Management of Care: Delegation

Deos a RN delegate to ANOTHER RN?

No, a RN ASSIGNS another RN.

To whom does RN delegate?

To a LPN/LVN and a UAP. Remember you Delgate Down and Assign Across.

Does a RN delegate to a physical therapist, respiratory therapist, or social worker?

No, RN’s refer to or collaborate w/ these other professionals.

Can the RN delegate starting an IV to a LPN?

No

Can a RN delegate administrating a blood transfusion to a LPN?

No

Can a RN delegate patient teaching to a LPN?

NO. But the LPN can REINFORCE or REVIEW teaching the RN has already performed.

Can a RN delegate hanging or mixing IV medications to a LPN?

No

Can a RN delegate assessing a changing situation to a LPN?

No

Can a RN delegate evaluating a patient to the LPN?

No

Can a RN delegate planning care to a LPN?

No

Can a RN delegate an admission assessment, transfer w/in hospitl assessment, or discharge assessment to a LPN?

No

Can a RN delegate an IV push med administration to a LPN?

No

What CAN the RN delegate to a LPN?

Direct patient are, assessment of, and non-IV med administration of STABLE clients.W

What 4 things can a RN not delegate to an UAP?

Charting about the patient (they can document what they did), medication administration (except for topical skin lotions), assessments (except VS on STABLE patients), & treatments (except non-sterile at home).

Which of these could not be delegated to an UAP performing patient care on a stable patient in their home?: Trach suctioning, wound dressing change, administrating a tube feeding, straight catheterization of the bladder, changing a central line.

Changing central line dressing is RN ONLY. The other 4 are NON-STERILE in the home therefore can be performed by an UAP.