Optimizing RN/RPN Skill Mix in Acute Care Settings - RPNAO

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Case Study #1 80 year old female, lives alone with no next of kin. Admitted with CVA off service to a renal floor. No care pathway available. Pt has mild cognitive deficits, is forgetful. Fallen once in hospital in BR, no injury. 6/1/2011 24
Case Study #1 Continued • Today the pt’s BP is elevated (systolic 220 mmHg). She has received one dose of an oral antihypertensive medication. Staffing on the unit includes a new RPN reassigned from outpatients department to cover the unit RPN who is on education leave. The RNs are regular unit staff and there are 3 students on the unit. Do you assign the pt to an RN or an RPN 6/1/2011 25
Page 1 and 2: Optimizing RN/RPN Skill Mix in Acut
Page 3 and 4: Acknowledgement • Skill mix proje
Page 5 and 6: Implementation of Pilot Project Nov
Page 7 and 8: Implementation of Pilot Project Con
Page 9 and 10: Challenges with Recruitment • >10
Page 11 and 12: Change Management • Talking at un
Page 13 and 14: Change Management Unit level Transi
Page 15 and 16: Accountability TL/Charge Nurse Acco
Page 17 and 18: Autonomy for RPN Assignment • Pat
Page 19 and 20: Environment: Questions to consider:
Page 21 and 22: •2/8 RPN exited after orientation
Page 23: Evaluation Evaluation in progress:
Page 27 and 28: Case Study #2 Continued There are p
Page 29: 6/1/2011 29

Optimizing RN/RPN Skill Mix in Acute Care Settings - RPNAO

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