An in-patient oncology unit is exceptionally busy, and the charge nurse delegates two specific tasks to a practical nurse (PN). First, the PN is asked to conduct the comprehensive initial admission assessment for a newly arrived client. Second, the PN is instructed to explain the risks and benefits of an upcoming bone marrow aspiration to another client and subsequently obtain their signature on the informed consent form. Based on the legal scope of practice, which statement by the PN is the most appropriate response?
- AI will explain the risks of the procedure and secure the signature, but the admission assessment must be completed by a registered nurse.
- BI can perform the initial admission assessment, but the provider must explain the bone marrow aspiration before I can witness the signature.
- I am unable to perform the initial admission assessment or explain the procedural risks, as both tasks exceed my legal scope of practice.Answer
- DI will obtain the signature on the consent form immediately to prevent delays, provided the physician explains the risks prior to the procedure.
Answer
The PN must decline both tasks, stating that performing an initial admission assessment and explaining procedural risks both exceed the practical nurse's legal scope of practice.
The legal scope of practice for a practical nurse (PN) prohibits performing a comprehensive initial admission assessment, which requires the advanced clinical judgment of a registered nurse (RN). Additionally, explaining the risks, benefits, and alternatives of a medical procedure is the sole legal responsibility of the healthcare provider. The PN may only act as a witness to the client's signature on an informed consent form after the provider has completed the explanation. Therefore, the PN must correctly identify that both delegated tasks fall outside their legal scope.
Step-by-Step Solution
Key Concept
Scope of Practice and Delegation Limitations