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Delegation in Nursing: Understanding the 5 Rights and LPN Responsibilities, Lecture notes of Nursing

A comprehensive overview of delegation in nursing, focusing on the 5 rights of delegation and the specific responsibilities of licensed practical nurses (lpns). It outlines the tasks that can be delegated to lpns and those that require the expertise of a registered nurse (rn). The document also includes examples of tasks that can and cannot be delegated to lpns, helping to clarify the scope of practice for both roles.

Typology: Lecture notes

2023/2024

Uploaded on 02/01/2025

ivis-mendoza
ivis-mendoza 🇺🇸

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DELEGATION &
THE LPN
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DELEGATION &

THE LPN

DELEGATION

Transferring to a COMPETENT individual the authority to perform a selected nursing activity in a selected situation. The nurse retains accountability for the delegation.

5 RIGHTS TO DELEGATION

 Right Circumstances  (^) Use nursing judgment  Right Supervision and Evaluation  (^) The RN is ultimately responsible for accomplishment of assigned task  (^) ensure that the assignment has been completed,  (^) evaluate the outcome of the delegated task  (^) correctly document the results.

PCT/ACT/ TECH/UAPUNLICENSED

 These delegated tasks typically are ones that  (^) * frequently occur  (^) * are considered technical by nature  (^) * are considered standard and unchanging  (^) * have predictable results 

  • have minimal potential for risks What are some tasks you can delegate?  Vital signs, ADLs, I&O, accucheck, transporting, giving water/snacks, reattach cardiac leads

LPN/LVNS: NO-NO’S

Varies state by state

Florida:

 (^) NO IVP meds (may do IVPB if ALPN)  (^) NO blood transfusions  (^) NO initial assessment (may do f/u assessments)  (^) NO verification of orders  (^) NO unstable patients  (^) NO patient teaching (unless reviewed by RN)

WHAT CAN YOU DELEGATE TO A

LPN?

Yes or NO?  (^) Dressing change? Yes (after they have demonstrated competency)  (^) Foley insertion? (yes)  (^) PO and IM meds? (yes)  Care for a pt during a code blue? (no)  I&O? (yes)  Educating a newly diagnosed patient with DM? (no)  IV insertion? (only with IV certification)  A patient you have not assessed? (no)  (^) F/U neuro assessment on a stable CVA pt? (yes)  (^) Give 2 UPRBC to a GI bleed w/ a BP: 70/30? (no)