Which situation indicates the nurse needs additional training on effective delegation?
1. The charge nurse tells the unlicensed assistant to help prepare rooms for new clients.
2. The office nurse calls in orders for admission on a client following a surgical complication.
3. A rehabilitation nurse asks a physical therapy assistant to assist a client with ambulation around the facility.
4. A home health nurse calls the office and asks another nurse to make the visit on her next client.
2
Rationale 1: The charge nurse can delegate the responsibility of preparing rooms to the unlicensed assistant.
Rationale 2: Unless the office nurse is an advanced practice nurse, the office nurse cannot call in orders not signed off by a physician or nurse practitioner. This opens the organization up to problems with liability.
Rationale 3: The physical therapy assistant is part of the rehabilitation nurse's team and can legally accept direction from that nurse.
Rationale 4: A home health nurse might be delayed at a visit and need another nurse to visit the next client. It would be inappropriate for the nurse to ask an unlicensed assistant to make the visit.
Global Rationale:
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