DELEGATION &
THE LPN
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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
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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/UAPUNLICENSED
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)