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10 Cards in this Set

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  • Back
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Best to transcribe MD orders

Anyone if trained. Can be NAP or even clerks

Best to assist with procedure (thoracentesis)

LPN (trained in sterile technique and can get meds - just not IV)

Can assist in ways CNA/LNA cannot and physician there (for assessment, evaluation, and med admins) so RN not needed

Can inject an IV additive to existing infusion, updating care plan, make rounds with physician, pt enema assessment before and after (=eval), any med eval/teaching/, pt who needs eval on transportation (i.e. O2 therapy), feed pt if they have aspiration risk (i.e. Parkinson's, MG, GB),

RN

Help carry out updating care plan (implementation)

LPN

Add up I&O's, assist with bathing, administer cleansing enema, ambulate post-op (just not 1st time or change in trends) stable pt, transport pt (unless needs current intervention i.e. O2), feed pt (unless aspiration risk),

NAP (CNA/LNA)

Task (5 Rights of Delegation)

Teaching, Assessment, Planning, and Evaluation

Cannot be delegated

Circumstance (5 Rights of Delegation)

Stable patient? Person stretched thin/too busy?

Person (5 Rights of Delegation)

Are they experienced enough? Whithin state or agency scope? Are they competent enough?

New hire/grad?

Direction/Communication (5 Rights of Delegation)

Defined clearly? Straightforward in what to expect and report?

Supervision

Delegated task ensures done? Follow up assessment done?

Evaluation