Author Question: Which principles of delegation should the LPN/LVN charge nurse follow when delegating a duty to a ... (Read 78 times)

rmenurse · **on:** Jul 17, 2018

Which principles of delegation should the LPN/LVN charge nurse follow when delegating a duty to a nursing assistant? (Select all that apply.)

a. Choose a nursing assistant who is competent to perform the delegated duty.
b. Determine the nursing assistant's willingness to accept the delegated duty.
c. Transfer responsibility for the duty to the nursing assistant accepting the delegation.
d. Permit the nursing assistant to perform the duty without guidance or monitoring.
e. Plan to delegate duties the LPN/LVN charge nurse enjoys least.

Question 2

To which goal should the LPN/LVN give priority?

a. Resident X who has been experiencing a medication reaction will have no rash and uncompromised respirations.
b. Resident Y who is obese and has had a recent knee replacement will ambulate using a walker with the assistance of a staff member.
c. Resident Z will receive blood glucose monitoring and insulin as ordered.
d. All residents will be weighed before breakfast.

macagnavarro · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

ANS: A, B
Choosing a nursing assistant who is competent to perform the delegated duty fulfills the Right Person criteria. Delegation is complete only when the nursing assistant accepts the delegated duty. Responsibility for a delegated duty cannot be transferred. The LPN/LVN charge nurse is responsible for supervision and evaluation. Delegated duties should not necessarily be those that the nurse does not enjoy.

Answer to Question 2

ANS: A
The goal for the resident who has been experiencing a medication reaction that states he will have no rash and uncompromised respirations reflects a level 1 priority, a life-threatening situation. The goal for an obese resident who has had a recent knee replacement that states she will ambulate using a walker with the assistance of a staff member is level 2, essential to safety. The remaining options are level 3 priorities, essential to the medical/nursing plan of care.