Editing Management of Care – LPN Flashcards (section)

== Receiving and Giving Delegation ==

;What are the Five Rights of Delegation
:Right task, right circumstance, right person, right direction and communication, and right supervision and evaluation.

;Which tasks may an LPN delegate to assistive personnel
:Standard, unvarying tasks on stable clients that require no nursing judgment, such as bathing and hygiene, feeding a client with no swallowing impairment, ambulating and transferring, positioning, bed making, vital signs on a stable client, intake and output, weights, and specimen collection.

;What may assistive personnel never do
:Assess, teach, evaluate, interpret findings, or exercise nursing judgment. An assistive personnel may report that a client's sacrum looks red, but may not stage it as a pressure injury.

;What makes a delegation instruction complete
:It states the specific client, the specific task, the frequency and time frame, the expected outcome, and exactly what to report back and when.

;Who is accountable when a task an LPN delegated to an assistive personnel is done incorrectly
:The LPN remains accountable for the decision to delegate and for supervising it, and the supervising registered nurse remains accountable for the overall assignment. The assistive personnel is responsible for the performance of the task itself.