A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of the delegatee?
a. Actually observe the delegatee perform the assigned task.
b. Ask the delegatee how many times he/she has performed the task.
c. Ask the patient if the care provided was satisfactory.
d. Ask other nurses if they feel the delegatee is competent.
ANS: A
Correct: The best way for the nurse to determine the competency of LPNs or UAPs is to observe them perform the task and check on them regularly throughout the shift.
Incorrect:
b. Asking the delegatee may inform the RN of how many times the task has been performed but will not provide evidence of competency.
c. Patients may be able to rate their satisfaction with care but cannot judge the competency of the LPN or UAP.
d. The opinion of other nurses can be used to validate the RNs findings, but only firsthand observation can provide evidence of competency.
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