As a new nurse, you cannot provide safe care to your clients if you don't know how to
-manage care
-assign care
-supervise care
-prioritize
... [Show More] care
The judgments you make in management situations have to be based on
med-surg knowledge
If you don't understand disease processes, you cannot
set priorities of care or determine which staff member would be best to take care of the client
You MUST know your _______________________, and then you can move on to ________________________
core content; management decisions
Assignments include
the routine care, activities, and procedures that are within the authorized scope of practice of the RN, LPN/LVN, or part of the routine functions of the UAP
Assignment is the sharing of
routine work that each staff member is responsible for during a given shift or work period
The assigned tasks should be part of
the course work taught in the basic educational program of the staff member
Delegation is
allowing a specific task to be performed that is not routinely performed and is BEYOND the traditional role of the individual to which the nursing activity skill, or procedure is delegated
The key is that the staff member who is delegated the task has
received additional training or education and has validated competency to perform the delegated task
You can delegate the responsibility of the task, but you cannot
delegate the ultimate accountability
The RN is accountable for
ALL aspects of nursing care that are being provided including the choices you make about who is considered competent to perform each task
What are the 5 rights of delegation?
1. right person
2. right circumstances
3. right task
4. right direction/communication
5. right supervision and evaluation/feedback
The Right Task: What is the traditional role of the UAP?
UAP is an umbrella term that NCSBN defines as any unlicensed personnel trained to function in a supportive nursing role, regardless of the title
The Right Task: What type of clients can the RN delegate to the UAP?
-perform tasks on STABLE clients in uncomplicated
situations
-routine, simple, repetitive, common activites that do NOT require nursing judgment
The Right Task: Examples of tasks that the UAP can perform?
-hygiene
-feeding
-I&O
-routine vital signs
-ambulation
EVERYDAY THINGS!
The Right Task: Can a UAP take VS ona client receiving IV Dopamine?
no, because it requires nursing judgment
The Right Task: Can the UAP provide a total bed bath and dress the client?
yes
The Right Task: Can the UAP serve meals and assist with eating?
yes
The Right Task: Can the UAP obtain a urine specimen from a catheter?
no, this is a sterile procedure
The Right Task: Can the UAP turn the client every 2 hours and provide skin care?
yes
The Right Task: Can the UAP assist the client to the bathroom with a walker?
yes
The Right Task: Can the UAP perform a fleet enema?
no, because this is a medicated procedure
The Right Task: Can the UAP answer the client's call light?
yes
The Right Task: Can the UAP clean and sanitize the client's room?
yes
The Right Task: Can the UAP change the linen on a totally bedridden client?
yes
The Right Task: Can the UAP provide mouth care and denture cleansing?
yes
The Right Task: UAPs CAN'T do
medications
The Right Task: What tasks can the LPN perform?
-data collection
-NO assessment
-updating client data
-NO evaluation (involves assessment)
-NO admission hx
The Right Task: The RN NEVER delegates or assigns tasks that involve
assessment
The Right Task: The LPN can assist the RN in data collection, but that is NOT
assessment in the NCLEX world
The Right Task: After the initial assessment, the LPN
updates client data
The Right Task: Can the LPN evaluate the client to determine if a goal has been met?
no
The Right Task: The LPN cannot do any form of _____________________, because _________________________________
evaluation; evaluation involves assessment, and we NEVER assign or delegate assessment or judgment
The Right Task: Who must do the admission history?
the RN [Show Less]