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Zorluk: OrtaAssignment, Delegation and Supervision

A charge nurse is guiding a newly licensed registered nurse (RN) through the process of delegating routine ambulation for a stable postoperative client to an unlicensed assistive personnel (UAP). In what chronological sequence should the RN perform the following steps?

  1. 1Assess the client's clinical stability to determine if delegating the ambulation is appropriate.
  2. 2Verify that the selected UAP possesses the required competency and training to perform the task.
  3. 3Communicate explicit directions regarding the ambulation distance and specific parameters for reporting.
  4. 4Provide appropriate supervision and remain available while the UAP assists the client.
  5. 5Evaluate the client's physiological response to the activity and verify the task was documented.

Cevap

The correct sequence is: assess the client, verify the UAP's competency, communicate directions, supervise the task, and evaluate the response.
The NCSBN outlines a structured delegation process that aligns with the nursing process. It begins with assessing the client and planning (determining clinical stability). Next, the RN must ensure the right person is assigned by verifying the UAP's competency. This is followed by communication, where the RN provides specific directions and reporting parameters. The RN then provides supervision while the task is performed. The process concludes with evaluation, where the RN assesses the client's response and ensures proper documentation.

Adım Adım Çözüm

1
Identify the initial step of the delegation process.
Assess the client's clinical stability to determine if delegating the ambulation is appropriate.
The RN must first assess the client's needs to ensure the 'Right Circumstance' and 'Right Task' before initiating delegation.
2
Identify the second step.
Verify that the selected UAP possesses the required competency and training to perform the task.
The RN must verify the 'Right Person' by ensuring the delegatee has the proper knowledge and skills.
3
Identify the third step.
Communicate explicit directions regarding the ambulation distance and specific parameters for reporting.
The RN provides the 'Right Direction and Communication' by detailing exactly what needs to be done.
4
Identify the fourth step.
Provide appropriate supervision and remain available while the UAP assists the client.
The RN provides the 'Right Supervision' by monitoring the ongoing activity and being ready to intervene.
5
Identify the final step.
Evaluate the client's physiological response to the activity and verify the task was documented.
The delegation process concludes with evaluating the client's outcome and verifying proper documentation.

Anahtar Kavram

The National Council of State Boards of Nursing (NCSBN) Delegation Process
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Konular

Assignment, Delegation and Supervision

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