Management of Care

Question 1

Assignment

Answer 1

routine care, activities, and procedures that are within the authorized scope of practice

sharing of routine work

assigned tasks should be part of course work taught in basic edu program of the staff member

Question 2

Delegation

Answer 2

allowing a specific task to be performed that is not routinely performed and is beyond the traditional role of the individual to which the nursing activity, skill, or procedure is delegated.

• must have received additional training or education
• must have shown competency
• you can delegate the responsibility of the task, but you cannot delegate the ultimate accountability

Question 3

5 Rights of Delegation

Answer 3

right task
right circumstances
right person
right direction & right communication
right supervision & right evaluation

Question 4

UAP

Answer 4

nursing assistant, scrub tech, clinical tech, etc.

can perform tasks on STABLE clients

they do routine, simple, repetitive, common activities that do not require nursing judgement

UAP cannot perform sterile procedures or give meds

no assessment (this includes addmission ht and wt bc its part of initial assessment)

Question 5

LPN

Answer 5

no assessment or evaluation

can assist in data collection / updates client data

only does care for STABLE client

only RN can do admission history

can do treatments, medications, fingersticks, etc.

cannot develop plan of care (devise a teaching plan for client)
- they can do teaching, but its basic, standardized teaching or reinforced teaching

can’t push IV pain meds or blood products

Question 6

Ex of unstable client

Answer 6

new admission

low blood sugar client

changes in routine VS (neuro checks / increasing BP)
- unstable vital signs

coming back from an invasive procedure

Question 7

4 C’s of communication

Answer 7

clear
concise
correct
complete

provide this type of communication at the time of delegation and provide continued direction on ongoing basis

• need to give a time frame and the priority of the task

Question 8

Supervision of Delegation

Answer 8

follow-up

• was the task done properly and in a safe manner?
• was the task done in a proper time frame?
• were the client’s needs met?

Question 9

Social Media and Patient Privacy

Answer 9

no identifying factors EVER

only generic statements that can’t be tracked to anyone

no negative comments about facility, coworkers, or patients