A clinical nurse leader is preparing to delegate the daily sterile dressing change of an immunocompromised client to an experienced licensed practical nurse (LPN). According to the National Council of State Boards of Nursing (NCSBN) delegation guidelines, arrange the following steps of the delegation process in the correct chronological order from first to last.
- 1Determine the client's current clinical stability and the complexity of the prescribed wound care.
- 2Confirm that the assigned LPN possesses the validated skill level and legal scope to perform the procedure.
- 3Outline the specific parameters, expected outcomes, and exactly what changes require immediate notification.
- 4Remain available on the unit to monitor the situation and provide guidance if complications arise during the procedure.
- 5Review the effectiveness of the wound care and ensure accurate procedural documentation was completed.
Answer
The correct sequence follows the NCSBN delegation model: Assess the client and task, Verify competency, Communicate instructions, Supervise the performance, and Evaluate the outcome.
The National Council of State Boards of Nursing (NCSBN) delegation model requires a systematic, chronological approach. The RN must first assess the client to ensure clinical stability (Right Circumstance). Next, the RN verifies the delegatee's competence (Right Person). Clear instructions must then be communicated before the task begins (Right Direction/Communication). The RN remains available to supervise the task as it happens (Right Supervision). Finally, the RN evaluates the outcome and checks documentation (Evaluation).
Step-by-Step Solution
Key Concept
The NCSBN Delegation Process and the Five Rights of Delegation
Estimated Time:1m 30s