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NUR 3125 Delegation Template

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This is a comprehensive and detailed template on Delegation.

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  • October 17, 2024
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Delegation


RN’s do NOT Delegate below


Unstable
• New admission
• Returning to floor after procedure
NO Delegating: RN ONLY
U clients
• “Post-Operative” after surgery
• Unstable blood sugar, vitals, Lab values
1st
2nd
LVN LPN


• Sudden change RR, neuro status. • IV PUSH (IV piggy back varies state to state)
• Blood transfusion & blood products
Trending / Interpreting data
E Evaluation
• Lab Values, Pain, Vital Signs • Central line drugs: Chemo, TPN

A Assessments Initial, First, Primary assessments
• New admission, “Post-Operative”


T Teaching Initial, First, Primary education




RN’s Never delegate
Can NOT Delegate
U E A T

LVN / LPN LVN LPN Secondary
Re-inforce
CNA, UAP NCLEX
Assess, Teach, Monitor
Secondary, Re-inforce, Follow-up
Follow-up V - Vitals
NOT initial, first or primary
A - Ambulation
Meds:
NO IV push! P - Position changes / Bathing
• Yes: Monitor blood transfusion
E - Eating
LVN LPN
• Yes: Administer IVPB meds,
but NO titrating (changing) rate
• Yes: Maintain IVs
• Yes: Calc. & monitor IV flow rates R - Recording I & O
NO Teaching
NO Assessment
NO Meds

Yes No
• Long-term patient • NO newly admitted
• Going to be discharged • NO new post-op
• NO evaluation (labs, vitals)
• Initial assessment
• teaching




Top Missed NCLEX Questions Top Missed NCLEX Questions
Which of the following should the registered nurse delegate to the LPN (LVN)? A client newly admitted for an myocardial infarction. Appropriate activities to assign
Select all that apply. to unlicensed assistive personnel (UAP) would include all the following except:

1. Administering subcutaneous insulin Secondary assessment 1.Teaching about what foods
NEVER teaching
are high in sodium
2. Assessment of client returning after
a ERCP procedure 2. Recording input & output
High in sodium
3. Initiating a primary IV medication 3.Assisting with ambulation
4. Reinforce teaching for a client
to the restroom
recovering from surgery 4.Reporting to the nurse that
5. Urinary catheterization the patient complained of
chest pain
6. Secondary assessment of clients
chest pain

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