NCLEX Review & Nursing School

Management and Delegation

In the NCLEX, you will be given questions that assess your ability as a nurse to delegate.

A Registered Nurse is not able delegate.

• Evaluation of patient in a nursing careplan.

A Registered Nurse is able to delegate.

• Bathing a patient
• Vital Signs

Nursing Assistant

• ADLs/Noninvasive
• Assist
• 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-
• I/O ,
• VS,
• Weight-
• Gather (equipment)

LVN/LPN

• Auscultate/Listen
• Check(s)-
• Reinforce/remind
• Administer (PO,SubQ,IM — NO high alert meds, plasma, blood products)
• 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 (if anyone else has example of instances when LVN/LPN teach that would be great- Routine/Standard-
• Wound care/Suction/Urinary Cath** Don’t assign LVN/LPN to do a task an nurse assistant can complete**

RN-

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

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)

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