NSG 3130 Exam 1 Questions with correct
Answers
General delegation rules to follow for the RN:
-Always be familiar with your state board rules and regulations for delegation.
-Refer to you facility policies and procedures for roles and responsibilities for task
delegation.
-NEVER assume! Always ensure those you are delegating to (RN, LVN/LPN and/or UAP)
have the training and skill set to complete the task delegated to them.
-Always validate! If you are unsure if a staff member does not have the knowledge or skills
to complete a task, ask them to demonstrate by stating "Please show me how you would do
this".
UAP Delegation:
-Setting bed alarms, VS.
-Check patient status as directed by the RN- must report findings to the RN ("are you still
having pain?").
-Emptying drainage devices (indwelling urinary cats, suprapubic caths, JP drains, etc).
-Record meals/routines.
-Typically UAPs do not care for chest tubes (even drainage). UAPs cannot give medication.
LVN/LPN Delegations:
-Dressing changes.
-Apply O2.
-Give PO, IM, SQ medications.
-Enemas.
-Urinary catheter insertion.
, -Can care for stable patients that are not complex.
-No IVs or IV medications.
As the RN you MUST complete the following items, they cannot be delegated:
-Assessments/ reassessments.
-Evaluation (think nursing process).
-Education/teaching.
-Transfers (on or off the unit-they will need an assessment).
-Post mortem care.
-Abnormal results.
-Plan of care development.
-Going to or coming from surgery (includes pre op check lists and initial post op assessment).
Things to remember as an RN delegating:
-Always remember, as an RN, you will also be delegated too- this means the first step when a
patient assignment or task is delegated to YOU is to figure out what is needed or required.
-If there are patients/tasks you do not have the knowledge or skill set to care for or complete,
report to your charge nurse.
Documentation must be:
-Timely.
-Accurate.
-Complete.
-Factual.
-NO slang or bias language-factual and objective.
-ALL CHARTING IS CONSIDERED LEGAL DOCUMENTATION.
Answers
General delegation rules to follow for the RN:
-Always be familiar with your state board rules and regulations for delegation.
-Refer to you facility policies and procedures for roles and responsibilities for task
delegation.
-NEVER assume! Always ensure those you are delegating to (RN, LVN/LPN and/or UAP)
have the training and skill set to complete the task delegated to them.
-Always validate! If you are unsure if a staff member does not have the knowledge or skills
to complete a task, ask them to demonstrate by stating "Please show me how you would do
this".
UAP Delegation:
-Setting bed alarms, VS.
-Check patient status as directed by the RN- must report findings to the RN ("are you still
having pain?").
-Emptying drainage devices (indwelling urinary cats, suprapubic caths, JP drains, etc).
-Record meals/routines.
-Typically UAPs do not care for chest tubes (even drainage). UAPs cannot give medication.
LVN/LPN Delegations:
-Dressing changes.
-Apply O2.
-Give PO, IM, SQ medications.
-Enemas.
-Urinary catheter insertion.
, -Can care for stable patients that are not complex.
-No IVs or IV medications.
As the RN you MUST complete the following items, they cannot be delegated:
-Assessments/ reassessments.
-Evaluation (think nursing process).
-Education/teaching.
-Transfers (on or off the unit-they will need an assessment).
-Post mortem care.
-Abnormal results.
-Plan of care development.
-Going to or coming from surgery (includes pre op check lists and initial post op assessment).
Things to remember as an RN delegating:
-Always remember, as an RN, you will also be delegated too- this means the first step when a
patient assignment or task is delegated to YOU is to figure out what is needed or required.
-If there are patients/tasks you do not have the knowledge or skill set to care for or complete,
report to your charge nurse.
Documentation must be:
-Timely.
-Accurate.
-Complete.
-Factual.
-NO slang or bias language-factual and objective.
-ALL CHARTING IS CONSIDERED LEGAL DOCUMENTATION.
