The LPN/LVN charge nurse at the long-term care facility has ...

[MGLQZ]

The LPN/LVN charge nurse at the long-term care facility has assigned a newly licensed LPN/LVN to care for a resident needing a colostomy irrigation. The new LPN/LVN voices concern, because he has never performed a colostomy irrigation.
 
  What would be the best course of action for the LPN/LVN charge nurse?
  a. State, A colostomy irrigation is just like giving an enema. You'll be fine.
  b. Tell the new LPN/LVN, I'll do the irrigation while you care for your other assigned residents.
  c. Delegate the procedure to a willing nursing assistant.
  d. Arrange to supervise the new LPN/LVN as he performs the irrigation.

Question 2

Which information can be omitted when the LPN/LVN charge nurse gives the change-of-shift report?
 
  a. Routine care for each resident
  b. New problems for any resident
  c. Prn medication administered
  d. New medical orders

[lin77x]

Answer to Question 1

ANS: D
This action provides the supervision the new employee needs, and the new LPN/LVN probably will be capable of performing the task independently in the future. Stating, A colostomy irrigation is just like giving an enema. You'll be fine does not recognize the need for supervision. Telling the new employee that the charge nurse will do the irrigation while the LPN/LVN cares for other assigned residents increases the workload of the charge nurse with no change in the employee's capabilities. Delegating the procedure to a willing nursing assistant would be inappropriate. The delegate should be competent, and the delegation should be acceptable according to state and agency policy.

Answer to Question 2

ANS: A
Routine care should not be included in the change-of-shift report. It is recorded on the resident's Kardex and care plan and documented in the medical record and flow sheets. The change-of-shift report should focus on new information about residents.

[MGLQZ]

TYSM

[LVPMS]

Thanks for the timely response, appreciate it