The nurse is supervising the care of the patient who suffered an embolic stroke of the right middle cerebral artery after a clot formed on the patient’s prosthetic mitral valve. Which instruction does the nurse provide to the unlicensed assistive personnel that will be most important to prevent bacterial endocarditis?

The nurse is making assignments for the oncoming shift in a stepdown unit. Which staff member is most appropriate to be assigned to the 74-year-old patient who has had a 3 year old tracheostomy connected to humidified oxygen, continuous gastrostomy feedings, and a peripherally-inserted central catheter for IV antibiotics who requires total care and turning every 2 hours?

The nurse assumes responsibility for developing the patient’s plan of care and for delegating works assignments. Which term describes this system of nursing?