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30 Cards in this Set
- Front
- Back
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The transfer of responsibility for the performance of a task or activity while retaining accountability for its outcome is called . . .
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Delegating
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what can the RN not delegate?
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The care related to the NURSING PROCESS
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What are the FIVE RIGHTS OF DELEGATION?
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Right Task, Right Circumstances, Right Person, Right Direction/Communication, Right Supervision
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Define: RIGHT TASK
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“a task that is delegable for a specific patient”. A right task is repetitive, requires little supervision, and/or is relatively noninvasive for a certain client.
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Define: RIGHT CIRCUMSTANCES
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the appropriate client setting, available resources, and other relevant factors are considered. If the circumstances have not been assessed or are deemed too complicated, the nurse takes the responsibility and does not delegate a task to AP.
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Define: RIGHT PERSON
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the right person is delegating the right task to the right person to be performed on the right person.
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Define: RIGHT DIRECTION/COMMUNICATION
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a clear, concise description of the task is conveyed, including its objective, limits, expectations, and when to report concerns/assessment findings. Very specific, clear directions are esential for delegation to work well.
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Define: RIGHT SUPERVISION
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“appropriate monitoring, evaluation, intervention, as needed, and feedback”. The nurse remains accountable for the tasks that were delegated and for making clinical judgments.
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Delegable, and if so, to who?
Monitoring client findings (as inp[ut to the RN's ongoing assessment of the client) |
Yes, to an LVN
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Delegable, and if so, to who?
Reinforcement of client teaching from a standard care plan |
Yes, to an LVN
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Delegable, and if so, to who?
Tracheostomy care |
Yes, to an LVN
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Delegable, and if so, to who?
Suctioning |
Yes, to an LVN
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Delegable, and if so, to who?
Checking nasogastric tube patency |
Yes, to an LVN
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Delegable, and if so, to who?
Administration of enteral feedings |
Yes, to an LVN
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Delegable, and if so, to who?
Insertion of a urinary catheter |
Yes, to an LVN
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Delegable, and if so, to who?
Medication administration (excluding intravenous medications, in several states) |
Yes, to an LVN
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Delegable, and if so, to who?
Activities of daily living (ADLs) |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Bathing |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Grooming |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Dressing |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Toileting |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Ambulating |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Feeding (without swallowing precautions) |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Positioning |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Bed making |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Specimen collection |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Intake and output (I & O) |
Yes, to Assistive Personnel
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Delegable, and if so, to who?
Vital signs |
Yes, to Assistive Personnel
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Which of the following tasks may be delegated to AP?
1. Establishing an intravenous route 2. Transcribing a medical order 3. Assisting a client to take a shower 4. Providing fresh water to a client tolerating a clear liquid diet started 2 hr ago 5. Assessing vital signs on a client who is expected to be discharged later in the day |
3, 4 & 5
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What information should b e shared by the nurse delegating the ambulation of a client who had a left knee replaced 5 days ago to AP?
a. The client is in room 203 – Bed B. b. The roommate is up independently. c. The client ambulates with his gray slippers on over his antiembolic stockings. d. The client uses the front-wheeled walker when ambulating. e. The client had pain medication 30 min ago. f. The client is allergic to codeine. g. The client needs to try and ambulate at least 50 ft. h. The client ate 50% of his breakfast this morning. i. The client maily needs assistance getting in and out of bed. |
a, c, d, e, g, i
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