Management of Patient Care

Question 1

What is the difference btwn. Team Nursing and Primary care?

Answer 1

Team nursing- group of nurses with UAP(Unlicensed assistive personnel) work together caring for a group of patients

Primary care- 1 nurse responsible for all aspects of care for one or more patients

Question 2

What does case manager do?

Answer 2

• coordinates health care services for patients
• follow patients after discharged to assure care & consultations & give follow up
• Ca

Question 3

What is delegation in nursing?

Answer 3

Process of assigning part of your responsibility to another qualified person

Question 4

Who can nurse delegate to?

Answer 4

• UAP and LPN

Question 5

What is the #1 thing that you CANNOT delegate to UAP or LPN?

Answer 5

ANY ASSESSMENTS!!
- any time u have patients that are unstable
- a new change in patient
- new admissions

Question 6

What are things that LPN (licensed practical nurse) can and cannot be delegated??

Answer 6

Can be delegated:
- Specimen Collection
- Foley insertion
- Med Admin
- Tube feeding
- Suctioning
- Trach care
- Reinforcing education to patients
- Enema

Cannot be delegated:
- Hanging of blood products
- IV Push medication/IV antibiotics (some states, unless credentialed by institution)

Question 7

What are things that UAP (Unlicensed assistive person) can and cannot be delegated??

Answer 7

Can be delegated:
- All ADLs including bathing, changing linens, changing gown, showering, ambulating a patient, etc..
- I&O, emptying foley bag, recording urine output, number of BMs (bowel movement)
- Routine specimen collection- clean catch urine, or stool.
- Taking specimen to the lab
- Routine vital signs on a stable patient
- UAP can and should report patient complaints to the RN

Cannot be delegated:
- Any steps in the nursing process – AAPIE
- Patient education/teaching patients
- Vital signs on an unstable patient
- Enema

• Foley insertion
• Med Admin
• Tube Feed
• Suctioning
• Sterile specimen collection

Question 8

When delegating tasks, what should you consider?

Answer 8

is task within UAPs range of function,
can it be performed with a predictable outcome,
is it a task or activity that frequently occurs,
is it done with little or no modification from one patient to another,
if the task DOES NOT involve ongoing assessment or interpretation.

THEN think: does the UAP have appropriate knowledge, skills and abilities to accept the delegation, does it fall under agency policies, is appropriate supervision available….if YES proceed with delegation!!