The nurse is uncomfortable with the technical skills demonstrated by a newly employed licensed practical nurse (LPN/LVN). A patient is to have an indwelling urinary catheter placed. How should the nurse proceed?
1. Insert the catheter without involving the LPN/LVN.
2. Delegate the task to the LPN/LVN and hope that all goes well.
3. Have the LPN/LVN observe the nurse placing the catheter.
4. Observe as the LPN/LVN completes the task.
4
Rationale 1: Inserting the catheter without involving the LPN/LVN does not improve practice for the future.
Rationale 2: The nurse must be confident in delegation.
Rationale 3: Having the LPN/LVN observe is not a good use of time and does not further the delegation process.
Rationale 4: The nurse must be confident in delegation. Observing as the LPN/LVN performs the task will either confirm the nurse's concerns or prove that the LPN/LVN is competent in this skill.
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