DELEGATION

Nursing Assistant
- ADLs/Noninvasive
- Assi st
- Remind/Reinforce: usually reminds pt. TO
do something rather than HOW to do it
(skills previously taught by other health
care professional or precaution
measures)***
** Usually in regards to ADLs (hygiene,
nutrition, ambulating, skin care), turning,
repositioning, cough deep breathe ROM **
- Special positioning-- requires initial
education by RN -- assistant will assist not
teach
- /O , VS, Weight
- They can detach suction and remove a
foley but not connect or insert
- Gather (equipment)

LVN/LPN
- Auscultate/Listen
- Check(s)
- Reinforce/remind
- Administer (PO,SubQ,M -- NO high alert
meds, plasma, blood products-- these and
V are done by RN)
- Observe
- Collect (data, specimens)
- Monitor
- Set up (basic equipment)
- Review/Teach-- Usually standard
practices (hand washing/hygiene) or med
administration (ie. eye drops) -- RN mostly
teaches/educated and LPNs Reinforce
- Routine/Standard
- Wound care/Suction/Urinary Cath/Blood
glucose readings
** Don't assign LVN/LPN to do a task an
nurse assi stant can complete**

RN
- Assess
- Plan
- Evaluate
- Consult
- Teach/Educate
- Encourage
- Develop
- Review
- Update
- Counsel
- Suggest
- nitial/Comprehensive/Baseline
(assessments)
- Frequent/Ongoing assessments (unstable
pts)


Physician
-nformed Consent
-Medical diagnosi s
-Prescriptions
-Order procedures

Avoid These Assignments for
New/Float/LVN/LPN/Traveling
-New onset/sudden/acute
-New admission
-Transfer
-Newly diagnosed
-Discharge
-Require education/teaching (beyond basic
skills -- tend to be complex and specific to
patients on that particular unit)
- Unstable (ie. High risk of sudden
respiratory failure, or requires frequent
assessments and changes in therapy(like
electrolyte imbalances)


Give
- Chronic
- Routine meds/procedures
- Stable


ALL HEALTHCARE WORKERS
- Responsible for knowing about and
implementing standard precautions +
airborne/droplet/contact --> therefore all
can teach about it or prepare a room for it