Problem
Dale Evans is an 86-year-old patient that has been assigned to your team. Evans was admitted to the hospital yesterday with dehydration and cellulitis of the right lower leg. Medical orders include IV therapy/ fluid replacement, IV antibiotics, and dressing changes to the right lower leg. In the RN's hand off report, the patient's right leg pain is increased, now with a score of 7 on a scale of 0-10. Vital signs at 0600 include temperature of 100.4 degrees F, heart rate at 98 beats per minute, respiratory rate 22 breaths per minute, and a BP of 148/70 mmHg.
You are working with an Assistive Personnel (AP) and an LPN/LVN. You will be delegating the tasks of obtaining vital signs every 2 hours instead of the routine every 4-hour schedule, changing the dressing to the right leg, monitoring intake and output every 2 hours, administering the IV antibiotic, providing morning care, and repositioning the patient every 2 hours.
1) Develop an SBAR which describes Dale Evans' condition to the other members of your nursing team.
2) Determine which tasks will be delegated to the AP and describe your rationale.
3) Write what you will say to the AP when delegating those tasks. Address all five rights in your statement.