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Case Study: Nurse Keesha has worked at a community hospital for 12 years. She was shocked to hear that a new policy going into effect next week includes mandatory delegation of all vital signs to the certified nurse assistants (CNA's), who are to perform them 3 times on each patient each shift. She knows the CNA's with whom she works are already challenged to complete the tasks they have each shift. She thinks vital signs performance on each patient three times each shift is unrealistic if the CNA's are to keep up their other duties. Keesha knows that if the CNA's attempt to follow the new policy, other tasks will not be performed. Keesha that that checking vital signs once per shift is sufficient for most patients unless they are having problems. That is how often the nurses had been required to check vital signs when it was their task.
Question 1: How could Keesha find out the rationale or the change in policy? Identify a QSEN/NLN competency that would best support Keesha's actions with a rationale.
Question 2: With whom should Keesha discuss the new policy?
Question 3: Identify a BSN essential and give rationale to support the BSN essential in this situation.
Question 4: What should she do? Identify an interprofessional collaborative practice core competency to support your recommendations with a rationale.
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