2.1 Delegation

Question 1

Delegation

Answer 1

• Transfer of responsibilities for the performance of a task from one individual to another while retaining the accountability of the outcome

Question 2

5W 1H of Delegation

Answer 2

Who
- You can delegate to other RNs, technicians, unlicensed assistive personnel (UAP), Licensed Practical/Vocational Nurses (LPN/LVN).
- RN’s are still accountable for the supervision needed

What
- PO medications can be delegated to LPN/LVN
- Ambulation can be delegated to UAP

When
- Delegation when needed

Where
- Anytime, anywhere

Why
- To improve work performance

How
- 5 Rights
- Right task, right circumstance, right person, right direction/communication, under the right supervision and evaluation.

Question 3

What can LPN do

Answer 3

• Gather data and make observations such as breath sounds and pulse ox.
• Obtain wound cultures, ostomy care, catheter insertion, wound care, blood glucose, EKG’s.
• They can administer medication
• LPN’s cannot complete in depth assessments, initiate nursing care plans, or evaluate patients abilities.

Question 4

CNA’s

Answer 4

• Provides patients with basic care and assist in everyday activities (such as bathing).

Nursing Assistants
- Measure Vitals
- Document Intake/Output

• Cannot do activities that include nursing judgment, such as assessing or evaluating.

Question 5

ATI Delegation

Answer 5

• Right Task
• Right Circumstance
• Right Person
• Right Direction/Communication
• Right Supervision/Evaluation

Who can you delegate too?
- Other RN’s
- LPNs
- AP (assistive personnel)

During Delegation
- Consider individual education, training and experience

Question 6

UAP Delegation

Answer 6

• ADL’s
• Bathing, Grooming, Dressing, Toileting
• Positioning
• Ambulating
• Bed Making
• Feeding (without swallowing restrictions)
• Vital Signs for stable clients
• Specimen collection
• Intake and Output

Question 7

LPN Delegation

Answer 7

• Reinforce client teaching from standardized care plan
• Monitor client findings as input for RN’s ongoing assessment
• Tracheostomy care and suctioning
• Uncomplicated wound care
• Check NG tube patency
• Insert urinary catheter
• Administer medications (IV may be excluded)
• Administer enteral feedings