Effective nursing prioritization uses a hierarchy of assessment and action frameworks. When overwhelmed with multiple patients or competing demands, these provide a systematic approach to determine what comes first.
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Framework
Focus
When to Use
ABC (Airway, Breathing, Circulation)
Physiologic survival — life-threatening first
Acute clinical situations; "who do you see first?" NCLEX questions
Maslow's Hierarchy
Physiologic → Safety → Love → Esteem → Self-actualization
Overall patient care planning; psychosocial needs after physiologic needs met
Safety
Prevent harm from environment, falls, medications, procedures
Identifies risks that aren't immediately life-threatening but can become so
Acute vs Chronic
New/worsening symptoms vs stable, chronic condition
Prioritize the patient with a NEW problem over one with a stable chronic condition
ABC + Safety Priority System
Priority Order
Airway: If the airway is compromised, nothing else matters. Obstructed airway = death in minutes. Examples: stridor, angioedema, epiglottitis, unconscious patient with no jaw thrust
Teaching about diet changes; discharge instructions; health promotion
Critical Maslow point: Patient education and discharge planning always come LAST — physiologic needs must be met before the patient can learn. A patient in acute pain or severe anxiety cannot learn effectively.
NCLEX Priority Question Strategy
Step 1: Identify the Type of Question
"Which patient should the nurse see FIRST?" → Who to assess first (ABCs + acute vs chronic)
"Which action should the nurse take FIRST?" → What to do first (usually assess before intervene, unless emergency)
"Which patient is MOST at risk?" → Identify the most unstable or dangerous situation
ABC (breathing) first; then communicate; documentation and family calls after patient stable
Delegation and Prioritization
What Can Be Delegated to UAP/CNA
Vital signs on STABLE patients (not new admissions, not post-procedure, not unstable)
Routine hygiene, bathing, positioning of stable patients
Ambulation of stable patients with established gait
Intake and output measurement
Collecting non-invasive specimens (stool, urine from Foley bag)
Feeding patients without dysphagia
What CANNOT Be Delegated (RN Scope)
Initial assessment and physical examination
Nursing diagnosis and care planning
Any medication administration
IV insertion, central line care
Patient teaching
Evaluation of patient response to treatment
Any invasive procedures
Assessment of unstable patients
Remember: You can delegate TASKS, not NURSING JUDGMENT. If the task requires assessment, interpretation, or clinical decision-making, it stays with the RN.
High-Yield NCLEX Points
ABC order: Airway → Breathing → Circulation — this never changes; apply it to every "who first" question
Assess before intervene — UNLESS it's a life-threatening emergency (call rapid response, give O2, position for shock)
Physiologic needs before psychosocial needs (Maslow)
Acute/new problems before chronic/stable problems
Patient education is always last — the patient must be physiologically stable and psychologically ready
The patient who is most likely to deteriorate rapidly takes priority over the one who is uncomfortable
Delegation: RNs cannot delegate assessment, teaching, evaluation, or care planning to UAP or LPNs
When two patients both have ABC problems, prioritize the one who is MOST unstable (not necessarily the sickest overall)