I am having hard time answering delegation questions. Will you be able to give me some general rules that apply to this kind of questions?
Where I come from we have only one kind of nurses and we do all. So, I can not figure out what to delegate to the LPN and to the nursing assistant.
Thanx in advance!
Nov 24, '06
This is what I have, but I don't know if it varies state to state. In the Saunders question and answer book I have been getting the answers correct when I give the stable patient to the LPN and using the following strategies.
Do not delegate the following to an LPN/LVN
hanging or mixing IV meds
these assessments:admission, discharge, transfer, when the patient has a change
LPN can't plan care
LPN can't do initial teaching
LPN can't take verbal order from doctor or transcribe order
Do not delegate the following to a UAP
charting on patient, no assessments except for vital signs and accuchecks, no meds except for topical OTC's, no treatment except for enemas, nothing that must be done aseptic.
What a UAP can do
ADLs, bathing and grooming, dressing, toileting, ambulating, feeding (unless there is something wrong that makes pt a risk for aspiration), bed making, respositioning, socializing with pt, speciman collection, I&Os, VS.
Do not delegate to family
Last edit by Imafloat on Nov 24, '06
: Reason: found more goodies