Nursing NCLEX RN Review Video: Delegation of
Tasks
In this video I am going to talk about the delegation
of tasks needed to know for the nursing NCLEX RN
exam.
Before I begin, be sure to check out the links in the
description box for various free NCLEX content and
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video every single week.
The NCLEX exam will test you on your role in
relation to other health care professionals.
It is important to know when to contact a provider,
when to utilize UAP's or care aides or nursing
assistants etc..
Therefore this is an incredibly high yielding portion
of the NCLEX exam that you need to practice
heavily.
It is common to get a question like this on your
exam so be prepared.
Try not to use your personal experience with these
other disciplines in the hospital as it seems to vary
greatly from hospital to hospital-instead use these
general guidelines.
Now you might be asking what is the best way to
approach these questions and what I can tell you is
a list of tasks that UAP and LPN are NOT supposed
to do.
If you think about it in this way it becomes easier to
know for sure what to not select on a SATA
question.
This is one of those skills that as you do more
questions you become familiarized with a theme of
what a discipline can or cannot do.
Let’s start off by talking about Unlicensed assistive
personnel or UAP’s.
UAP’s are NOT allowed to:
* Feed clients with potential dysphagia or make
evaluations about treatment effectiveness.
* Perform INITIAL teaching, education and
assessment.
Emphasis on initial as they will use this to trick
you.
Now let's talk about what UAP’s can do:
* They can perform passive range-of-motion
exercises.
* They can apply protective ointment
* They can obtain objective data for stable clients
under the direction of a registered nurse.
Here is a list of objective data UAP’s can perform:
* UAP’s can perform technical skills such as
capillary blood glucose monitoring and IV catheter
removal with appropriate training.
* They can obtain routine, stable vital signs
* They can document input/output
* They can obtaining patients weight
* They can help with activities of daily living,
Hygiene, change linens and help place patients in
positions.
Before I continue talking about LPN’s, these videos
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LPN Duties include:
* Monitoring RN findings
* Reinforcing education
* Routine procedures (think of catheterization)
* Most medication administrations
* Ostomy care
* Tube patency & enteral feeding
* Specific assessments*
LPN’s are NOT allowed to do:
* Initial assessment, teaching and education
RN Duties include:
* Clinical assessments
* Initial client education
* Discharge education
* Clinical judgment
* Initiating blood transfusion
* Teaching
Other important facts about delegation:
Although these tasks could be performed safely by
an LPN, underutilizing UAP would be an ineffective
use of resources.
Therefore if a situation has UAP and LPN make
sure UAP does what an UAP can do and a LPN
Basically try to be effective in utilizing both UAP’s
and LPN’s.
* For example, routine activities of daily living (eg,
positioning) are generally suitable to be delegated
to unlicensed assistive personnel (UAP).
Obtaining the client's weight may be delegated to
UAP.
However ostomy care and routine procedures such
as catheterizations can be given to a LPN.
Lastly for this section I think it also important to
quickly talk about triage.
Patients that require triaging is one of the many
roles of a registered nurse.
Being able to triage patients based on the type of
injury suffered from natural disasters in particular
is what the NCLEX requires you to know.
It can come up on the NCLEX and therefore it is
important for you to have a general idea of what to
do in these cases.
I will try and simplify it so that it becomes easy to
understand and apply.
Emergent:
Red
Shock
Compromised airway
Unstable wounds (uncontrolled bleeding)
Chest trauma (tension pneumothorax)
Myocardial Infarctions
Strokes
Urgent:
Yellow
Fractures WITH pulses
Large wounds
Nonurgent:
Green
Infections
Minor cuts scrapes or burns
Closed fractures
Expectant (not adequate for life):
Black
Pulseless
No breathing effort
Neurological trauma (spinal cord injury etc..)
Large burns (>65% of total body surface area)
Pay particular attention to compromised airways in
red and fractures that could land in yellow or green.
Some examples of compromised airway are
severely altered levels of consciousness or
adventitious noises that could be presented as
stridor.
Remember that an open fracture, the bone pokes
through the skin and can be seen or a deep wound
exposes the bone through the skin.
Closed fracture however is where The bone is
broken, but the skin is intact.
Think of red as a high probability of a positive
outcome if the patient receives medical
interventions quickly.
Yellow as treatment required but can wait for an
hour.
Green as injuries that require treatment but can
wait greater than two hours.
Black has a very low chance of survival with
medical treatment.
That is going to be the end of this video.
Here is how to get to my website
simplefitnurse.com for free NCLEX content.
Thank you for watching and in my next NCLEX
video we are going to be talking about isolation
precautions for the nursing NCLEX RN exam.