Which member of the nursing team is primarily responsible for the total nursing care of unstable patients?

The registered nurse (R.N.) is primarily responsible for the total nursing care of unstable patients due to their comprehensive training and education. R.N.s are equipped with the skills necessary to assess, plan, implement, and evaluate nursing care in complex and critical situations. They possess a deeper understanding of the physiological, psychological, and social factors influencing patient health.

R.N.s are trained to handle advanced clinical decision-making and are responsible for monitoring unstable patients’ vital signs, administering medications, and recognizing any changes in their condition that may require immediate intervention. Their scope of practice allows them to perform comprehensive assessments and develop intricate care plans tailored to each patient's needs. This level of care is essential for unstable patients who may be at risk of deterioration.

In contrast, the roles of registered psychiatric nurses, licensed practical nurses, and health care aides, while crucial in the healthcare team, do not typically encompass the total nursing care responsibilities required for unstable patients. These professionals support the care team in various capacities, but the overall accountability for the nursing care of unstable patients rests with the registered nurse.