Which situations cause concerns with liability with regard to delegation? Select all that apply
1. The nurse asks the LPN to assess a central line dressing for her.
2. The supervisor asks the charge nurse to give a nurse a difficult assignment.
3. The nursing supervisor asks the nurse to discuss a client's history with the
supervisor.
4. The nursing assistant asks a nurse to check on a client's status.
5. The nurse asks a nursing assistant to assist another nursing assistant to obtain vital
signs.
Answer: 1; 2; 3
Rationale:
• The nurse asks the LPN to assess a central line dressing for her. The LPN cannot usually work with central lines, and cannot legally assess the dressing for the RN.
• The supervisor asks the charge nurse to give a nurse a difficult assignment. Requesting that a nurse have a difficult assignment is leaving the organization wide open for liability issues.
• The nursing supervisor asks the nurse to discuss a client's history with the supervisor. Under normal circumstances, the nursing supervisor would not need information about a client's history. This constitutes a HIPAA violation.
• The nursing assistant asks a nurse to check on a client's status. This is appropriate if the nursing assistant is concerned about a client's status and does not involve delegation, as the nurse is not assessing the client in place of the nursing assistant assessment.
• The nurse asks a nursing assistant to assist another nursing assistant to obtain vital signs. This is appropriate, as the nurse can delegate obtaining vital signs.
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