here is what I got from an NCLEX review course that I just completed:
* get CHRONIC, STABLE pts with predictable outcomes (a popular one is COPD!)
* pts who are 24hr post-op
* NO: d/c planning, admission assessments (including admission VS) and IVs.
* YES: can give narcs, have patients 72hr after MI, have patients with CVA, SCI, on vents or with low coma scale AFTER ONE WEEK.
* can do sterile procedures
* give meds (but nothing IV)
* nursing process under the direction of the RN
* can work with contagious patients (think of patient assignments! these can all be delegated to the LPN)
* can reinforce teaching, but the RN has to do the initial teaching.
* work with STABLE patients
* beds/H2O/enemas/stool spec./I&O
* transport pts
* feed = CHRONIC parkinson's, CHRONIC CVA (do not let an NA feed anyone who is an aspiration risk)
* VS on STABLE patients, can do vitals 1/2 hr AFTER blood has started
* NO: admission vitals, sterile procedures, drugs (even OTC topicals!), teaching, working with PTs with art lines, trachs, ETTs, vents, contagious diseases
* STAY AWAY FROM options asking to show, explain, monitor, teach, check, assess & demonstrate
- all outside the scope of the NA!
Just think of the RN as TIA
Vs and A
We know what happens in real life, but as my instructor said, the NCLEX isn't real-life...