Care delivery using the team-based approach is used on a telemetry nursing unit

Question

The team consists of one registered nurse (RN), two licensed practical nurses (LPNs), and one unlicensed assistive personnel (UAP). Staff have been charged to improve quality of care while ensuring cost containment. Which assignments would meet both criteria?
a. The RN administers all medications to all patients.
b. The LPN performs sterile dressings and IV tubing changes on all central lines.
c. The experienced UAP places telemetry electrodes and attaches to cardiac monitor.
d. The RN administers an enema to a stable patient who has an order "administer fleet enema prn when no bowel movement in two days."

Answer 1

ANS: C
Correct: The UAP, when properly trained, can place patients on telemetry. This meets quality and cost containment goals because the LPN and RN have higher salaries.
Incorrect:
a. The LPN can administer medications except IV. The RN would need to check state practice policies and then administer only those medications not within the scope of the LPN.
b. This task is not within the scope of the LPN.
d. The LPN or the UAP can perform this skill to improve cost containment because the RN has the highest salary.