The healthcare team on an acute care medical-surgical unit is organizing client care for the shift. Match each specific clinical task to the interprofessional team member most qualified and legally authorized to perform it.
- Administering a continuous intravenous (IV) heparin infusion for a client with deep vein thrombosisRegistered Nurse (RN)
- Performing tracheostomy care and suctioning for a client with a stable, well-established airwayLicensed Practical/Vocational Nurse (LPN/VN)
- Reporting a client's decreased oral fluid intake and dry mucous membranes to the primary nurseUnlicensed Assistive Personnel (UAP)
- Facilitating home health services and securing durable medical equipment for a client nearing dischargeCase Manager
Answer
The RN administers the continuous IV heparin; the LPN/VN performs tracheostomy care on the stable airway; the UAP reports the oral intake and dry mucous membranes; and the Case Manager facilitates home health services.
Each task is appropriately delegated according to the principles of safe client care. The RN handles unstable, high-risk interventions requiring advanced assessment (IV heparin). The LPN/VN manages stable clients with predictable outcomes (established tracheostomy). The UAP handles basic care and reporting without making clinical judgments. The Case Manager coordinates resources across the continuum of care.
Step-by-Step Solution
Key Concept
Interprofessional collaboration and delegation based on legal scope of practice and the NCSBN National Guidelines for Nursing Delegation.