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Difficulty: HardClient Care Assignments and Collaboration

An acute care unit is managing the discharge preparation for a client newly diagnosed with type 1 diabetes mellitus. Various healthcare professionals are collaborating to ensure the client is ready for a safe transition home. Based on legal scopes of practice and delegation guidelines, match each clinical task with the most appropriate healthcare team member.

  • Providing in-depth medical nutrition counseling on advanced carbohydrate counting.Registered Dietitian (RD)
  • Recording the percentage of the dietary tray consumed and assisting with menu completion.Assistive Personnel (AP)
  • Developing the initial educational plan regarding insulin action and recognizing signs of hypoglycemia.Registered Nurse (RN)
  • Reinforcing the established teaching plan on proper subcutaneous injection site rotation.Practical Nurse (PN)

Answer

Developing the initial educational plan maps to the Registered Nurse (RN). Reinforcing the established teaching plan maps to the Practical Nurse (PN). Providing in-depth medical nutrition counseling maps to the Registered Dietitian (RD). Recording the percentage of the dietary tray consumed maps to Assistive Personnel (AP).
Safe and effective care delegation relies on understanding the legal scopes of practice for each team member. The Registered Nurse (RN) is responsible for all initial assessments, care plan formulation, and primary client education. The Practical Nurse (PN) may safely reinforce teaching that the RN has already established and perform standard nursing interventions. The Registered Dietitian (RD) is the appropriate interprofessional collaborator for specialized, complex nutritional counseling. Finally, Assistive Personnel (AP) are assigned routine, standard tasks with predictable outcomes, such as assisting with basic daily activities and recording intake.

Step-by-Step Solution

1
Analyze the task requiring initial education and care plan development.
This task must be assigned to the Registered Nurse (RN).
The RN is legally responsible for initial comprehensive assessments and formulating the primary teaching plan.
2
Analyze the task involving the reinforcement of an established teaching plan.
This task should be assigned to the Practical Nurse (PN).
The PN scope of practice permits reinforcing education that has already been initiated by the RN.
3
Analyze the task requiring in-depth medical nutrition counseling.
This task is referred to the Registered Dietitian (RD).
The RD is the interprofessional team member with specialized training to provide advanced medical nutrition therapy.
4
Analyze the task involving recording intake and assisting with menu completion.
This task is delegated to Assistive Personnel (AP).
APs are safely assigned routine, standard tasks with predictable outcomes that do not require nursing judgment.

Key Concept

Interprofessional collaboration and delegation based on legal scopes of practice.
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Topics

Client Care Assignments and Collaboration

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