QSEN

Question 1

what cannot be delegated? (AT PIE)

Answer 1

What CANNOT be delegated: Remember AT PIE
ASSESSMENT
TEACHING
PLANNING
INTERVENTIONS SPECIFIC TO RN SCOPE OF PRACTICE
EVALUATION AND RE-EVALUATION

Question 2

the 5 rights of delegation (TCS PD)

Answer 2

The right task
The right circumstance
The right person
The right direction/ communication
The right supervision/evaluation

Question 3

CNA - what can be delegated

Answer 3

Ambulation
Turning
Intake and output measurements
Feeding, bathing, toileting, linen change
VS if stable patient
Sitter
No medication of any kind including medicated creams

Question 4

LVN - what can be delegated

Answer 4

Assist with implementation of a defined plan of care
Gathers data to contribute to assessment and reports finding to RN
Care for physiologically stable patients with predictable outcomes
Has knowledge of sepsis and dressing changes, therefore can perform routine trach care and dressing changes
Administer PO, SQ, and IM medications

No patients that are: fresh post-ops, unstable, newly admitted, need for education, d/c teaching

Question 5

Biguanides - warning

(big contrast)

Answer 5

must be held 1-2 days before IV contrast and 2 days after as it can cause kidney damage

Question 6

Alpha glucosidase inhibitor = IF PT HYPOGLYCEMIC (alpha won’t give me table sugar)

Answer 6

CAN’T GIVE TABLE SUGAR AS IT DERIVES FROM CARBS; MUST USE GLUCOSE TABS OR MILK (sugar from lactose)

Question 7

Dipeptidyl peptidase-4 (DPP-4) inhibitors - side effects

(dip into pancakes)

Answer 7

pancreatitis, allergic reactions

Question 8

Byetta - when to give? (bye before)

Answer 8

Give PO meds 1hr before these injectables as it delays gastric emptying effect and may alter drug absorption

Question 9

QSEN - 6 competencies (PETS IQ)

Answer 9

Patient-centered care.
Evidence-based practice.
Teamwork and collaboration
Safety.
Quality improvement.
Informatics