Questions for RN's or LVN's about UAP and conflict resolution

[buffieriley]

Posted this in the student help forum, but was not getting any responses, so I figured I would try my luck here

Hi, I am a 3rd semester LVN student and for my leadership class, I am supposed to interview a RN or LVN who works or has worked in a position where they must delegate responsibilities to unlicensed personnel. (Nursing assistants, CNA's, etc.)I asked my intructor if it was ok to post the questions on the allnurses website and she gave permission for us to do so. Also, I value UAP's and their help, this is not necessarily about the UAP doing anything wrong, this is about conflict resolution. I am supposed to ask about a situation dealing with this unlicensed person and a patient or patient's family. It can be any difficult situation, such as the unlicensed person exceeding their scope of practice, ineffective communication between the staff member and family, or simply a family member complaining that the aide doesnt know what she's doing, etc. . Any help would be greatly appreciated.:)

If you can think of a situation like this, could you answer these questions for me?

1. What was the situation that occured?

2. Who was involved? Include patient, family members and any hospital staff involved.

3. What steps did you take (from start to finish) to resolve the problem?

4. What was the ultimate outcome of the situation?

5. What, if anything, would you do differently if a similar situation were to occur again?

Many thanks in advance for any help anyone could give me.

[caliotter3]

Situation: CNA exceeding scope of practice; inappropriate delegation of task by RN

(I was not directly involved, did not participate in outcome)

An RN in a LTC facility would ask the CNA to administer medications to residents; it is not allowed in my state for CNAs to pass meds, we don't have medication aides. In one instance, this occcurred in front of family member. The family member complained to management. Management fired the nurse (but not the CNA). People who talked about the incident, countered with disapproval at the outcome, because, "In our country, she (the CNA) is a nurse". Management saw no need to provide education to their staff about why the nurse was wrong.

[buffieriley]

Thank - you so much for your help.:)