VATI RN 2ND COMPREHENSIVE PREDICTOR FOCUSED REVIEW

 Management of Care – (5)

 Case Management – (1)

 Cardiovascular Disorders: Tetralogy of Fallot (RM NCC RN 10.0 Chp

20)

 Defects that decreases pulmonary blood flow have an obstruction of

pulmonary blood flow and an anatomic defect (ASD or VSD) between

the right and left sides of the heart. In these defects, there is a right to

left shift allowing deoxygenated blood to enter the systemic

circulation. Hypercyanotic spells (blue, or “Tet,” spells) manifest as

acute cyanosis and hyperpnea

 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 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 syndromeassociated coronavirus disease (SARS-CoV), Shigellosis, Smallpox,

Syphillis, Tetanus/C. Tetani, Toxic Shock Syndrome (TSS) (other

than streptococci), Tuberculosis (TB), Typhoid fever, Vancomycinintermediate and vancomycin-resistant Staphylococcus aureus

(VISA/VRSA)

 Concepts of Management – (1)

 Managing Client Care: Conflict Management Between Health Care

Workers (RM Leadership 7.0 Chp 1)

 Conflict is the result of opposing thoughts, ideas, feelings,

perceptions, behaviors, values, opinions, or actions between

individuals. Conflict is an inevitable part of professional, social, and

personal life and can have constructive or destructive results. Nurses

must understand conflict and how to manage it. Nurses can use

problem-solving and negotiation strategies to prevent a problem from

evolving into a conflict. Lack of conflict can create organizational

stasis, while too much conflict can be demoralizing, produce anxiety,

and contribute to burnout. Conflict can disrupt working relationships

and create a stressful atmosphere. If conflict exists to the level that

productivity and quality of care are compromised, the unit manager

must attempt to identify the origin of the conflict and attempt to

resolve it.

 Continuity of Care – (1)

 Information Technology: Change-of-Shift Report (RM FUND 9.0 Chp 5)

 Nurses give this report at the conclusion of each shift ot the nurse

assuming responsibility for the clients. Formats include face to face,

audiotaping, or presentation during walking rounds in each client’s

room (unless the client has a roommate or visitors are present). An

effective report should: include significant objective information

about the client’s health problems, proceed in a logical sequence,

include no gossip or personal opinion, and relate recent changes in

medications, treatments, procedures, and the discharge plan.

 Establishing Priorities – (1)

 Managing Client Care: Prioritizing Care of Postoperative Clients (RM

Leadership 7.0 Chp 1)

 Prioritize systemic before local (“life before limb”)

 Prioritize acute (less opportunity for physical adaptation) before

chronic (greater opportunity for physical adaptation)

 Prioritize actual problems before potential future problems

 Listen carefully to clients and don’t assume

 Recognize and respond to trends vs. transient findings

 Recognize indications of medical emergencies and complications vs.

expected findings

 Apply clinical knowledge to procedural standards to determine the

priority actions