During orientation, an RN learns that LPN/LVNs in the facility receive additional training to perform some tasks such as hanging continuously infusing intravenous fluids that have no additives. It is important for the RN to understand that:
a. the health care facility can override the state practice act by having all LPN/LVNs and unlicensed assistive personnel (UAP) participate in on-site training.
b. LPN/LVNs are licensed, and accountability for their own practice rests with each LPN/LVN.
c. UAPs cannot be held responsible for their own actions or inactions.
d. the nurse practice act and state regulations related to delegation override the organization's policies.
ANS: D
Correct: The state's nurse practice act is the deciding factor regarding what can legally be delegated.
Incorrect:
a. Although on-site training may increase the competency of the individual, legal rules of delegation remain with the state's nurse practice act.
b. Accountability remains with the RN who delegated the task.
c. UAPs are responsible for accepting tasks which they are competent to perform, but accountability remains with the RN.
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