Yes or No and Rational
Type of delegation: 5 Rights (appropriate or not)
Key aspects of delegation
Miscellaneous
100
Can a unlicensed assistive personnel (UAP) switch oxygen from the wall to a portable tank before a cardiac catheterization?
What is no?
100
The LPN performs a wound dressing.
Appropriate, Right person and delegation if the RN is confident that the LPN can perform the procedure correctly.
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?
200
RN directs a UAP to obtain VS on a patient who is having CP and is dizzy.
No.
You could supervise the UAP in the presence of the patient. You would never leave your patient when unstable.
200
The LPN administers IV labetalol 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
The RN must do this before delegating patient tasks to non-RN personnel?
What is assess the patient?
Patient needs to be stable and all the 5 rights of delegations are appropriate.
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
Only assign patients that are predictible and stable.
What is a LPN.
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
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
LPN starts an IV as directed by the RN and administers Zofran for nausea.
Appropriate if the scope of practice allows it in the policy at that institution
500
As the delegator you are accountable for what?
(Name three 3)
What is right task, right person, right circumstance, right direction, right supervision and evaluation.
500
When does the RN avoids delegation to a LPN?
Always avoid delegation with assessment (first assessment or unstable pt., education, or evaluation of patient care (EAT). LPN can assist with education and evaluation of care with supervision of an RN.