Delegation and Prioritization

Question 1

purpose of the TX BON

Answer 1

protect and promote the welfare of the people of texas

Question 2

authority

Answer 2

the legal ability to perform a task

Question 3

scope of practice

Answer 3

the actions, procedures and processes that are permitted within the terms of the professional licensure

Question 4

supervision

Answer 4

guiding or monitoring on a delegated nursing task

Question 5

accountability

Answer 5

being answerable for ones own actions

Question 6

delegator

Answer 6

RN

Question 7

delegatee

Answer 7

UAP

Question 8

delegation

Answer 8

when the RN directs another team member to perform certain tasks that are beyond the traditional role and are not routinely performed

Question 9

why delegate?

Answer 9

promotes patient safety

Question 10

what kind of patient can be delegated to UAP

Answer 10

stable and predictable patients

Question 11

delegation guidelines X5

Answer 11

assess the patient

know staff availability

know the job description

educate the staff member

is the patient/task clear, predictable and uncomplicated?

Question 12

5 rights of delegation

Answer 12

task
situation
worker
direction/communication
teaching, supervision, delegation

Question 13

what CANNOT be delegated? X6

Answer 13

full assessment

formulation of nursing diagnosis

formulation of care plans

any nursing process steps

initial interventions

evaluation of care

Question 14

the RN must (pneumonic)

Answer 14

TAPE

teaching
assessment
planning
evaluation

Question 15

assignment

Answer 15

the portion of tasks that each staff member is already authorized to perform during a given shfit

Question 16

shared accountability

Answer 16

accepting ownership for actions or inactions of our self and others in the context of delegation

Question 17

4 C’s of communication

Answer 17

clear, concise, correct and complete

Question 18

NCLEX LVN’s cannot X7

Answer 18

do admission assessments

IV meds

nursing dx

teaching

complex skills

acute conditions

unstable pts

Question 19

prioritization guide

Answer 19

whoever is going to die first gets seen first

Question 20

level 1 priority setting

Answer 20

ABCD, VS, labs

Question 21

level 2 priority setting

Answer 21

mental status changes, untreated concerns, acute pain, acute elimination problems and imminent risks

Question 22

level 3 priority setting

Answer 22

any other health problems

Question 23

ABCD

Answer 23

airway
breathing
circulation
disability

Question 24

airway X3

Answer 24

assess for patent airway, establish airway

3-5 minute window for O2

Question 25

breathing X2

Answer 25

assess breathing and its effectiveness

intervene as appropriate

Question 26

circulation X2

Answer 26

ID circulation concern

act as appropriate to reverse circulatory problem

Question 27

disability X2

Answer 27

assess for disability

act to slow down disability development

Question 28

alarm fatigue

Answer 28

excessive exposure to alarms causing desensitization