Assignment/Delagation mnemonics

i wish this would help guys.. i took my nclex-rn just last tuesday 1st take and i made it at 75question.. i am very average person.. sometime.. i guess borderline.. hehehe...anyway, congratulations in andvance new rns

rn

- invasive procedure = i am rn educated

- initial/comprehensive/baseline (assessments)

- assess (frequent/ongoing =unstable patients)

- managing and leading client care environment

ex. clients who are in severe and refusing meds (needs more assessment)

- review

- nsg process/ nsg judgement use (apie= assessment,planning, implementation,evaluation)

- encourage

- develop

- use of iv meds (ex. plasma, blood products-- these and iv are done by rn only)

- consult/counsel/suggest & update

- admission .. new & post op

- teach

- educate

- discharge & admission preparation

lpn/lvn-

-certain invasive task =i-sound star cross ++

- im adm

- sq adm.

- oral meds adm

- urinary catheterization

- nitroglycerin

- dreassing of wound (changing & irrigating) very commonly seen q.

- suctioning

- tube feeding

- auscultate/listen

- routine/standard

- check(s)

- reinforce/remind

- observe

- set up (basic equipment)

- specimen collection & data colletion

+

-blood glucose readings

-monitor

-review/teach-- usually standard practices (hand washing/hygiene) or med administration (ie. eye drops) -- rn mostly teaches/educated and lpns reinforce

+

cast & toe amputation are stable clients and need on going assessment and pain mgt./la charity book(don't know too..just dont deprive with it.. just follow the book

data collection such as listening to lung sounds & checking for peripheral edema_part of lpn scope of practice: /lacharity book

** don't assign lvn/lpn to do a task an nurse assistant can complete**

nursing assistant/uap- unlicense assistive personnel

- non invasive procedure/basic care =sparrtacus groam +++

-skin care (ex. bed rest with a skin tear and hematoma from a fall 2 days ago, apply and care for a client's rectal pouch )

-positioning-- special positioning-- requires initial education by rn -- assistant will assist not teach

-ambulation/ assisting with adl (ambulation of fractured hip only rn& pt) ( patienst with chestube ambulating the hall-lpn/lvn)

-recording & monitoring of v/s (bp,pulse, oxygen sat,)

-range of motion &exercise

-transport of client

-assist (assisting for prep for sitz bath)

-collection of

-urine &

-stool

-groam (groaming & hygiene measure, bathing & checking water temp)

+

weighting

intake & output

feeding

+

- remind/reinforce: usually reminds pt. to do something rather than how to do it (skills previously taught by other health care professional or precaution measures)***

- they can detach suction and remove a foley but not connect or insert

- gather (equipment)

+

- measurement of ankle and bracial blood pressure for ankle brachial index calculation.(calculated already)

( calculation on the ankle-brachian index is responsibility of rn)

-experienced nsg assistant should have been taught how to..

monitor apical pulse, however, the rn should observe to be sure that s/he mastered this skills.

---la charity book---

new rn

-education and hospital orientation includes.. safe administration of iv meds.

-stable patients

some key points:

patients that require teaching about drugs or need procedures done are not rn priority.

physician

-informed consent

-medical diagnosis

-prescriptions

-order procedures

avoid these assignments for new/float/lvn/lpn/traveling

-new onset/sudden/acute

-new admission

-transfer

-newly diagnosed

-discharge

-require education/teaching (beyond basic skills -- tend to be complex and specific to patients on that particular unit)

- unstable (ie. high risk of sudden respiratory failure, or requires frequent assessments and changes in therapy(like electrolyte imbalances)

give:

- chronic

- routine meds/procedures

- stable

all healthcare workers

- responsible for knowing about and implementing standard precautions + airborne/droplet/contact --> therefore all can teach about it or prepare a room for it