Chapter 6- Delegation & Supervision

Question 1

Delegation factors

Answer 1

RNs cannot delegate the nursing process, client education, or tasks that require nursing judgement.

Prior to delegating client care consider:

• predictability of the outcome
• potential for harm
• complexity of care
• need for problem-solving and innovation
• level of interaction with the client

Question 2

Examples of tasks for LPN

Answer 2

Monitoring findings, reinforcing client teaching, performing tracheostomy care, suctioning, checking NG tube patency, administering enteral feedings, inserting and removing a urinary catheter, administering medication excluding IV medication, and also removing NG tubes.

Question 3

Examples of tasks for assistive personnel

Answer 3

Activities of daily living, bathing, grooming, dressing, toileting, ambulating, feeding barring precautions, positioning, bedmaking, specimen collection, intake and output, vital signs excluding pain level.

Question 4

What are the five rates of delegation?

Answer 4

Right task, right circumstance, right person, right direction and communication, right supervision and evaluation