The charge nurse assigns a client requiring peritoneal dialysis (PD) to a new graduate licensed practical/vocational nurse. The new nurse informed the charge nurse that he was not comfortable with providing PD
The charge nurse stated that she would show him how to perform the PD, and then he could perform the task since she delegated the task. The nurse wants to avoid respondeat superior. Which action should the nurse do?
A) Inform the charge nurse that he must abide by the state nurse practice act, which states he must first take classes on peritoneal dialysis, so he must decline.
B) Perform the PD after the nurse teaches him how to perform the procedure to keep from getting in trouble for not obeying his superior.
C) Provide the PD as the nurse delegates because the charge nurse becomes fully responsible for any task that is delegated.
D) Perform the PD with charge nurse present, so the charge nurse charts and takes full responsibility for the care delivered.
Ans: A
Feedback:
The new graduate nurse must practice under his state nursing practice act, and if that act states that he must complete classes and formal training before providing PD, then he must decline to prevent respondeat superior, which happens when a nurse acts under the order of a superior resulting in harm to a client, then both the nurse following the order, and the one in charge giving the order are responsible. Performing the PD after the charge nurse in-services the nurse at the bedside is against the law, the particular state nurse practice act. The charge nurse delegating a task must ensure that the task is appropriate, and that the one she is delegating the task to is fully capable to perform the task competently. The one who receives a delegation request must refuse to perform a task that he is not fully prepared and competent to perform. In this instance, both parties would be responsible since the delegation is inappropriate. Performing the PD in the presence of the charge nurse and the charge nurse charting the care is also illegal and unethical.
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