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Five rights of delegation
Right person
Right task
Right circumstance
Right direction and communication
Right supervision and evaluation
Non-delegatable tasks
Nursing process
Client education
Tasks that require nursing judgement (care of unstable patients)
LPN delegation
Tracheotomy care
Suctioning
Inserting urinary catheter
Checking NG tube patency
Medication administration
Sterile specimen colection
Reinforce client teaching
AP delegation
,ADLs
Ambulating
Feeding
Positioning
Vital signs
I&Os
Autonomy
The right to make ones own decisions
Beneficence
The obligation to good for others
Confidentiality
The obligation to observe the privacy of another and maintain strict confidence
Fidelity
The obligation to be faithful to agreements and responsibilities, to keep promises
Justice
The obligation to be fair to all people
Nonmaleficence
The obligation to do no harm to others
Paternalism
,Assuming the right to make decisions for another
Veracity
The obligation to tell the truth
Nurses role of informed consent
Ensure the provider gave the necessary information
Ensure the client understands the procedure
Patient must be competent to sign informed consent
Witness the clients signature
Notify the provider if clarification is needed
Mandatory Reporting
Abuse - vulnerable populations
Communicable diseases
Malpractice
The failure of a person with professional training to act in a reasonable an prudent manner within the identified scope of
practice
Negligence
The omission to do something that a reasonable person would do or something that a reasonable person would not do
Emergency class 1 (red tag)
Immediate threat to life
Do not delay care
, Urgent class 2 (yellow tag)
Major injuries that require treatment
Delay of 30 minutes to 2 hours
Non-urgent class 3 (green tag)
Minor injuries that do not require immediate attention
Delay of 2-4 hours
Expectant class 4 (black tag)
Expected/allowed to die
Prepare for morgue
TPN
Monitor serum glucose ever 4-6 hours
Change dressing every 48 - 72 hours
Change IV tubing and fluid every 24 hours
If solution is temporarily unavailable, administer 10% dextrose in water to prevent hypoglycemia
Acetaminophen (antidote)
Acetylcysteine (antidote)
Benzodiazepine (antidote)
Flumazenil (antidote)
Curare (antidote)