VATI RN COMPREHENSIVE PREDICTOR FOCUSED
REVIEW2024
VATI RN COMPREHENSIVE PREDICTOR FOCUSED
REVIEW
❖Management of Care – (9)
➢Advance Directives – (1)
▪Legal Responsibilities: Purpose of a Living Will (RM FUND 9.0 Chp 4)
•A living will is a legal document that expresses the client’s wishes regarding
medical treatment in the event the client becomes incapacitated and is facing end-
of-life issues. Most state laws include provisions that protect health care providers
who follow a living will from liability.
➢Assignment, Delegation and Supervision – (2)
▪Delegation and Supervision: Delegating Tasks to an Assistive Personnel (RM FUND
9.0 Chp 6)
•Examples of tasks nurses may delegate to Aps (provided the facility’s policy
and state’s practice guidelines permit)
◆Activities of daily living (ADLs) – bathing, grooming, dressing, toileting,
ambulating, feeding (without swallowing precautions), positioning
◆Routine tasks – bed making, specimen collection, intake and output, vital
signs (for stable clients)
▪Managing Client Care: Delegation Strategy for Effective Task Management
(RM Leadership 7.0 Chp 1)
•Consideration for selection of an appropriate delegate include the following:
education, training, and experience; knowledge and skill to perform the task; level
of critical thinking required to complete the task; ability to communicate with
others as it pertains to the task; demonstrated competence; the delegatee’s culture;
agency policies and procedures and licensing legislation (state nurse practice acts)
➢Case Management – (1)
▪Cardiovascular Disorders: Tetralogy of Fallot (RM NCC RN 10.0 Chp 20)
•Tetralogy of Fallot – four defects that result in mixed blood flow: Pulmonary
stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
◆Cyanosis at birth: progressive cyanosis over the first year of life. Systolic
murmur. Episodes of acute cyanosis and hypoxia (blue or “Tet” spells)
•Surgical procedures – shunt placement until able to undergo primary
repair; complete repair within the first year of life
➢Collaboration with Interdisciplinary Team – (1)
▪Communicable Diseases, Disasters, and Bioterrorism: CDC Reportable
Diagnoses (RM CH RN 7.0 Chp 6)
•Anthrax. Botulism. Cholera. Congenital rubella syndrome (CRS). Diphtheria.
Giardiasis. Gonorrhea. Hepatitis A, B, C. HIV infection. Influenza-associated
pediatric mortality. Legionellosis/Legionnaires’ disease. Lyme disease. Malaria.
Meningococcal disease. Mumps. Pertussis (whooping cough). Poliomyelitis,
paralytic. Poliovirus infection, nonparalytic. Rabies (human or animal). Rubella
(German measles). Salmonellosis. Severe acute respiratory syndrome-associated
coronavirus disease (SARS-CoV). Shigellosis. Smallpox. Syphilis. Tetanus/C.
tetani. Toxic shock syndrome (TSS) (other than Streptococcal). Tuberculosis
