A licensed practical/vocational nurse (LPN/VN) is caring for a client receiving continuous enteral tube feedings. The LPN/VN plans to delegate morning oral hygiene and repositioning to an assistive personnel (AP). Arrange the steps of this delegation process in the correct chronological sequence based on the National Council of State Boards of Nursing (NCSBN) guidelines.
- 1Review the client's current respiratory status and aspiration risk to ensure the task is safe to delegate.
- 2Confirm that the specific AP has the documented skill competency to safely provide care around enteral tubes.
- 3Instruct the AP on the exact parameters, emphasizing the need to keep the head of the bed elevated to at least 30 degrees.
- 4Examine the client's oral cavity afterward and verify the AP accurately documented the completed care.
Answer
The correct sequence follows the NCSBN Five Rights of Delegation: first assessing the client's stability (Right Circumstance/Task), second verifying the AP's competency (Right Person), third providing clear instructions (Right Direction/Communication), and fourth following up on the care (Right Supervision/Evaluation).
Effective and safe delegation requires a systematic approach based on the NCSBN Five Rights. The nurse must first ensure the client is stable enough for the task to be delegated (Right Circumstance/Task). Next, the nurse must ensure the chosen delegate is competent (Right Person). Then, the nurse must provide clear, specific instructions including safety parameters (Right Direction). Finally, the nurse remains accountable and must follow up to evaluate the outcome (Right Supervision).
Step-by-Step Solution
Key Concept
NCSBN Five Rights of Delegation for LPN/VN Practice
Estimated Time:1m 30s