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Question

Difficulty: EasyClient Care Assignments and Collaboration

Match each clinical task with the interprofessional team member whose scope of practice is most appropriate to safely perform the action.

  • Performing the comprehensive initial admission assessmentRegistered Nurse (RN)
  • Administering a scheduled oral antibiotic to a stable clientLicensed Practical/Vocational Nurse (LPN/VN)
  • Assisting a stable client with a bed bath and morning hygieneUnlicensed Assistive Personnel (UAP)
  • Prescribing a new intravenous pain medication for a postoperative clientPrimary Healthcare Provider

Answer

The comprehensive assessment maps to the RN, routine oral medication administration maps to the LPN/VN, basic hygiene maps to the UAP, and prescribing medication maps to the Primary Healthcare Provider.
Safe delegation requires assigning tasks according to established legal scopes of practice. The primary healthcare provider prescribes treatments; the RN completes comprehensive initial assessments; the LPN/VN administers routine medications to stable clients; and the UAP assists with activities of daily living.

Step-by-Step Solution

1
Identify the task requiring prescriptive authority.
Prescribing a new intravenous pain medication maps to the Primary Healthcare Provider.
Nurses (RN, LPN/VN) and UAPs do not have the authority to prescribe medical treatments or medications.
2
Identify the task requiring the highest level of nursing judgment and initial data synthesis.
Performing the comprehensive initial admission assessment maps to the Registered Nurse (RN).
The RN scope of practice legally encompasses the initial comprehensive assessment, which cannot be delegated to an LPN/VN or UAP.
3
Evaluate the remaining tasks for LPN/VN and UAP delegation.
Administering scheduled oral antibiotics maps to the LPN/VN, and assisting with a bed bath maps to the UAP.
LPN/VNs are trained to administer routine medications to stable clients, while UAPs are trained to assist with basic activities of daily living.

Key Concept

Delegation and Scope of Practice
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Topics

Client Care Assignments and Collaboration

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