(2026): NUR 2048 Delegation, Lecture notes of Medicine

NUR 2048 Delegation explained UPDATED

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2025/2026

Available from 02/06/2026

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NUR 2048 Delegation
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What are the principles of delegation? (4) - Delegating to other nurses
- Delegating to Unlicensed personnel
- Delegation versus dumping
- Differentiating Delegation from Assignment
What are the 5 rights of delegation? 1. Right task
2. Right Circumstance
3. Right person
4. Right direction
5. Right supervision
What can UAPs do? (2) - Bathing
- ADL's
- Ambulation
What can LPNs do? (5) - Reinforce Teaching
- Administer IVPB (> 15 minutes)
- Initiate Blood Transfusions
- Insert and maintain foley
- Insert and maintain IV catheters
What can't LPNs do? (6) - Initiate Education
- Administer IVP
- Monitor Transfusion of Blood
- Care for an unstable patient
- Initiate a care plan
- The initial assessment on any new patient or a patient returning from procedure
What is delegation? Allowing a specific task to be performed that is not routinely performed and is
beyond the traditional role of the individual to which the nurse delegated the task
to.
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What are the principles of delegation? (4) - Delegating to other nurses

  • Delegating to Unlicensed personnel
  • Delegation versus dumping
  • Differentiating Delegation from Assignment

What are the 5 rights of delegation? 1. Right task

  1. Right Circumstance
  2. Right person
  3. Right direction
  4. Right supervision

What can UAPs do? (2) - Bathing

  • ADL's
  • Ambulation

What can LPNs do? (5) - Reinforce Teaching

  • Administer IVPB (> 15 minutes)
  • Initiate Blood Transfusions
  • Insert and maintain foley
  • Insert and maintain IV catheters

What can't LPNs do? (6) - Initiate Education

  • Administer IVP
  • Monitor Transfusion of Blood
  • Care for an unstable patient
  • Initiate a care plan
  • The initial assessment on any new patient or a patient returning from procedure

What is delegation? Allowing a specific task to be performed that is not routinely performed and is beyond the traditional role of the individual to which the nurse delegated the task to.

What is assignment? The routine care, activities, and procedures that are within the authorized scope of practice for the individual.

What are factors that affect delegation? (4) - Assignment patterns

  • Accepting delegation
  • Obstacles
  • Ineffective delegation

Which client care activity may a nurse safely delegate to an unlicensed health care worker?

  1. Assessing a client's mastectomy incision for signs of inflammation
  2. Assisting a client who is recovering from an abdominal hysterectomy to the bathroom
  3. Providing information about side effects to a client receiving chemotherapy for breast cancer
  4. Evaluating the effectiveness of an antiemetic that was administered to a client to relieve nausea
    1. Assisting a client who is recovering from an abdominal hysterectomy to the bathroom

A client with asthma and depression is admitted to the hospital. Which tasks delegated by the delegator would indicate the task is applicable for the registered nurse?

  1. "Administer oral antidepressants."
  2. "Administer a pain killer intramuscularly."
  3. "Teach the client how to use a meter dose inhaler."
  4. "Reinforce tips for stress management with the client."
    1. "Teach the client how to use a meter dose inhaler."