Body System by Diagnosis
What is body system of Pneumonia, Bronchitis
Respiratory
Placing pills in a clients mouth
Medication administration requires nurse delegation
Pill
Oral
4 requirements to receive delegation
Be HCA/NAR/NAC
Basic Ed training eg DDA 40hr
Be willing TO PERFORM SPECIFIC TASK to be delegated
Demonstrate to RN your COMPETENCE to correctly perform the task
Who are two individuals that need to be notified for a significant change in the client condition?
Manager and RN.
Arthritis, bone fracture
musculoskeletal
Opening pill containers for an alert and aware client that can pick them up and swallow them
Medication Assistance, Nurse delegation not required
Suppository
Rectal or vaginal
5 steps for med admin
Evaluate Setup Administer Document Observe
Can a nursing assistant take an order from a doctors office over the phone?
No. A written order needs to be sent
hypertension (high blood pressure), congestive heart failure
Cardiovascular
Applying a topical medication to a clients back
Medication Administration requires delegation
Nebulizer
Inhalation
5 rights of medication administration
client/drug/time/dose/route
or dr tim dose route time individual medication
Can a nurse other than the delegating nurse give a delegation? Like LPN or Hospice nurse
No
Epilepsy/seizure disorder
Neurological system
Administering ear drops to a client
Medication Administration
Ointment
Topical
4 settings in which nurse delegation can occur
Certified Community residential programs for the developmentally disabled dda
Licensed Adult Family Homes
Licensed Assisted Living Facilities aka boarding homes
In the home
Can one nurse delegation to one client apply to other clients in the home
no. each client and each task needs to be separately delegated
Endocrine
Does preparing the skin and maybe stomahesive powder around a colostomy and applying the wafer the colostomy bag attaches to require delegation
Yes. Applying topicals directly to the skin requires delegation
Small nitroglycerine pill or disintegrating tablet
sublingual (under the tongue)
4 tasks that CANNOT be delegated
Injections other than insulin
Sterile procedures
Tasks requiring nursing judgement
Central line maintenance
What do you do if you find a med error
Report to your manager as soon as possible