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Assignment Delegation Mnemonics

This document provides guidelines for assigning tasks to different levels of healthcare workers based on their scope of practice and qualifications. It outlines that registered nurses (RN) can perform invasive procedures and manage complex patient care, licensed practical nurses (LPN/LVN) can perform certain invasive tasks like catheterization and wound care, and nursing assistants can assist with basic care tasks that do not require clinical judgment. It emphasizes assigning stable patients requiring routine care, and avoiding assigning new, unstable, or education-intensive patients to LPNs, traveling nurses, or floats.

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Heraldo D. Ramos
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2K views

Assignment Delegation Mnemonics

This document provides guidelines for assigning tasks to different levels of healthcare workers based on their scope of practice and qualifications. It outlines that registered nurses (RN) can perform invasive procedures and manage complex patient care, licensed practical nurses (LPN/LVN) can perform certain invasive tasks like catheterization and wound care, and nursing assistants can assist with basic care tasks that do not require clinical judgment. It emphasizes assigning stable patients requiring routine care, and avoiding assigning new, unstable, or education-intensive patients to LPNs, traveling nurses, or floats.

Uploaded by

Heraldo D. Ramos
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Assignment/Delegation Mnemonics

RN - Invasive procedure = I AM RN EDUCATED - Initial/Comprehensive/Baseline (assessments) - Assess (FREQUENT/ONGOING =UNSTABLE Patients) - MANAGING and LEADING client care environment Ex. Clients who are in severe and Refusing Meds (needs more assessment) - Review - NSG Process/ NSG Judgement Use (APIE= Assessment,Planning, Implementation,Evaluation) - Encourage - Develop - Use Of IV meds (ex. plasma, blood products-- these and IV are done by RN only) - Consult/Counsel/Suggest & Update - ADMISSION .. NEW & POST OP - Teach - Educate - DISCHARGE & ADMISSION Preparation LPN/LVN-Certain Invasive Task =I-SOUND STAR CROSS ++ - IM adm - SQ adm. - ORAL meds adm - URINARY CATHETERIZATION - Nitroglycerin - DREASSING of WOUND (CHANGING & IRRIGATING) very commonly seen Q. - SUCTIONING - TUBE FEEDING - Auscultate/Listen - Routine/Standard - Check(s) - Reinforce/remind - Observe - Set up (basic equipment) - Specimen Collection & Data Colletion + -Blood glucose readings

-Monitor -Review/Teach-- Usually standard practices (hand washing/hygiene) or med administration (ie. eye drops) -- RN mostly teaches/educated and LPNs Reinforce + CAST & TOE Amputation are stable clients and need on going assessment and pain mgt./La Charity Book(Dont know too..just dont deprive with it.. just follow the book Data Collection such as LISTENING to LUNG SOUNDS & CHECKING for PERIPHERAL EDEMA_Part of LPN scope of practice: /LaCharity Book ** Don't assign LVN/LPN to do a task an nurse assistant can complete** NURSING ASSISTANT/UAP- Unlicense assistive personnel - Non Invasive procedure/Basic Care =SPARRTACUS GROAM +++ -SKIN CARE (ex. bed rest with a skin tear and hematoma from a fall 2 days ago, Apply and care for a clients rectal pouch ) -POSITIONING-- Special positioning-- requires initial education by RN -- assistant will assist not teach -AMBULATION/ Assisting with ADL (AMBULATION of FRACTURED HIP only RN& PT) ( Patienst with CHESTUBE ambulating the hall-LPN/LVN) -RECORDING & MONITORING of V/S (BP,Pulse, Oxygen sat,) -RANGE OF MOTION &EXERCISE -TRANSPORT OF CLIENT -ASSIST (Assisting for Prep for SITZ Bath) -COLLECTION OF -URINE & -STOOL -GROAM (Groaming & Hygiene Measure, Bathing & checking water temp) + WEIGHTING INTAKE & OUTPUT FEEDING + - 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)*** - They can detach suction and remove a foley but not connect or insert - Gather (equipment) + - Measurement of ankle and bracial blood pressure for ankle brachial index calculation.(Calculated already) ( Calculation on the ankle-brachian index is responsibility of RN) -Experienced Nsg Assistant should have been taught how to.. Monitor Apical Pulse, However, the RN should observe to be sure that s/he mastered this skills. ---La Charity Book--NEW RN -Education and hospital orientation includes.. SAFE administration of IV meds.

-STABLE PATIENTS SOME KEY POINTS: Patients that require teaching about drugs or need procedures done are NOT RN priority. PHYSICIAN -Informed Consent -Medical diagnosis -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

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