Which intervention can the nurse safely delegate to an unlicensed assistive personnel UAP )?

Snapshot: This article reviews the scope of practice for different types of nurses and nursing assistants, and tasks that may and may not be delegated to different types of personnel. Delegation is a central feature of contemporary nursing practice, and a key component of professional academic nursing knowledge.

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Índice

  • Delegation Overview
  • RN’s (Registered Nurses)
  • LPN’s (Licensed Practical Nurses)
  • UAP’s (Unlicensed Assistive Personnel)
  • Which task can a licensed practical nurse LPN safely delegate to unlicensed assistive personnel UAP )?
  • Which of the following tasks should the RN delegate to the LPN?
  • Which aspect of patient care is most appropriately delegated to the LPN LVN?
  • What tasks can be assigned to an LPN?
  • What can be delegated to an LPN and UAP?
  • What are 3 tasks an RN can delegate to LPN?
  • What can’t an LPN do?
  • Which of the following tasks could the nurse safely delegate to unlicensed assistive personnel?
  • Which intervention can the nurse safely delegate to an unlicensed assistive personnel UAP )?
  • What can an LPN delegate to a UAP?
  • Which tasks would be appropriate for the LPN LVN to assign to an unlicensed assistive personnel UAP )?
  • What tasks can an RN delegate to a LPN?
  • What clients or tasks should be delegated to the LPN?
  • Which task may be safely delegated to a licensed practical nurse LPN?
  • Which of the following tasks can be delegated to a nursing assistant in a skilled nursing facility?
  • What can be delegated to an LPN?
  • What aspects of patient care can be delegated?
  • Which is an appropriate task for the nurse to delegate to a nursing assistant?
  • What are some duties of a LPN?
  • What Cannot be delegated to LPN?
  • What tasks can an RN delegate to an LPN ATI?
  • What can an LPN do that a UAP cant?
  • What tasks can not be delegated to a UAP?
  • What can a nurse delegate to an AP?

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Delegation Overview RN’s (Registered Nurses) LPN’s (Licensed Practical Nurses) UAP’s (Unlicensed Assistive Personnel)  

Delegation Overview

  • Delegation is the act of transferring responsibility and accountability to another person to carry out a task while maintaining accountability for the action and the outcome.
  • RN’s must delegate numerous tasks, and delegation is a core nursing responsibility. Nurses most frequently delegate tasks to LPN’s (Licensed Practical Nurses) and to unlicensed assistive personnel (UAP).
  • In deciding when and what to delegate, RN’s must take a number of factors into account, including the scope of practice required for the task, the complexity and predictability of the task, the potential for harm, and level of critical thinking required to perform the task.
  • Delegation is important for both practical and academic reasons. It is a core “real world” nursing skill, and it is also a major focus of the NCLEX-RN exam.

RN’s (Registered Nurses)

It is within an RN’s scope of practice to:

  • Independently assess, monitor and revise the nursing plan of care for patients of any kind
  • Initiate, administer, and titrate both routine and complex medications
  • Perform education with patients about the plan of care
  • Admit, discharge and refer patients to other providers
  • Delegate appropriate tasks to both LVN’s and UAP’s

Tasks that an RN may, therefore, perform include the ability to:

  • Initiate and administer blood to a patient
  • Administer high risk medications, including heparin and chemotherapeutic agents
  • Give IV medications and medications administered via IV push
  • Independently monitor and titrate medications
  • Perform any tasks that may be performed by LVN’s or UAP’s

LPN’s (Licensed Practical Nurses)

It is within an LPN’s scope of practice to:

  • Assist the RN by performing routine tasks with predictable outcomes
  • Assist the RN with collecting data and monitoring client findings
  • Reinforce an RN’s patient teaching, but not perform independent patient education or assessments
  • Perform any of the tasks that UAP’s (Unlicensed Assistive Personnel) are permitted to perform (see below)
  • Delegate tasks to UAP’s (Unlicensed Assistive Personnel)

Tasks that an LPN may, therefore, perform include the ability to:

  • Administer medications that are not high-risk
    • For example, LPN’s may administer standard oral medications, but not medications such as heparin or chemotherapeutic agents
    • Note: some states do not permit LVN’s to administer intravenous medications of any kind
  • Administer a nasogastric (NG) tube feeding
  • Perform wound dressing changes
  • Monitor blood products
    • LPN’s may not, however, initiate the infusion of blood products; only an RN may initiate the infusion
  • Do tracheostomy care
  • Perform suctioning
  • Check nasogastric tube patency
  • Administer enteral feedings
  • Insert a urinary catheter

With further education and certification only, LPN’s may administer:

  • Maintenance IV fluids
  • IV medications via piggy-back
  • Monitor infusions of IV fluids

It is not within an LPN’s scope of practice to: 

  • Administer high risk medications of any kind (such as Heparin and chemotherapeutic medications)
  • Administer IV push medications of any kind
  • Titrate medications of any kind
  • Independently provide patient education (about medications, disease processes, etc.)
  • Perform or chart admissions of patients, or to discharge patients

UAP’s (Unlicensed Assistive Personnel)

It is within a UAP’s scope of practice to:

  • Assist patients with activities of daily living (ADL’s), including:
    • Eating
    • Bathing
    • Toileting
    • Ambulating
  • Perform routine procedures that do not require clinical assessment or critical thinking, such as:
    • Phlebotomy (except for arterial punctures)
    • Take vital signs
    • Monitor intake and output (of food and drink, urine, etc.)

It is not within a UAP’s scope of practice to:

  • Perform assessments
  • Delegate tasks
  • Perform patient education
  • Perform tasks that require clinical expertise, including ‘routine’ tasks such as:
    • Administering medications
    • Administering tube feedings
    • Performing wound care or dressing changes

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Tasks that an LPN may, therefore, perform include the ability to:

  • Administer medications that are not high-risk.
  • Administer a nasogastric (NG) tube feeding.
  • Perform wound dressing changes.
  • Monitor blood products.
  • Do tracheostomy care.
  • Perform suctioning.
  • Check nasogastric tube patency.
  • Administer enteral feedings.

Which task can a licensed practical nurse LPN safely delegate to unlicensed assistive personnel UAP )?

(Options 2 and 5) Client positioning and measurement of vital signs and pulse oximetry may be delegated to unlicensed assistive personnel (UAP). Although LPNs can carry out these tasks, their time is better spent performing more complex client care (eg, medication administration) if UAP is available.

Which of the following tasks should the RN delegate to the LPN?

Which of the following should the nurse delegate to the LPN? obtain vital signs, administer a tap-water enema to a client who is postop, catheterize a client who has not voided in 8 hr. (others: provide discharge teaching, initiate a plan of care) A nurse is planning to assign tasks for a group of clients.

Which aspect of patient care is most appropriately delegated to the LPN LVN?

Appropriate tasks to assign to an LPN/LVN include tasks for stable patients with predictable outcomes such as suctioning, reinforcing patient teaching performed by an RN, performing sterile and unsterile dressing changes, and administering nonparenteral medications.

What tasks can be assigned to an LPN?

What are some common LPN duties?

  • Monitoring basic patient health such as vital signs and overall condition.
  • Changing dressings or inserting catheters.
  • Taking patient histories and maintaining documentation.
  • Assisting with tests or procedures.
  • Providing personal care, such as helping with bathing and toileting.

What can be delegated to an LPN and UAP?

In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated. But if the patient is morbidly obese, recovering from surgery, or frail, work closely with the UAP or perform the care yourself.

What are 3 tasks an RN can delegate to LPN?

Duties:

  • ambulating.
  • turning.
  • bathing.
  • intake and output (expect IV)
  • mouth care.
  • toileting (include basic ostomy care)
  • linen changes.
  • feeding.

What can’t an LPN do?

The Licensed Practical Nurse is not permitted to give any type of drug through an IV line (depending on the state). The LPN may flush a peripheral IV line in preparation for the Registered Nurse to give an IV medication, but the LPN cannot actually give it.

Which of the following tasks could the nurse safely delegate to unlicensed assistive personnel?

Measuring intake and output and obtaining a urine specimen for culture and sensitivity are both appropriate duties to delegate to the UAP.

Which intervention can the nurse safely delegate to an unlicensed assistive personnel UAP )?

Routine tasks, such as taking vital signs, supervising ambulation, bed making, assisting with hygiene, and activities of daily living, can be delegated to an experienced UAP. The charge nurse appropriately delegates the routine task of feeding to the UAP.

What can an LPN delegate to a UAP?

In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated.

Which tasks would be appropriate for the LPN LVN to assign to an unlicensed assistive personnel UAP )?

  • Bathe the client.
  • Provide spiritual support.
  • Listen to the client reminisce.
  • Administer routine medications.
  • Weigh the client.
  • Take vital signs.

What tasks can an RN delegate to a LPN?

RN (registered nurse)

  • Delegates to LPNs and CNAs (accountable for the task still)
  • Supervises the LPN and CNA.
  • Completes the assessment: assesses, plans, implements, and evaluates patient care.

What clients or tasks should be delegated to the LPN?

Tasks that an LPN may, therefore, perform include the ability to:

  • Administer medications that are not high-risk.
  • Administer a nasogastric (NG) tube feeding.
  • Perform wound dressing changes.
  • Monitor blood products.
  • Do tracheostomy care.
  • Perform suctioning.
  • Check nasogastric tube patency.
  • Administer enteral feedings.

Which task may be safely delegated to a licensed practical nurse LPN?

A nurse may delegate tasks such as taking vital signs, documenting intake and output, and performing blood glucose checks if she follows the five rights of delegation.

Which of the following tasks can be delegated to a nursing assistant in a skilled nursing facility?

A certified nursing assistant is qualified to assist the RN with many tasks. These can include helping with activities of daily living, including bathing, toileting, and ambulating clients. They may also take vital signs, count intake and output, and collect some lab specimens, such as for a urine sample.

What can be delegated to an LPN?

Tasks that an LPN may, therefore, perform include the ability to:

  • Administer medications that are not high-risk.
  • Administer a nasogastric (NG) tube feeding.
  • Perform wound dressing changes.
  • Monitor blood products.
  • Do tracheostomy care.
  • Perform suctioning.
  • Check nasogastric tube patency.
  • Administer enteral feedings.

What aspects of patient care can be delegated?

In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated.

Which is an appropriate task for the nurse to delegate to a nursing assistant?

What are some common LPN duties?

  • Monitoring basic patient health such as vital signs and overall condition.
  • Changing dressings or inserting catheters.
  • Taking patient histories and maintaining documentation.
  • Assisting with tests or procedures.
  • Providing personal care, such as helping with bathing and toileting.

What are some duties of a LPN?

Tasks that an LPN may, therefore, perform include the ability to:

  • Administer medications that are not high-risk.
  • Administer a nasogastric (NG) tube feeding.
  • Perform wound dressing changes.
  • Monitor blood products.
  • Do tracheostomy care.
  • Perform suctioning.
  • Check nasogastric tube patency.
  • Administer enteral feedings.

What Cannot be delegated to LPN?

Common Duties of the LPN/LVN

  • Recording the patients history.
  • Giving medication as prescribed by the physician.
  • Taking vital signs such as blood pressure, temperature, and weight.
  • Basic wound care including cleaning and bandaging injured areas.
  • Giving injections of medications.
  • Providing immunizations.

What tasks can an RN delegate to an LPN ATI?

The licensed nurse cannot delegate any activity that requires clinical reasoning, nursing judgment or critical decision making. The licensed nurse must ultimately make the final decision whether an activity is appropriate to delegate to the delegatee based on the Five Rights of Delegation (NCSBN, 1995, 1996).

What can an LPN do that a UAP cant?

Tasks that an LPN may, therefore, perform include the ability to:

  • Administer medications that are not high-risk.
  • Administer a nasogastric (NG) tube feeding.
  • Perform wound dressing changes.
  • Monitor blood products.
  • Do tracheostomy care.
  • Perform suctioning.
  • Check nasogastric tube patency.
  • Administer enteral feedings.

What tasks can not be delegated to a UAP?

The unlicensed assistive personnel can manage vitals every two hours. An LPN cannot administer IV push medications; therefore, the LPN cannot care for the patient with the PICC and multiple IV push medications.

What can a nurse delegate to an AP?

The UAP is responsible for accepting the delegation, seeking clarification of and affirming expectations, performing the task correctly and timely communicating results to the nurse. Only the implementation of a task/activity may be delegated. Assessment, planning, evaluation and nursing judgment cannot be delegated.

Which interventions can you delegate to the UAP?

The UAP is responsible for accepting the delegation, seeking clarification of and affirming expectations, performing the task correctly and timely communicating results to the nurse. Only the implementation of a task/activity may be delegated. Assessment, planning, evaluation and nursing judgment cannot be delegated.

What can a nurse delegate to a UAP?

In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated.

Which task may be safely delegated to unlicensed assistive personnel UAP )?

Documenting intake/output, assisting with activities of daily living, and performing other routine client care tasks can be safely delegated to the UAP.

Which tasks would the nurse assign to unlicensed assistive personnel UAP )?

the nurse to delegate to the unlicensed assistive personnel (UAP)? 1..
Check the client's skin under the restraints..
Administer the client's antipsychotic medication..
Perform the client's morning hygiene care..
Ambulate the client to the bathroom..
Obtain the client's routine vital signs..