Nursing 22 Clinical Views

Chapter 20 - Deciding Delegation Using the Nurse Practice Act

Clinical Requirement:

Deciding Delegation Using the Nurse Practice Act Which of the following tasks would you be willing to delegate to a nursing assistive personnel or licensed practical nurse/licensed vocational nurse? Use your state’s Nurse Practice Act or a decision tree created by the National Council of State Boards of Nursing or a State Board of Nursing as a reference for this case.  Uncomplicated wet-to-dry dressing change on a patient 3 days post-hip replacement Every 2 hours checks on a patient with soft wrist restraints to assess circulation, movement, and comfort Cooling measures for a patient with a temperature of 104°F Calculation of intravenous (IV) credits, clearing IV pumps, and completing shift intake/output totals Completing phlebotomy for daily drawing of blood Holding pressure on the insertion site of a femoral line that has just been removed Educating a patient about components of a soft diet Conducting guaiac stool tests for occult blood Performing electrocardiographic testing Feeding a patient with swallowing precautions (high risk of choking post-cardiovascular accident [CVA]) Oral suctioning Tracheostomy care Ostomy care Instructions: By utilizing the Florida State Board of Nursing standards decide which of the following tasks could be delegated to an UAP or a LPN/LVN. Use APA format with citations
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