During a midday staffing huddle on an inpatient rehabilitation floor, the nursing supervisor is distributing upcoming client care activities. To maintain client safety and comply with scope of practice regulations, match each specific clinical intervention to the most appropriate healthcare team member.
- Completing the comprehensive admission assessment and formulating the initial plan of care for a new transfer.Registered Nurse (RN)
- Administering a scheduled oral analgesic and reinforcing previously taught information about fall precautions.Licensed Practical/Vocational Nurse (LPN/VN)
- Assisting a hemodynamically stable client with transferring from the bed to a chair and recording meal intake.Unlicensed Assistive Personnel (UAP)
- Explaining the specific surgical risks, benefits, and alternative treatment options to obtain informed consent.Primary Healthcare Provider (Surgeon/Physician)
Answer
The comprehensive assessment matches to the RN. Medication administration and teaching reinforcement match to the LPN/VN. Basic transfers and intake recording match to the UAP. Explaining surgical risks matches to the Primary Healthcare Provider.
Delegation relies on the National Council of State Boards of Nursing (NCSBN) guidelines. The RN retains accountability for comprehensive assessments and the initial plan of care. The LPN/VN safely provides care to stable clients with predictable outcomes, including administering routine medications and reinforcing education. The UAP handles standard, unchanging routines. Finally, the primary healthcare provider holds the legal responsibility for explaining surgical risks and obtaining informed consent.
Step-by-Step Solution
Key Concept
Delegation and Scope of Practice Guidelines
Estimated Time:1m 30s