i got this from another post can who did it but it made a lot of sence rn - invasive procedure = i am rn educated - initial/comprehensive/baseline (assessments) - assess (frequent/ongoing =unstable patients) - managing and leading client care environment ex. clients who are in severe and refusing meds (needs more assessment) - review - nsg process/ nsg judgement use (apie= assessment,planning, implementation,evaluation) - encourage - develop - use of iv meds (ex. plasma, blood products-- these and iv are done by rn only) - consult/counsel/suggest & update - admission .. new & post op - teach - educate - discharge & admission preparation lpn/lvn- -certain invasive task =i-sound star cross ++ - im adm - sq adm. - oral meds adm - urinary catheterization - nitroglycerin - dreassing of wound (changing & irrigating) very commonly seen q. - suctioning - tube feeding - auscultate/listen - routine/standard - check(s) - reinforce/remind - observe - set up (basic equipment) - specimen collection & data colletion + -blood glucose readings -monitor -review/teach-- usually standard practices (hand washing/hygiene) or med administration (ie. eye drops) -- rn mostly teaches/educated and lpns reinforce + cast & toe amputation are stable clients and need on going assessment and pain mgt./la charity book(don’t know too..just dont deprive with it.. just follow the book data collection such as listening to lung sounds & checking for peripheral edema_part of lpn scope of practice: /lacharity book ** don't assign lvn/lpn to do a task an nurse assistant can complete** nursing assistant/uap- unlicense assistive personnel - non invasive procedure/basic care =sparrtacus groam +++ -skin care (ex. bed rest with a skin tear and hematoma from a fall 2 days ago, apply and care for a client’s rectal pouch ) -positioning-- special positioning-- requires initial education by rn -- assistant will assist not teach -ambulation/ assisting with adl (ambulation of fractured hip only rn& pt) ( patienst with chestube ambulating the hall-lpn/lvn) -recording & monitoring of v/s (bp,pulse, oxygen sat,) -range of motion &exercise -transport of client -assist (assisting for prep for sitz bath) -collection of -urine & -stool -groam (groaming & hygiene measure, bathing & checking water temp) + weighting intake & output feeding + - remind/reinforce: usually reminds pt. to do something rather than how to do it (skills previously taught by other health care professional or precaution measures)*** - they can detach suction and remove a foley but not connect or insert - gather (equipment) + - measurement of ankle and bracial blood pressure for ankle brachial index calculation.(calculated already) ( calculation on the ankle-brachian index is responsibility of rn) -experienced nsg assistant should have been taught how to.. monitor apical pulse, however, the rn should observe to be sure that s/he mastered this skills. ---la charity book--- new rn -education and hospital orientation includes.. safe administration of iv meds. -stable patients some key points: patients that require teaching about drugs or need procedures done are not rn priority. physician -informed consent -medical diagnosis -prescriptions -order procedures avoid these assignments for new/float/lvn/lpn/traveling -new onset/sudden/acute -new admission -transfer -newly diagnosed -discharge -require education/teaching (beyond basic skills -- tend to be complex and specific to patients on that particular unit) - unstable (ie. high risk of sudden respiratory failure, or requires frequent assessments and changes in therapy(like electrolyte imbalances) give: - chronic - routine meds/procedures - stable all healthcare workers - responsible for knowing about and implementing standard precautions + airborne/droplet/contact --> therefore all can teach about it or prepare a room for it