Author Question: NAP Z has just received his assignments for the shift. One of his assignments is to reinforce ... (Read 87 times)

krzymel · **on:** Jul 7, 2018

NAP Z has just received his assignments for the shift. One of his assignments is to reinforce teaching provided by the last shift for Patient Q regarding a diabetic diet.

Is this task delegated correctly and to which of the Five Rights of Delegation does it pertain? a. Yes. NAP Z has 10 years of experience and has worked with patient Q for the past year during frequent hospital admissions. They have built a trusting relationship (under the right circumstances).
b. No. While the NAP is experienced in this area and may be able to do this, too much supervision will be required and this may not be the time for this activity (right time).
c. Yes. NAP Z is a diabetic himself and he is familiar with diabetic diets; therefore it is fine for him to only reinforce this type of teaching (right directions and communication).
d. No. Teaching cannot be delegated to a NAP (right task).

Question 2

A nurse manager wishing to positively affect the budget could employ which of the following strategies?

a. Increase patient charge items c. Maintain productivity
b. Maintain patient length of stay d. Evaluate staff downtime

pangili4 · **Reply #1 on:** Jul 7, 2018

Answer to Question 1

D
The Five Rights of Delegation specify how nursing tasks can and should be delegated to other staff members. Certain tasks, such as teaching and counseling, cannot be delegated to nursing assistive personnel (NAP) due to the need for judgment and nursing knowledge required. In the example given above, this task is incorrectly delegated (right task) and also it is delegated to the wrong staff person (right person). Even though NAP Z may have prior experience with this particular patient and may be familiar with diabetic diets due to the fact that he is a diabetic himself, he still lacks the knowledge, education, skills, and credentials (as a NAP) to be able to provide teaching.

Answer to Question 2

D
Some strategies that staff can use to positively affect the budget are to evaluate staff downtime, enter
charges in a timely manner, reduce the patient length of stay, enhance productivity, analyze the cause
of delays, and explore new products.