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I'm still a student, but I graduate next month. In my experience, delegated tasks include:
CNA: vital signs, blood glucose, ADL's (dressing, bathing, toileting, ambulating), changing and making bed
I haven't worked with LPNs or UAPs. In the nursing home, I worked as a CNA. The LPNs pretty much did everything except IVs (meds, inserts, PICC lines, etc).
I work in a hospital setting where we have PCT's (nursing aides with a little more training)
They can do baths, vitals, I&O's, blood sugars, linen changes, assist with pt positioning/turning, blood draws, start IV's, do EKG's, transport pt, stock carts. At some places I have worked in the past they were allowed to hang tube feeds and prime tubing for IV fluids as well as TPN/Lipids, but they could not attach tubing to pt.
RNs in my hospital can ask an LPN for assistance, they don't delegate to us. The line between our scopes of practice is very fine and we all know where it is. We work under individual practice permits. The only RN who delegates is the Charge and they dole out the assignments.
NA's don't do vitals or blood sugars. They can do i/o on catheters and ostomies and the bulk of am/hs care.
What the OP needs to do is research their states or provinces scopes of practices for RNs and LPNs.
HumanContract
45 Posts
As a student, I'm curious to know what tasks normally get delegated and to whom and for what reasons...keep em coming!