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Scope of Practice
Principles of Delegation
Rights of Delegation
Benefits of Delegation
Miscellaneous
100
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.
100
Guidelines that dictates the proper process of safe delegation
What is principles of delegation
100
List 3 out of 5 Rights of Delegation
Right Task Right Circumstance Right Person Right Communication Right Supervision/Evaluation
100
What is one benefit of delegation to the RN?
Increase Staff Satisfaction and Retention Reduce Burn-out
100
List 2 Barriers to Delegation
Communication "I can do it better, faster" "Might make someone mad" Not enough knowledge or skill to perform task "I don't have time"
200
What is the type of nurse who is able to delegate to other RN's, LPN's and CNA's?
Registered nurse
200
What does responsibility mean related to delegation?
The task is within the delegator's scope of practice or something for which they could be responsible
200
What is the most forgotten step of Delegation
Evaluation and Supervision
200
What is one benefit of delegation to the patient
Timely and efficient patient care and increasing patient satisfaction.
200
A new nurse is thinking about delegating a task to an AP/CNA, what is the best source of information for finding AP qualifications?
Training Record
300
What is type of nurse who can monitor others? Explain
RN's monitor LPNs and CNA's LPN's monitor CNA's
300
List and Describe 3 tasks that is appropriate for an LVN?
What is? Monitor client findings (as input to RN's ongoing assessment) Reinforcement of client teaching Trach Care Suctioning Checking NG tube Admin of enteral feedings Insertion of Foley Med Admin (EXCLUDING IV Meds)
300
The right in which the delegatee is given specific tasks to be performed (Patient Specific)
What is Right Direction/Communication?
300
Primary goal of delegation.
Attain goals effectively
300
What must the RN do before delegating patient tasks to non-RN personnel?
What is assess the patient?
400
What is the legal document that provides guidelines for LVN's
Vocational Nursing Practice Act.
400
List and Describe 3 tasks that can be delegated to the AP/CNA?
What is? ADLs Bathing Grooming Dressing Toileting Ambulating Feeding Positioning Bed Making Specimen Collection Intake and Output Vital Signs
400
You are the RN charge nurse on the 1500-2300 shift on a Med-Surge unit with an LVN and a Unit Secretary. The patient in room 303 needs a bedpan. Who would you delegate this task? and why according to the five rights.
LVN - Right Person (due to patient contact and measuring output)
400
What personal benefit can a person obtain from being delegated a task?
Allows for learning new skill and ability.
400
When does a delegate have the right to refuse to accept delegation?
When the nurse or UAP is not qualified to complete the task. When the delegator does not clearly define the task and expectations. When you are a float nurse and it is a speciality area for which you have not been trained. Not confident or competent in nursing skill
500
What is the main limitation in delegating to an LVN?
Scope of Practice
500
What is the difference between delegation and work assignment?
Assignment: Distribution of Work that each staff member is responsible for during a given work period. Delegation: process for a nurse to direct another person to perform nursing tasks and activities
500
You are the RN charge nurse on the 1500-2300 shift on a medical-surgical unit. Upon returning from dinner you are greeted by several personnel, who relate the following information: Mrs. Murphy's IV has infiltrated, she is behind on her IV fluids and has missed her 1800 antibiotics. Why can't the RN delegate this task to be accomplished by the LVN?
Wrong Circumstance - NEEDS an ASSESSMENT Wrong Qualification - Out of Scope of Practice Wrong Person
500
What is the most important benefit in delegation?
What is? Promotes team work and unit cohesiveness
500
What are two key areas for liability related to improper delegation?
What are: 1. Staffing issues -not enough staff 2. Floating-perform tasks for which they are not competent. 3. Patient abandonment.