A registered nurse (RN) wants to delegate the insertion of an intravenous catheter (IV) to a licensed practical nurse (LPN/LVN). The RN bases the decision to delegate on which factor?
1. The RN does not have time to start the IV.
2. Inserting an IV catheter is within the scope of the LPN/LVN role according to the state's nurse practice act.
3. The RN has not started an IV since nursing school.
4. The RN does not have time to evaluate the outcome of the procedure.
2
Rationale 1: The time involved in the procedure is not a valid criterion for delegation; delegation is based on competency, qualifications, job descriptions, and state nurse practice acts.
Rationale 2: The state's nurse practice act defines the scope of responsibility and grants the authority to delegate based on the competency and qualification of the person who is receiving the delegation.
Rationale 3: The RN must know how to supervise the personnel to whom he/she delegates and must intervene when necessary.
Rationale 4: The RN retains the responsibility of evaluating the outcome of the procedure even if the UAP performs the procedure.
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