Please help me out with a delegation question

  1. So I am getting ready for NCLEX but I'm confused about some delegation issues between the RN and LPN and the books sure dont make it easy (actually they make it more confusing because each one is saying different things).Specifically I need a clarification regarding the LPN scope of practice.Can a RN delegate to the LPN invasive procedures such as inserting the urinary catheter? Now my confusion rises from the fact the according to Lacharity book the LPN can not insert the foley.I know that I did some NCLEX questions and I believe I saw in them that the LPN can perform sterile dressing change but I'm also not 100% how valid is this source.
    Please help out this confused new graduate nurse who is taking her NCLEX in JULY!!!
    Sincerely thanks
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    About beachbutterfly

    Joined: May '09; Posts: 431; Likes: 158

    12 Comments

  3. by   Boog'sCRRN246
    I'm a LPN and I'm able to insert a foley and do sterile dressing changes, delegated or not, among many other things. It depends a lot on the state you are in, as far as scope of practice.
  4. by   callenRN1507
    i think lpns are trained to perform dressing changes as well as ostomy care..not sure bout cathetherization though..i think they can do that as well..
  5. by   yesdog
    This is a great question. My girlfriend just took the NCLEX and she had a bunch of questions regarding who is qualified. She also had questions asking what patient can a nurse take when floating to another unit ie ob nurse floating to a med/surg floor. She also had questions on types of precautions for difference situations ie Cdiff, TB RSV. She had a lot of meds too...that is what scares me!

    Saunders (P. 76) says...
    Nursing Assistant - noninvasive intervents such as skin care, range-of-motion exercises, ambulation, grooming , and hygiene measures
    LPN/LVN - Can also perform certain invasive tasks, such as dressing changes, suctioning, urinary catheterization, and medication administration (oral , subcu, IM) according to the education and job description of LPN/LVN
    RN - Can perform LVN/RN tasks and is responsible for assessment and planning care, initiating teaching, and administering medications intravenously.

    Hope this helps!
  6. by   beachbutterfly
    Quote from yesdog
    This is a great question. My girlfriend just took the NCLEX and she had a bunch of questions regarding who is qualified. She also had questions asking what patient can a nurse take when floating to another unit ie ob nurse floating to a med/surg floor. She also had questions on types of precautions for difference situations ie Cdiff, TB RSV. She had a lot of meds too...that is what scares me!

    Saunders (P. 76) says...
    Nursing Assistant - noninvasive intervents such as skin care, range-of-motion exercises, ambulation, grooming , and hygiene measures
    LPN/LVN - Can also perform certain invasive tasks, such as dressing changes, suctioning, urinary catheterization, and medication administration (oral , subcu, IM) according to the education and job description of LPN/LVN
    RN - Can perform LVN/RN tasks and is responsible for assessment and planning care, initiating teaching, and administering medications intravenously.

    Hope this helps!
    This clarifies a LOT thank you,God bless~I printed out your answer!!!
    Last edit by beachbutterfly on Jun 18, '09
  7. by   g3stalt
    Quote from beachbutterfly
    Now my confusion rises from the fact the according to Lacharity book the LPN can not insert the foley.I know that I did some NCLEX questions and I believe I saw in them that the LPN can perform sterile dressing change but I'm also not 100% how valid is this source.
    Read the book again because I've read the whole book 3 times and it says LPN can insert foley catheter..Also the performing of sterile dressing is correct, the LPN can do it.. except if it needs initial assessment by RN... Read the whole book again after reading Saunders so that you'll get the whole picture and you won't get as confused....
  8. by   Innurse78
    The scope of practice between the LPN and RN is as follows:

    ONLY delegate to an LPN- patients that are stable or have a predicted outcome. Never delegate any patient that needs teaching, assessment or evaluation. Those are only in the RN scope of practice here in Indiana.

    If you keep those three in mind, you will be fine.
  9. by   perfectly_4given
    here... LPN according to Kaplan can be delegated to take care of patients with a known outcome.

    PCA - nonchanging practice

    if the patient is stable with a known outcome give them to the RN

    RN takes patients who are - new , unstable, need NEW teaching, Complicated procedure, postop(newlely), pre op. for teaching reasons

    LPN cannot teach new material but Can re enforce teaching

    hope this helps
  10. by   Innurse78
    Quote from perfectly_4given
    here... LPN according to Kaplan can be delegated to take care of patients with a known outcome.

    PCA - nonchanging practice

    if the patient is stable with a known outcome give them to the RN

    RN takes patients who are - new , unstable, need NEW teaching, Complicated procedure, postop(newlely), pre op. for teaching reasons

    LPN cannot teach new material but Can re enforce teaching

    hope this helps
    Hi,
    Just make sure you know your scope of practice STATE nursing Laws regarding the above and don't go just by Kaplan.
  11. by   pers
    Quote from Innurse78
    Hi,
    Just make sure you know your scope of practice STATE nursing Laws regarding the above and don't go just by Kaplan.
    Actually, for the NCLEX going by state laws is a bad idea since scope can vary widely by state! In my state a CNA can insert foleys and administer meds in some cases while an LPN can do IV meds--which would all be big no no's on the NCLEX. Remember, the NCLEX is a perferct world and real world answers will often be wrong.
  12. by   beachbutterfly
    Thanks for all your great answers,maybe it was another book that gave a misleading information (possibly it wasnt a Lacharity one) it could have been other ones (I have so many) anyway things are much more clear to me ,thank you again for your time!! God Bless!!!!
  13. by   perfectly_4given
    agreed with pers
  14. by   mmims
    Quote from pers
    Actually, for the NCLEX going by state laws is a bad idea since scope can vary widely by state! In my state a CNA can insert foleys and administer meds in some cases while an LPN can do IV meds--which would all be big no no's on the NCLEX. Remember, the NCLEX is a perferct world and real world answers will often be wrong.

    I agree. That is what I learned in Rhinehart NCLEX review. You have to go by what the NCLEX wants, not by your state regulations.

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