Advanced Delegation
These are the four specific tasks an RN cannot delegate to an LPN or UAP (Acronym: EAT).
What are Evaluation, Assessment, and Teaching?
When deciding which client to see first, the RN uses this "Survival Potential" framework during a disaster.
What is Triage (Red, Yellow, Green, Black tags)?
By signing as a witness on an informed consent form, the RN is verifying these three things.
What are: the signature is authentic, the client is competent, and the consent was given voluntarily?
This QSEN competency emphasizes using data to monitor the outcomes of care processes and improve healthcare systems.
What is Quality Improvement?
This leadership style is characterized by the leader making all decisions with little to no input from the staff.
What is Autocratic (or Authoritarian) leadership?
This is the most appropriate nursing staff member to care for a client with a new-onset, unpredictable respiratory status.
Who is the Registered Nurse (RN)?
The RN should prioritize a client with "Stridor" over a client with "Wheezing" because stridor indicates this.
What is an upper airway obstruction (Emergent)?
If an RN discovers a client does not understand the risks of a procedure after the surgeon has left, the RN’s first action is this.
What is notifying the surgeon and requesting they return to explain further?
To ensure "Informatics" competency, the RN must treat this as a legal document that should never be shared or left open.
What is the Electronic Health Record (EHR)?
This leadership style is most effective in a crisis or emergency situation (like a Code Blue).
What is Autocratic? (Speed and clear direction are vital).
While an LPN can administer most meds, the RN must perform this task for any blood product transfusion.
What is the pre-transfusion assessment and monitoring the client for the first 15 minutes?
When floating to an unfamiliar unit (e.g., an ICU nurse floating to Labor & Delivery), the RN should be assigned clients with these types of conditions.
What are stable clients with predictable outcomes (similar to Med-Surg)?
This legal rule protects healthcare providers from liability when they provide emergency care outside of a hospital setting.
What is the Good Samaritan Law?
This is the purpose of the "SBAR" communication tool used during hand-off reports.
What is to provide a standardized, concise framework for communicating critical information?
A "Transformational" leader is known for motivating staff by doing this.
What is inspiring a shared vision and empowering others?
An RN may delegate this specific task to an LPN: performing a sterile dressing change or performing the initial admission assessment?
What is performing a sterile dressing change?
A client is 1-day post-op and reports sudden chest pain and shortness of breath; the RN prioritizes this client first due to suspicion of this.
What is a Pulmonary Embolism?
An RN who restrains a competent client against their will just to make them "stay in bed" may be guilty of this legal tort.
What is False Imprisonment?
When an error occurs, "Just Culture" focuses on this rather than individual blame.
What are system failures or process flaws?
This is the first step an RN manager takes when a conflict arises between two staff nurses.
What is encouraging the nurses to resolve the conflict privately/directly first?
When an RN delegates a task to an LPN, the RN remains "accountable" for this specific part of the process.
What is the supervision and evaluation of the outcome?
Between a client requiring discharge teaching and a client requesting pain medication for chronic back pain, the RN prioritizes this one first.
Who is the client requiring discharge teaching? (Clinical judgment: Discharge affects flow/safety; Chronic pain is stable).
This type of consent is assumed in an emergency situation where the client is unconscious and requires life-saving intervention.
What is Implied Consent?
This QSEN competency involves the RN functioning effectively within nursing and interprofessional teams, fostering open communication and shared decision-making.
What is Teamwork and Collaboration?
This term refers to the RN’s ability to influence others to work toward a goal, regardless of whether they have a formal "Manager" title.
What is Leadership?