A registered nurse (RN) is preparing to delegate the task of assisting a client with early ambulation on the first postoperative day to an unlicensed assistive personnel (UAP). In what order should the RN perform the following steps to ensure safe and effective delegation? Arrange the actions in the correct sequence from first to last.
- 1Assess the client's vital signs, pain level, and ability to bear weight.
- 2Verify the UAP's competency and facility policy regarding postoperative ambulation.
- 3Communicate specific instructions, including the distance to walk and signs of orthostatic hypotension to report.
- 4Monitor the UAP and client periodically during the ambulation process.
- 5Evaluate the client's tolerance of the activity and review the UAP's documentation.
Answer
The correct sequence for safe delegation follows the nursing process and NCSBN delegation guidelines: first assess the client, then verify the delegatee's competence, provide clear instructions, monitor the execution of the task, and finally evaluate the client's outcome.
The correct sequence adheres to the National Council of State Boards of Nursing (NCSBN) guidelines for the delegation process. The RN must first assess the client's needs (Right Circumstance). Second, the RN verifies the delegatee's competence (Right Person). Third, the RN communicates clear instructions (Right Direction). Fourth, the RN monitors the task execution (Right Supervision). Finally, the RN evaluates the outcome and the client's response.
Step-by-Step Solution
Key Concept
The Five Rights of Delegation and the NCSBN Delegation Decision-Making Process