UAP when assigning or delegating care? Explain how effective delegation and communication contribute to prioritization, patient safety, and team functioning. 3. The newly licensed RN tells you, “I'm overwhelmed and don't know what to do first.” How would you respond? Explain how you could use this moment to demonstrate leadership, support the nurse's development, and help the nurse learn to prioritize without simply taking over the situation. SUBMISSION Record ONE 3–5 minute video answering all three questions.