NCLEX Online Review - Focused on Delegation

THINGS ON THE NCLEX

Today we’re going to focus on delegation questions.

Delegation Notes

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As a nurse, many times you’ll be in charge of a few people. I usually worked night shift, so I was ‘in charge’ especially when I worked on the Peds floor. I think that is one reason that I changed to ICU after the first year. This section will review some concepts related to that subject. If you have additional thoughts please don’t hesitate to put them in the comments section.

A patient can be complex and stable at the same time.
What should you do when you notice a staff member is weak in a certain area? Teach!
Do not give a float nurse any patients requiring specialized care.
Along with their assignment, the RN assumes all the RESPONSIBILITY and ACCOUNTABILITY for the work done.
Unlicensed assistive personnel (UAP) is a class of paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs) and provide bedside care — including basic nursing procedures — all under the supervision of a registered … from Wikipedia.
Can a LPN implement tasks on the plan of care? Yes.
RN to RN assignments transfer responsibility and accountability. An example of this would be at a shift change.
Assignment – distributing work to staff members during a shift.
Think of some examples of UNSTABLE patients – low bp, new admit, returning from surgery, new admit to ICU, transfer from a different hospital.
A new admit would be unstable and a priority.
Five RIGHTS of delegation.
Task, Circumstances, person, direction, supervision and evaluation. More info.
Who can do an admission history? Only RN. If someone else does it, you must validate the data before signing off on it.
Delegation – transferring authority to perform a selected nursing task in a selected situation to a competent individual.
With delegation the RN can transfer the responsibility but not the accountability.
You must follow up to make sure the delegated task was done properly.
When delegating you must communicate a time frame and the priority of the task.
The LPN can assist the RN in data collection.
An unstable patient is medically fragile and requires an increased level of care.

Here are 10 delegation questions – http://wps.prenhall.com/chet_sullivan_effective_6/21/5491/1405812.cw/content/index.html

And some more – http://www.tootrn.com/delegation/

Five more – http://www.nclexpinoy.com/2010/03/nursing-practice-test-about-delegation.html

Some information about delegation – https://www.ncsbn.org/1625.htm

Tools you can use – A list of mostly free study tools. https://www.studyblue.com/study-tools

NCLEX Drug List

NCLEX Drug Review –

We talked about using quizlet – here is a list of quizlet questions you can input.

https://quizlet.com/6251592/pharmacology-nclex-questions-flash-cards/

http://www.proprofs.com/quiz-school/story.php?title=nclex-medications

(Just click Start)

TRIVIA / Q AND A

Where was the first nursing school?

In 1873, the Bellevue Hospital School of Nursing, of New York City, was founded. It was the first school of nursing in the United States to be founded on the principles of nursing established by Florence Nightingale. The School operated at Bellevue Hospital until its closure in 1969.