NCLEX Delegation Flashcards
What are the 5 rights of delegation?
person task circumstance direction/communication supervision/evaluation
Who is accountable/responsible/liable for delegating task even if they are not the ones completing the task?
RN
UAPs and LPNs cannot drink TEA meaning they cannot ___, ___, or ___.
Teach
Evaluate
Assess
The ability for a staff member to perform a specific task is not only based on their competency but also their…
legal scope of practice documented competency education/training past experiences position/job description healthcare facility policies/porcedures
The RN can not delegate a task to an LPN or UAP if the task requires TAPE meaning they cannot ___, ___, ___, or ___.
Teach
Assess
Plan
Evaluate
Appropriate key words for UAP delegation
ADLs Noninvasive Gather Assist Remind/reinforce
What are some task a UAP can perform?
assist with ADLs I&O VS, height, weight nonpharm pain relief measures observe/report pt changes transport specimen stocking supplies check BGL apply EKG leads remind a client to do something detach suction remove foley
Appropriate key words for LPN delegation
auscultate/listen check(s) observe monitor reinforce/remind collect (data, specimen_ set up (basic equipment) wound care suction urinary cath BGL readings
What are tasks LPNs cannot perform?
teachings discharge planning admission assessment (including admission VS) IV meds (blood, TPN, narcotics, IVP)
What type of pts should LPNs be assigned?
Chronic Stable Predictable outcome ---a popular one is COPD resolving/remission
minimum 24 hour postop
sterile procedures
administer meds (no IVP)
follow nursing process under the direction/supervision of RN
Should you assign a task to an LPN that a UAP can perform?
No
Appropriate key words for RN pts
new onset exacerbation acute unstable first immediate initial sudden newly dx
assess consult teach/educate develop review suggest frequent/ongoing assessments plan/create evaluate encourage update counsel initial/comprehensive/baseline
Tasks the RN is responsible for
assessments medication teaching discharge instruction dietary/nutrition instructions f/u instructions admission assessments admission VS initial assessment after sx/procedures/transfers ambulation at times FIRST dressing change
Avoid assigning these pts to new nurses, float nurses, LPN, traveling, recent grads, precepting, orienting
new onset/sudden/acute new admission transfers newly dx unstable discharges requires education/teaching
Physicians are responsible for ___ ___, ___ ___, ___, and ___.
informed consent
medical dx
prescriptions
order procedures
