I need help with delegation

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    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 me off.
    I know that RNs floating from another unit are treated like LPNs. And I know that if gender is specified, that means there is a patient who has gender preferences.
    But how do I, as the charge nurse, go about delegating tasks to:
    • experienced RNs
    • experienced LPNs
    • experienced nursing assistants
    • nursing students
    • and an LPN/LVN who is fuctioning under the supervision of an RN
    What is within their scopes of practice?

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  2. 15 Comments...

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    Delegation is tricky because it requires you, the charge nurse, to be able to safely and accurately assess the staff member that a patient is delegated to. When answering questions on a test, it's a bit more tricky because your information is limited. Attempt to isolate what the question is really asking- i.e. what is the task being delegated. Once you know that, you can proceed with determining who gets the job. 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.
    Danielle318 and itsdebraanne like this.
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    If its NCLEX that's asking ignore the "experienced" if it's RN vs LVN, the RN gets it if its complicated or can crash.

    Posting from my phone, ease forgive my fat thumbs!
    itsdebraanne likes this.
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    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.
    one of the best explanation all day! thank youuu!!!!!
    oh question, when the patient might have an "abrupt change in condition," knowing this change might happen is an EXPECTED outcome, but if you didn't see it coming then that's an UNEXPECTED outcome. right?
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    Quote from itsdebraanne

    one of the best explanation all day! thank youuu!!!!!
    oh question, when the patient might have an "abrupt change in condition," knowing this change might happen is an EXPECTED outcome, but if you didn't see it coming then that's an UNEXPECTED outcome. right?
    If they are going to have an abrupt change its am unstable pt. look at it that way instead, much easier

    Posting from my phone, ease forgive my fat thumbs!
  7. 0
    Quote from itsnowornever
    If they are going to have an abrupt change its am unstable pt. look at it that way instead, much easier

    Posting from my phone, ease forgive my fat thumbs!
    okay. thank you
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    What can nursing students​ do?
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    Quote from itsdebraanne
    What can nursing students​ do?
    Depends, you working there, at clinical or volunteering? All have different tasks

    Posting from my phone, ease forgive my fat thumbs!
  10. 0
    Quote from itsnowornever
    Depends, you working there, at clinical or volunteering? All have different tasks

    Posting from my phone, ease forgive my fat thumbs!
    Sorry, i mean nursing students in the NCLEX world. what can they do?
  11. 0
    Quote from itsnowornever

    Depends, you working there, at clinical or volunteering? All have different tasks

    Posting from my phone, ease forgive my fat thumbs!
    NCLEX never asked me about students, only LVNs and CNAs (UAP)

    Posting from my phone, ease forgive my fat thumbs!


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