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Sunday, 14 September 2014

Lesson 51: DELEGATION Part 1




ReMar Review Youtube Video on Delegation




Title
NCLEX Tasks
Aide
STABLE PATIENTS: Feeding, Positioning, Bathing, Ambulation, Transferring
Licensed Practical Nurse
PATIENTS CAN BE SICK BUT THEY MUST HAVE PREDICTABLE OUTCOMES: Measurements, Foley catheters, Sterile Dressings, Heating blankets/Cooling Pads, Oral suctioning, Proper Documentation
Registered Nurse
PATIENTS ARE UNSTABLE: Crisis situations, Triage, IVs, Wound Vacs, Trach care, Evaluating lab results, Assigning patients, Admissions/Triage, Teach, Proper Documentation




ReMar Career Reminder: Licensed nurses (RN/PNs) have ultimate accountability for the management and provision of nursing care, including all delegation decisions.

Most people say don’t delegate what you can’t EAT (Evaluate, Assess, TEACH) but it goes way deeper than that on NCLEX.

ReMar NCLEX Tips: 

1.     If patient is unstable in any way DO NOT give to AIDE
2.     AIDEs are NOT allowed to make judgement calls
3.     It is the responsibility of the nurse to make sure the AIDE is competent in delegated tasks
4.     Don’t rely on what you see in the “real world”
5.     Nurses are also the supervisors of the aide



The 5 Rights of Delegation are:

1. Right task – The task must meet all
of the previously cited criteria and be
appropriate to delegate.
2. Right circumstance – Delegation
must be appropriate to the client
population and practice setting.
3. Right person – The nurse must
ensure the right task/activity is being
delegated to the right person (UAP)
and competence has been validated by
an RN.
4. Right communication – The
nurse must provide clear, concise
instructions for performing the taskactivity.
5. Right supervision -The nurse must
provide appropriate supervision/
monitoring, evaluation, and feedback
of the performance of the tasks/
activities.




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