This was big question for me in nursing school
and when studying for NCLEX. I used the Lacharity Prioritization, Delegation, and Assignment
book (3rd ed.), which I highly recommend. I went through the entire book and whenever it mentioned RN or LPN or physical therapist etc I would jot down the task they were rightfully
going to perform. I'm attaching the sheet I typed up for your use.
Other tips I wrote down related to delegation (also on attached sheet):
Delegation – Who can do what? REMEMBER: RN cannot delegate nursing process
In general, if there is something that both an LPN or RN and UAP can do, and both are available, the UAP should be assigned the task. The same for an RN and LPN.
Who can't do what:
NO blood products, NO IV push meds, NO arterial sticks, NO assessment, NO case management, NO evaluation, NO consultation, and NO education. In some states cannot insert IVs or give IV drugs
NO blood draws, NO IVs, NO glucose checks, NO Foleys.
Care based on level of experience
Nursing student – meds, simple treatments
New Nurse – predictable needs, routine care, meds, non-complex care, do not assign overly anxious or fearful patients
Experienced RN – complex needs, complex assessments, discharge with detailed instructions
Do not assign the following nurses to a critical patient:
Agency nurse (even experienced nurse) who is new to the unit – do not know where supplies are, unit policies, or how to communicate with other departments
Floating nurse – not familiar with the type of patient and/or environment
New Grad RN- lack experience