QUESTIONS WITH ACCURATE ANSWERS
◉ Professionalism. Answer: an approach to work that demonstrates
respect for others, commitment, competence, and appropriate
behaviours.
◉ Professional Boundaries. Answer: Appropriate limitations on
behaviour, meant to protect the vulnerable client from the caregiver
who has access to private knowledge about him or her.
◉ Regulation of a PSW. Answer: The PSW is an unregulated
profession. For an unregulated care provider there are clearly
identified services we provide under the supervision of the client,
family member, regulated health care provider or employer. There is
no legislation to regulate PSW's or an organization of professional
college that governs the role. There is no official code of ethics but
they must adhere to the codes of behaviour from their employer.
◉ Regulated Health Professions Act. Answer: Regulated Health
Professions. In Ontario, regulated health professions are governed
under the Regulated Health Professions Act, 1991 (RHPA) and
health profession Acts (i.e., Medicine Act, 1991). This legislative
framework establishes health regulatory colleges, which regulate
the professions in the public interest. i.e. the college of nurses.
,◉ Role of the occupational therapist. Answer: Focuses on
rehabilitation; teaches clients skills needed to perform ADLs;
designs adaptive equipment for ADLs
◉ Role of the physical therapist. Answer: Focuses on rehabilitation;
assist clients with musculo-skeletal impairments; focuses on
restoring function and preventing disability from illness or injury
◉ Role of Registered Nurse (RN). Answer: assesses, makes nursing
diagnoses, plans, implements, and evaluates nursing care. Tends to
clients with unstable health conditions; provides direct client care,
administers medications, supervises support workers
◉ Role of RPN Licenced practical nurse (LPN). Answer: a health care
provider licensed and regulated by the province or territory to carry
out nursing techniques and provide client care. Known as a
registered practical nurse (RPN) in Ontario.
◉ ALL RULES REGARDING DELEGATION. Answer: Only regulated
health care providers like nurses have the authority (legal right) to
perform certain tasks because they have the knowledge, skill and
training to perform them. They are called controlled acts and are
considered harmful if they are performed by unqualified people. In
some circumstances some acts will be delegated to you. In order to
do this, specific conditions called "exceptions" must be met for
,delegation to be permitted. The nurse must feel confident the
support worker understands what the responsibilities are when
performing the task, knowns when and who to ask for assistance,
and knowns when, how and whom to report the outcome of the task.
Tasks that may be delegated to support workers must be routine
ones with predictable outcomes that require little supervision and
can only be delegated for stable clients.
Delegation tasks may include: suctioning a permanent tracheotomy
in and out catherization; administering glucometers, dressings, tube
feedings and medication.
Only some nursing tasks can be delegated. Your employer's policies
and guidelines, your job description and provincial or territorial
legislation determine what tasks can be delegated to you.
Sometimes these rules vary between community and LTC.
In Ontario an RN, RPN and LPN can delegate.
A delegated task is not transferrable to another client. Just because
you did it for one person, does not mean you are able to perform the
SAME task on another client without training.
◉ Before delegating tasks, the nurse must know the following:.
Answer: • What tasks your province or territory allows support
workers to perform.
• The tasks included in your job description.
• What you were taught in your training program.
• What skills you have learned and how they were evaluated.
, • Your work experiences.
◉ A nurse who delegates a task is required to:. Answer: • Have the
knowledge, skill, and judgement to perform the task competently.
• Have the additional knowledge, skill and judgement to teach the
task to others. The delegating nurse is responsible for providing all
necessary teaching, but not everyone is able to teach others how to
perform something. Good communication skills and patience
required.
• Accept responsibility for teaching the task to the support worker.
The nurse must first determine the risks and benefits of teaching the
task and be able to confidently predict its outcome.
• Assess your performance. The nurse must determine if you're able
to perform the task correctly.
• Determine if the task that is taught can be performed for more
than one client. Each client is unique.
• Monitor you over time to ensure you remain able to perform the
task correctly and safely.
In the community the nurse may provide you with written
instructions, predicted outcome and what to record.
◉ You can refuse a task to be delegated to you if:. Answer: • you have
concerns about your ability to do the task
• it is beyond your scope of practice
• the client's condition changes