Assignment/Delagation mnemonics Aug 20, 2011 03:49 PM written by schalke20 43 Comments Print Email Follow Updated Aug 20,

2011 at 04:08 PM by schalke20 I Wish this would help guys.. I took my NCLEX-RN just last tuesday 1st take and I made it at 75Question.. I am very average person.. sometime.. i guess borderli ne.. hehehe...Anyway, CONGRATULATIONS in andvance NEW RNs RN - Invasive procedure = I AM RN EDUCATED - Initial/Comprehensive/Baseline (assessments) - Assess (FREQUENT/ONGOING =UNSTABLE Patients) - MANAGING and LEADING client care environment Ex. Clients who are in severe and Refusing Meds (needs more assessment) - Review - NSG Process/ NSG Judgement Use (APIE= Assessment,Planning, Implementation,Eval uation) Encourage Develop Use Of IV meds (ex. plasma, blood products-- these and IV are done by RN only) Consult/Counsel/Suggest & Update ADMISSION .. NEW & POST OP Teach Educate DISCHARGE & ADMISSION Preparation

LPN/LVN-Certain Invasive Task =I-SOUND STAR CROSS ++ - IM adm SQ adm. ORAL meds adm URINARY CATHETERIZATION Nitroglycerin DREASSING of WOUND (CHANGING & IRRIGATING) very commonly seen Q. SUCTIONING TUBE FEEDING Auscultate/Listen Routine/Standard

- Check(s) - Reinforce/remind - Observe - Set up (basic equipment) - Specimen Collection & Data Colletion + -Blood glucose readings -Monitor -Review/Teach-- Usually standard practices (hand washing/hygiene) or med adminis tration (ie. eye drops) -- RN mostly teaches/educated and LPNs Reinforce + CAST & TOE Amputation are stable clients and need on going assessment and pain m gt./La Charity Book(Don t know too..just dont deprive with it.. just follow the bo ok Data Collection such as LISTENING to LUNG SOUNDS & CHECKING for PERIPHERAL EDEMA _Part of LPN scope of practice: /LaCharity Book

** Don't assign LVN/LPN to do a task an nurse assistant can complete** NURSING ASSISTANT/UAP- Unlicense assistive personnel - Non Invasive procedure/Basic Care =SPARRTACUS GROAM +++ -SKIN CARE (ex. bed rest with a skin tear and hematoma from a fall 2 days ago, A pply and care for a client s rectal pouch ) -POSITIONING-- Special positioning-- requires initial education by RN -- assista nt will assist not teach -AMBULATION/ Assisting with ADL (AMBULATION of FRACTURED HIP only RN& PT) ( Pati enst with CHESTUBE ambulating the hall-LPN/LVN) -RECORDING & MONITORING of V/S (BP,Pulse, Oxygen sat,) -RANGE OF MOTION &EXERCISE -TRANSPORT OF CLIENT -ASSIST (Assisting for Prep for SITZ Bath) -COLLECTION OF -URINE & -STOOL -GROAM (Groaming & Hygiene Measure, Bathing & checking water temp) + WEIGHTING INTAKE & OUTPUT FEEDING + - Remind/Reinforce: usually reminds pt. TO do something rather than HOW to do it (skills previously taught by other health care professional or precaution measu res)*** - They can detach suction and remove a foley but not connect or insert - Gather (equipment) + - Measurement of ankle and bracial blood pressure for ankle brachial index calcu lation.(Calculated already) ( Calculation on the ankle-brachian index is responsibility of RN) -Experienced Nsg Assistant should have been taught how to.. Monitor Apical Pulse, However, the RN should observe to be sure that s/he master ed this skills. ---La Charity Book--NEW RN -Education and hospital orientation includes.. SAFE administration of IV meds. -STABLE PATIENTS SOME KEY POINTS: Patients that require teaching about drugs or need procedures done are NOT RN pr iority. PHYSICIAN -Informed Consent -Medical diagnosis -Prescriptions -Order procedures Avoid These Assignments for New/Float/LVN/LPN/Traveling -New onset/sudden/acute -New admission -Transfer -Newly diagnosed -Discharge -Require education/teaching (beyond basic skills -- tend to be complex and speci fic to patients on that particular unit) - Unstable (ie. High risk of sudden respiratory failure, or requires frequent as

sessments and changes in therapy(like electrolyte imbalances) Give: - Chronic - Routine meds/procedures - Stable ALL HEALTHCARE WORKERS - Responsible for knowing about and implementing standard precautions + airborne /droplet/contact --> therefore all can teach about it or prepare a room for it