ATI STUDY NOTES PASS ASSURED
1. Who can you delegate to (UAP/CNA)
- Do not give away EAT: evaluate, assess, teach. Or unstable Pts.
- UAP/CNA ļ VAPER: vitals, ambulation, position changes, eating,
recording I&Oās
- LPN ļ Reinforce education (can't give initial teaching), reassessment,
dressing change or wound care after surgeon does first wound care,
pass morning meds, collect VS, acute checks, trach care
- RN ļ must ambulate first bc this is assessment; admission data collection
and VS bc this is assessment; planning care; discharges; anything IV;
blood products
2. Prioritize who you see first
- Physical assessment
- New Pt; BP changes of 20 mm Hg; burn Pt w/ low O2; ābecomesā;
glucose < 70; Pt hasnāt been to Drās in years; ādevelopedā; post up > new
admit
3. Maternity
- know what patient will look like upon assessment for labor
complications: stage two bright red blood is normal, abruptio placente
is painful or bright red bleeding, prolapse cord, placenta previa,
- GTPAL: Gravidity ļ number of pregnancies; Term births ļ 38+ weeks;
Preterm births ļ 20-37 completed weeks; Abortions/miscarriages ļ < 20
weeks; Living children
- Nageleās Rule: used to calculate delivery date; add 7 days, subtract 3
months
from first day of last menstrual period. EX: LMP ļ 04/07/2022 then
expected delivery ļ 01/14/2023
- Lochia: rubra first few days post-partum; serosa lasts 4-10 days; alba
lasts up to 6 weeks
