Diabetic Nursing Case Study

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1. What should be included in Sarah’s plan to orient the LPN to the medical-surgical unit?
Sarah should first assess what type of tasks the LPN has experience doing, is comfortable doing, and her normal routine on the postpartum unit. She should explain to the LPN the normal routine or pace on the med-surg floor and determine if the LPN has any questions regarding the flow. Sarah and the LPN should both meet with the nursing assistant so they may become acquainted and encouraged to work as a team. This would also allow for Sarah to advise the LPN of what tasks the nursing assistant usually completes and assists her with. Sarah should then show the LPN around the floor, the rooms she will be assigned to, and where the medical and general …show more content…

Sarah should determine the LPN’s knowledge base regarding the current patient cases she is responsible in caring for. For instance, the LPN may have extensive knowledge regarding the care of the diabetic patient and may be able to provide patient education to them on her own. However, Sarah should still assess the LPN’s knowledge regarding the teaching and may be able to advise the LPN of specifics to educate on. Additionally, Sarah should still speak with the diabetic patient and assess their understanding of the teaching and serve as a resource for any questions the patient might …show more content…

Additionally, the LPN cannot push medications into a peripheral intravenous line if the patient “weighs less than 80 lbs, is prenatal, pediatric, or antepartum”, although given that the situation is on a general med-surg floor it is unlikely these patients would be under Sarah’s care at this time. (Rules and Regulations of Practical Nurses. 2015) Sarah can delegate the postoperative patients who need dressing changes and ambulating them to the LPN, but Sarah should assess the wounds for complications initially and serve as resource to the LPN if she has questions about the wounds. Additionally, she could help the nursing assistant with answering calls and serve as a reference for the nursing assistant to ask questions or help with tasks if Sarah is not available. With regards to supervision, the LPN would need continuous supervision given that the working relationship is new. (Cherry and Jacob, 2014) Sarah should be available and willing to answer any questions or address any concerns the LPN

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