NUR 218 Exam 4 Questions With Complete Solutions
what is the risk task of delegation
routine tasks that require no nursing judgement or variation from
standard procedure
what is the right circumstance of delegation
evaluate patient acuity, patient setting, and available resources
what is the right person of delegation
ensure its within scope of practice of the delegate
what is the right communication of delegation
provide clear, concise, correct and complete directions
what is the right supervision of delegation
ensure performed correctly -> do NOT have to directly observe,
but doing periodic follow-up to ensure completed and that there
are no questions of complications that arise
example of right task for delegation
delegation of assisting a patient with pneumonia to use a bedpan
to the UAP
exmaple of wrong task for delegation
delegtion of administering a nebulized treatmnet to a patient
with pneumonia to the UAP
what do you need to assess for right circumstance before
delegation
,acuity and complexity of care that the patient requires
example of right circumstance for delegation
delegation of obtaining vital signs in a stable, postoperative
patient to the UAP
example of wrong circumstance for delegation
delegation of obtaining vital signs in a patient that is
postoperative and required narcan due to depressed respirations
to the UAp
example of right person for delegation
delegation of administering enteral feedings to the LPN
example of wrong person for delegation
delegation of administering enteral feedings to the UAP
example of right communication for delegation
delegation of assisting the patient in room 312 with a shower
and linen change before 0900 to the UAP
example of wrong communication for delegation
delegation of assisting the patient in room 312 with morning
hygein to the UAp
example of right supervision for delegation
delegation of ambulating the patient before lunch to the UAP
and asking them to report back to you at lunch time
example of wrong supervision for delegation
, delegation of ambulating a patient to the UAP knowing that the
patient hasnt ambulated in 3 days
tasks the RN must completd
clinical assessmnets
nursing diagnosis
development and initiation of care plan
initial client education
admission vitals/assessments
discharge education
clinical judgement
initiation blood trasnfusions
IV medications
post-op assessmnet
what can RN delegate to LPN
monitoring ifndings as part of input to RNs ongoing assessmnet
reinforcing the patient teaching from a standard care plan
performing tracheostomy care
suctioning
checking NG tube patency
adminstering enteral feedings
instering catheters
administering meds
what is the rule of thumb for delegation to the UAP
options asking to show, explain, monitor, teach, check, assess,
demonstrate, are generally NOT in the UAP scope
collaboration + delegation =
what is the risk task of delegation
routine tasks that require no nursing judgement or variation from
standard procedure
what is the right circumstance of delegation
evaluate patient acuity, patient setting, and available resources
what is the right person of delegation
ensure its within scope of practice of the delegate
what is the right communication of delegation
provide clear, concise, correct and complete directions
what is the right supervision of delegation
ensure performed correctly -> do NOT have to directly observe,
but doing periodic follow-up to ensure completed and that there
are no questions of complications that arise
example of right task for delegation
delegation of assisting a patient with pneumonia to use a bedpan
to the UAP
exmaple of wrong task for delegation
delegtion of administering a nebulized treatmnet to a patient
with pneumonia to the UAP
what do you need to assess for right circumstance before
delegation
,acuity and complexity of care that the patient requires
example of right circumstance for delegation
delegation of obtaining vital signs in a stable, postoperative
patient to the UAP
example of wrong circumstance for delegation
delegation of obtaining vital signs in a patient that is
postoperative and required narcan due to depressed respirations
to the UAp
example of right person for delegation
delegation of administering enteral feedings to the LPN
example of wrong person for delegation
delegation of administering enteral feedings to the UAP
example of right communication for delegation
delegation of assisting the patient in room 312 with a shower
and linen change before 0900 to the UAP
example of wrong communication for delegation
delegation of assisting the patient in room 312 with morning
hygein to the UAp
example of right supervision for delegation
delegation of ambulating the patient before lunch to the UAP
and asking them to report back to you at lunch time
example of wrong supervision for delegation
, delegation of ambulating a patient to the UAP knowing that the
patient hasnt ambulated in 3 days
tasks the RN must completd
clinical assessmnets
nursing diagnosis
development and initiation of care plan
initial client education
admission vitals/assessments
discharge education
clinical judgement
initiation blood trasnfusions
IV medications
post-op assessmnet
what can RN delegate to LPN
monitoring ifndings as part of input to RNs ongoing assessmnet
reinforcing the patient teaching from a standard care plan
performing tracheostomy care
suctioning
checking NG tube patency
adminstering enteral feedings
instering catheters
administering meds
what is the rule of thumb for delegation to the UAP
options asking to show, explain, monitor, teach, check, assess,
demonstrate, are generally NOT in the UAP scope
collaboration + delegation =
