I need help with delegation - page 2

by itsdebraanne 2,060 Views | 15 Comments

12223 Above is a list i put together to help me understand what an RN, an LPN/LVN, and a UAP/CNA can do. I've been pretty good with delegation so far. Now I'm starting to see different kinds of RNs and LPNs and it's throwing... Read More


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    Just FYI reading through other responses and they're spot on to what I would have said! Never been asked about a nursing student on NCLEX and never heard anyone else having a similar question. Even if your knowledge tells you to expect an abrupt change (i.e. CHF exacerbation or sudden tamponade) as the previous poster stated, it's an unstable patient and that would go to an RN.
  2. 0
    Quote from itsdebraanne
    Sorry, i mean nursing students in the NCLEX world. what can they do?
    I don't recall ever seeing a nursing student mentioned (in terms of delegating tasks) on any NCLEX type questions, nor on my NCLEX test.

    If it were to come up I'd have to go with they would be treated as an UAP. They are neither an LPN nor RN.
    (scratch that, they could be an LPN in an LPN to RN program, but it would still stand as a UAP in the circumstance of being a nursing student. I am an LPN but while I am at my RN clinicals I am looked at as just a nursing student. I am not allowed to do any of the things I can as an LPN..ie: I still need to have an instructor present when administering meds etc, but when I am out of the student setting, I can legally pass meds at my job as a staff nurse at a LTC)
  3. 0
    Pixie I think you're spot on- I'd treat a nursing student as a UAP because they haven't yet been assessed in their knowledge to enter basic practice. Great post!
  4. 0
    Quote from NurseGuyBri
    Anything that has a patient that might crash or have an abrupt change in condition needs the RN. If the patient requires monitoring or a focused assessment requires at least an experienced LPN, float or new RN. If the patient has expected outcomes an LPN or new/float RN is ok as well. If there is a simple procedure that doesnt involve assessment, a CNA or UAP is ok. If the patient is immediate post op, RN... If >24hr postop, new RN or float OK.
    Hi there, thanks for the explanation.
    1. May I ask where the "graduate nurse" is classified? thanks
    2. If it is an emergency case within the hospital and RN only has UAP, the delegation limitations to UAP doesnt change? thanks again
  5. 0
    Quote from nes09
    Hi there, thanks for the explanation.
    1. May I ask where the "graduate nurse" is classified? thanks
    2. If it is an emergency case within the hospital and RN only has UAP, the delegation limitations to UAP doesnt change? thanks again
    A graduate nurse as in passed the nursing program but hasn't yet sat for and passed the NCLEX? They would be classified as a UAP. They are not liceneced.
  6. 0
    Anyone that needs assessment and care plan written, RN. This is because most nurse practice acts state that the RN is responsible for assessment and care planning. Word to the wise.


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