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on his team: two need to be readied for surgery, including preoperative and postoperative teaching,
one of whom is a 35-year-old woman scheduled for a modified radical mastectomy for the
treatment of breast cancer; three are second-day postoperative clients, two of whom require
extensive dressing changes, are receiving IV antibiotics, and need to be ambulated; one postopera-
tive client who is required to remain on total bedrest, has a nasogastric tube to suction as well as a
chest tube, is on total parenteral nutrition and lipids, needs a central venous catheter line dressing
change, has an IV, is taking multiple IV medications, and has a Foley catheter; one client who is
ready for discharge and needs discharge instruction; and one client who needs to be transferred to a
subacute unit, and a report must be given to the RN of that unit. Once the latter client is trans-
ferred and the other one is discharged, the emergency department will be sending two clients to the
unit for admission.
1. How should Julio organize his day? Set up an hourly schedule.

2. What type of client management approach should Julio consider in assigning staff appropriately?
3. If you were Julio, which clients and/or tasks would you assign to your staff? List all of them, and
explain your rationale.

4. Using the Delegation Decision-Making Grid, make staff and client assignments.

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