When permitted by the state Nurse Practice Act, under what conditions can the LPN/LVN perform complex nursing skills not taught in the basic educational program?
a. When ordered to do so by the attending physician
b. When the task is delegated to a competent LPN/LVN by a supervising RN
c. When the LPN/LVN has graduated from a nursing program accredited by the National League for Nursing
d. When the state of practice has declared a severe nursing shortage
ANS: B
Delegation, if allowed by the Nurse Practice Act of the state, can take place if the RN teaches the skill, observes a return demonstration, documents the teaching/learning process in the LPN/LVN's file, and provides ongoing direct supervision. LPN/LVNs are under the direct supervision of professional nurses. Accreditation of the school does not confer the right to accept delegation. Nursing shortages cannot dictate the acceptability of delegation.
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