A registered nurse (RN) is assigned as charge nurse for the first time. She knows to consult the State Board of Nursing to determine scope of practice for Licensed Practical Nurses (LPN) and Unlicensed Assistive Personnel (UAP)
She also realizes there are common policies which exist in most state practice acts that include:
a. the RN is held accountable for the decision to delegate, but responsibility rests only with the delegatee.
b. the RN may only delegate tasks that are not in the scope of practice of the LPN if the delegatee is certain they are competent to perform the task.
c. since the LPN is licensed, they practice professional nursing.
d. to determine what tasks can be safely delegated; the RN must first assess the patient.
ANS: D
Correct: The stability of the patient must be determined prior to delegation. Even routine tasks such as taking vital signs that are often delegated may need to be performed by the RN when the patient's condition is critical.
Incorrect:
a. The RN is both accountable and responsible for the delegated task.
b. Only tasks that are within the scope of practice of the LPN or UAP can be delegated.
c. Only registered nurses practice professional nursing.
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