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Delegation/supervision - ............ANSWER..........*5 rights*
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
-based on individual client needs, facility policies and job descriptions,
state NPA, professional standards
-consider the individual's education, training, and experience
-RNs can delegate to:
>>other RNs
>>LPNs
>>APs
delegating to AP - ............ANSWER..........-ADLs
-bathing
,
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
-positioning
-bed making
-VS for stable clients
-specimen collection
-I&O
>>follow facility policies and stage practice guidelines
right task - ............ANSWER..........repetitive, requires little supervision,
and relatively noninvasive
right task: AP to assist pt with bedpan and pneumonia
wrong task: delegate AP to administer a nebilizer to a pt with pneumonia
right circumstance - ............ANSWER..........-assess health status and
complexity of care required by the client
-match the complexity of care demands to the skill level of the health
care team
-consider workload
,
right circustance: delegate to AP to measure VS on stable pt
wrong: delegate AP to measure VS on pt who is post-op and received
naloxone to reverse respiratory depression
right person - ............ANSWER..........-assess and verify competency of
the health care team member
>>within scope of practice and necessary competence and training
-continual performance reviews
right: delegate a LPN to adminster enteral to a client who has a head
injury
wrong: delegate an AP to adminster enteral feedings to a client who has a
head injury
right direction/communication - ............ANSWER..........-data that needs
to be collected
-method and time line for reporting (when to report concerns/findings
right: delegate an AP to assist in room X with (something very specific)
before X amount of time
wrong: delegate an AP to assist with (something nonspecific) in room x
,
right supervision/evaluation - ............ANSWER..........-directly or
indirectly
-clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate and identify needs for quality improvement activities
right: delegate the ambulation of the client and provide positive feedback
to the AP after completion of task
wrong: delegate the ambulation of a client to an AP without supervision
to determine the need for intervntion and failing to provide feedback to
the AP
delegating to LPN - ............ANSWER..........-monitoring client findings
as input for the RNs ongoing assessment of the client
-reinforcing client teaching from a standardized care plan
-performing tracheostomy care and suction
-perform uncomplicated wound care
-checking NG tube patency
-administering enteral feedings
-inserting urinary catheter
-administering medications