Scope of Practice
Who upholds the nurse practice act?
BRN
How do you determine competency
trainging/educaiton, job role, skills checklist/demonstration, verbal assurance, state regulation
Who can an RN delegate to?
to other RN's, LPN's and CNA's.
What is one benefit of delegation to the organization and one benefit to the delegate?
the organization can attain goals more efficiently and the delegate can learn new skills and abilities.
Give an example of an independent function
direct and indirect patient care that ensures safety, comfort, personal hygiene, and protection of patients. Observation of s&s of illness, reactions to TX, general behavior or condition and determination of and reporting of abnormal characteristic
Who can an RN accept orders from?
MD, NP, PA, clinical psychologist, denitst, podiatrist, clinical pharmacist
Define responsiblity (in terms of delegation)
an obligation to accomplish a task each according to training
What can NOT be delegated (not specific, a concept).
Accountability
What is one benefit of delegation to the delegator?
the ability to work with more complex patients, increased job satisfaction and retention, increased patient outcomes.
Given an example of a dependant function
administration of medications necessary to implement a treatment, disease prevention ordered by physician etc
What is the legal document that provides guidelines about scope of practice-delegating and supervising for RN's and LPN's?
The Nurse Practice Act.
what is improprer delegation
delegating something that should not be (wrong time/task etc), with wrong information, or improper supervision
Name the five rights of delegation.
right task, right circumstances, right person, right direction/communication and right supervision/feedback
What are factors to consider in delegation
complextity, potention for harm, need for problem solving, predictability, interactions with patient
Give an example of an interdependent function
nurse implements Standardized Procedures or changes in TX with SP after observation of s&s etc
What specific tasks can NOT be done by UAPs? (name 5)
Administering medication, invasive procedures, IV/venipuncture, parenteral/enteral feedings, assessment, education, and monitoring labs.
What is dumping?
Delegating to another individual because the nurses does not want to complete the work.
Define delegation
reassignment of a task (responsibility and authority), while retaining accountability
How does liability factor in?
appropriatness of assignment, adequate supervision, retaining accountability
What is a standardized procedure?
medical function beyond the usual scope of RN practice in accord with a written SP developed by nursing, medicine and administration in an organized health care system after the RN has been evaluated and approved as having met the education and experience req..specified in the procedure,
What is the nurse practice act?
defines boundaries of practice within a state, clarifies roles of the nurse
What is the difference between delegation and work assignment?
In work or task assignment, there is no transfer of responsibility or authority. The job assignment is related to the job description and the organizational structure
Ownership
Differentiate the Scope of practice for an RN vs LVN vs CNA
RN: Assess and Synthesize, educate
LVN: collect, monitor
CNA: ADLS