Which situations cause concerns with liability with regard to ...

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Which situations cause concerns with liability with regard to delegation? Select all that apply.
 
  1. The nurse asks the LPN to assess a central line dressing for her.
   2. The supervisor asks the charge nurse to give a nurse a difficult assignment.
   3. The nursing supervisor asks the nurse to discuss a client's history with the
  supervisor.
   4. The nursing assistant asks a nurse to check on a client's status.
   5. The nurse asks a nursing assistant to assist another nursing assistant to obtain vital
  signs.

Question 2

For the nurse to effectively and legally delegate, which of the following must be consulted and followed to reduce the likelihood of liability?
 
  1. The National Council of State Boards of Nursing Rights
   2. The American Nurses Association By-Laws
   3. The rules of the governing specialty organization
   4. The regulations of the state nurse practice acts

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Answer to Question 1

Answer: 1; 2; 3
Rationale:
 The nurse asks the LPN to assess a central line dressing for her. The LPN cannot usually work with central lines, and cannot legally assess the dressing for the RN.
 The supervisor asks the charge nurse to give a nurse a difficult assignment. Requesting that a nurse have a difficult assignment is leaving the organization wide open for liability issues.
 The nursing supervisor asks the nurse to discuss a client's history with the supervisor. Under normal circumstances, the nursing supervisor would not need information about a client's history. This constitutes a HIPAA violation.
 The nursing assistant asks a nurse to check on a client's status. This is appropriate if the nursing assistant is concerned about a client's status and does not involve delegation, as the nurse is not assessing the client in place of the nursing assistant assessment.
 The nurse asks a nursing assistant to assist another nursing assistant to obtain vital signs. This is appropriate, as the nurse can delegate obtaining vital signs.

Answer to Question 2

Answer: 4
Rationale: Nurses in each state are governed by their own state's nurse practice act, and these regulations must be consulted and followed. The ANA, NCSBN, and specialty organizations cannot make rules or regulations differing from those in the nurse practice acts.

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Excellent

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