You want me to do what?
I didn't learn this in nursing school!!!
Maybe now I can take a break!
Living above the line
I can do it
100
Can a unlicensed assistive personnel (UAP) switch oxygen from the wall to a portable tank before a cardiac catheterization?
What is no?
100
Lack of experience, a need for control, or being overwhelmed
What is reason for under-delegation or not delegating?
100
The key aspect in effective delegating
What is communication?
Communication must be clear, concise, correct and complete.
100
The most missed Right of Delegation
What is Right Supervision/Evaluation?
100
Who is RN?
200
What is one benefit of delegation to the delegator?
What is the ability to work with more complex patients, increased job satisfaction and retention, increased patient outcomes.
200
The LPN administered this medication for the patient having a HTN crisis
What is improper delegation and wrong person?
200
Being answerable for actions or inaction of self, and of others in the context of delegation or assignment
What is accountability and responsibility?
200
When an older/established nurse or UAP intentionally or unintentionally scares a new RN from Delegating.
What is to intimidate?
200
Who is UAP?
300
LPN can assign nursing interventions to other qualified personnel under the supervision of the licensed practical nurse
What is no?
Has to be under the supervision of the registered nurse, not LPN supervision
300
The UAP, who is also studying to be a LPN, starts an IV in the emergency department
What is improper delegation and wrong task?
300
The provision of guidance, evaluation, and follow up by the licensed nurse for the accomplishment of an assigned nursing task
What is Supervision?
300
A managing method commonly misinterpreted as delegation
What is Assignment?
Assignment is designating responsibility for implementation of a specific activity or set competent to perform such activities
300
Name three criteria used in making a decision about what and when to delegate a task.
What are predictability of outcomes, scope of practice of delegate, knowledge and skills of delegate, potential for harm and frequency of completing the task?
400
Can a LPN educate a patient and caregiver about prevention and management of chronic complications of diabetes?
What is No?
LPN can participate or reinforce in teaching and counseling clients and families as assigned through the implementation of an established teaching plan from a RN.
400
The RN does not ensure that the UAP task [e.g. vital signs] is completed accurately
What is improper delegation and wrong supervision?
400
What is the legal document that provides guidelines about scope of practice-delegating and supervising for RN's and LPN's?
The state Nurse Practice Act (law).
400
This is among the top 10 reasons for malpractice suits
Negligent supervision
400
Always assign patients who are predictable (stable)
Who is LPN?
500
Can a LPN(#1) delegate a dressing change to another LPN (#2), that an RN just delegated to them?
What is no?
The person who received the delegated task can NOT go and delegate it to someone else.
500
The RN must do this before delegating patient tasks to non-RN personnel?
What is assess the patient?
500
As the delegator you are accountable for what?
(Name three 3)
What is deciding to delegate, assessing patient's needs, planning desired outcomes, assessing competency of delegate, giving clear directions and following up and providing feedback
500
The RN uses what to interpret patient findings to develop nursing plan of care
What is critical thinking?
Always avoid delegation options on the tests that deal with assessment, critical patient cases (have to understand disease process), education, or evaluation of patient care
500
Lab just called to report critical BNP to the primary LPN, what is the LPNs next two actions?
What is report critical lab value to supervising RN to complete initial assessment and implement the plan of care developed by RN?