The registered nurse is working as charge nurse on a busy high acuity care unit. Unexpectedly, a coworker becomes ill and needs to leave
There is a period of time in which the unit is short staffed while the ill coworker's replacement travels in to work. What action by the charge nurse is indicated? 1. Assign the unlicensed assistive personnel to watch the monitors and call for help if a patient "gets into trouble.".
2. Contact the house supervisor and ask for a float nurse to be sent to the unit.
3. Continue to work until the replacement nurse arrives.
4. Assign the less acute patients to be cared for by the unlicensed assistive personnel.
2
Rationale: The unit is understaffed. Replacement help must be provided. It is inappropriate to wait for the replacement nurse. The unlicensed assistive personnel is able to only provide care under the direct supervision of the nurse. Allowing the unlicensed personnel to watch the monitors or to have the primary care assignments of patients is inappropriate.
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