NSG 3130 Exam 1 – Accurate Answers To All
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Terms in this set (49)
General delegation rules to follow for -Always be familiar with your state board rules and
the RN: regulations for delegation.
-Refer to you facility policies and procedures for
roles and responsibilities for task delegation.
-NEVER assume! Always ensure those you are
delegating to (RN, LVN/LPN and/or UAP) have the
training and skill set to complete the task delegated
to them.
-Always validate! If you are unsure if a staff member
does not have the knowledge or skills to complete a
task, ask them to demonstrate by stating "Please
show me how you would do this".
UAP Delegation: -Setting bed alarms, VS.
-Check patient status as directed by the RN- must
report findings to the RN ("are you still having pain?").
-Emptying drainage devices (indwelling urinary cats,
suprapubic caths, JP drains, etc).
-Record meals/routines.
-Typically UAPs do not care for chest tubes (even
drainage). UAPs cannot give medication.
LVN/LPN Delegations: -Dressing changes.
-Apply O2.
-Give PO, IM, SQ medications.
-Enemas.
-Urinary catheter insertion.
-Can care for stable patients that are not complex.
-No IVs or IV medications.
, As the RN you MUST complete the -Assessments/ reassessments.
following items, they cannot be -Evaluation (think nursing process).
delegated: -Education/teaching.
-Transfers (on or off the unit-they will need an
assessment).
-Post mortem care.
-Abnormal results.
-Plan of care development.
-Going to or coming from surgery (includes pre op
check lists and initial post op assessment).
Things to remember as an RN -Always remember, as an RN, you will also be
delegating: delegated too- this means the first step when a
patient assignment or task is delegated to YOU is to
figure out what is needed or required.
-If there are patients/tasks you do not have the
knowledge or skill set to care for or complete, report
to your charge nurse.
Documentation must be: -Timely.
-Accurate.
-Complete.
-Factual.
-NO slang or bias language-factual and objective.
-ALL CHARTING IS CONSIDERED LEGAL
DOCUMENTATION.
Documentation Standards: -You can't look up a patient that you had the day
before (HIPAA violation).
-If you are the interviewing nurse, you can access
client's chart.
-You can document meds on the patient you gave
meds to: do not document medications or tasks you
did not complete.
-Only need a section witness on required meds.
-You can discuss care of a client with the nurse that is
precepting you.
Questions
Save Groups
Terms in this set (49)
General delegation rules to follow for -Always be familiar with your state board rules and
the RN: regulations for delegation.
-Refer to you facility policies and procedures for
roles and responsibilities for task delegation.
-NEVER assume! Always ensure those you are
delegating to (RN, LVN/LPN and/or UAP) have the
training and skill set to complete the task delegated
to them.
-Always validate! If you are unsure if a staff member
does not have the knowledge or skills to complete a
task, ask them to demonstrate by stating "Please
show me how you would do this".
UAP Delegation: -Setting bed alarms, VS.
-Check patient status as directed by the RN- must
report findings to the RN ("are you still having pain?").
-Emptying drainage devices (indwelling urinary cats,
suprapubic caths, JP drains, etc).
-Record meals/routines.
-Typically UAPs do not care for chest tubes (even
drainage). UAPs cannot give medication.
LVN/LPN Delegations: -Dressing changes.
-Apply O2.
-Give PO, IM, SQ medications.
-Enemas.
-Urinary catheter insertion.
-Can care for stable patients that are not complex.
-No IVs or IV medications.
, As the RN you MUST complete the -Assessments/ reassessments.
following items, they cannot be -Evaluation (think nursing process).
delegated: -Education/teaching.
-Transfers (on or off the unit-they will need an
assessment).
-Post mortem care.
-Abnormal results.
-Plan of care development.
-Going to or coming from surgery (includes pre op
check lists and initial post op assessment).
Things to remember as an RN -Always remember, as an RN, you will also be
delegating: delegated too- this means the first step when a
patient assignment or task is delegated to YOU is to
figure out what is needed or required.
-If there are patients/tasks you do not have the
knowledge or skill set to care for or complete, report
to your charge nurse.
Documentation must be: -Timely.
-Accurate.
-Complete.
-Factual.
-NO slang or bias language-factual and objective.
-ALL CHARTING IS CONSIDERED LEGAL
DOCUMENTATION.
Documentation Standards: -You can't look up a patient that you had the day
before (HIPAA violation).
-If you are the interviewing nurse, you can access
client's chart.
-You can document meds on the patient you gave
meds to: do not document medications or tasks you
did not complete.
-Only need a section witness on required meds.
-You can discuss care of a client with the nurse that is
precepting you.
