A multidisciplinary team in a progressive respiratory care center is collaborating to provide client care. Match each specific clinical intervention to the team member who is most appropriate and legally authorized to perform it based on their defined scope of practice.
- Formulating the initial educational plan for a client newly prescribed noninvasive positive pressure ventilation.Registered Nurse (RN)
- Performing routine sterile endotracheal suctioning for a client with a long-standing tracheostomy.Licensed Practical/Vocational Nurse (LPN/VN)
- Securing a displaced continuous pulse oximetry sensor onto a client's finger after a bed bath.Assistive Personnel (AP)
- Adjusting the prescribed fraction of inspired oxygen (FiO2) concentration on a mechanical ventilator.Respiratory Therapist (RT)
Answer
Formulating the initial educational plan is assigned to the Registered Nurse (RN); performing routine sterile suctioning on a stable client is assigned to the Licensed Practical/Vocational Nurse (LPN/VN); securing the pulse oximetry sensor is assigned to Assistive Personnel (AP); and adjusting mechanical ventilator FiO2 is assigned to the Respiratory Therapist (RT).
Safe and effective delegation requires matching the complexity of the task and the stability of the client with the authorized scope of practice of the team member. The RN handles initial planning and education. The LPN/VN manages sterile procedures for stable, chronic clients. The AP handles non-invasive, routine tasks. The RT manages specialized respiratory equipment like mechanical ventilators.
Step-by-Step Solution
Key Concept
Interprofessional collaboration and delegation based on the NCSBN scope of practice guidelines for nursing and allied health professionals.