The nurse determines that the patient is in cardiac arrest. Which does the nurse delegate to nursing assistive personnel (NAP)?
a. Deliver chest compressions.
b. Help with patient positioning as directed.
c. Inform the family about the patient.
d. Prepare emergency medications.
B
The nurse instructs the NAP to help position the patient, including logrolling onto a backboard or other positions for resuscitative measures, because the NAP receives training to perform the task. Agency policy usually dictates nursing responsibilities during a code. Although NAP are trained to perform basic cardiopulmonary resuscitation (CPR) and use the automatic external defibrillator (AED), the nurse is present; thus the nurse delivers chest compressions. The nurse avoids de-legating family communication to the NAP because the nurse has the critical thinking skills and clinical judgment to discuss the patient with the family and provide meaningful information. The nurse retains responsibility for medications during a code because he or she receives training to administer emergency medications properly.
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