j**********1
发帖数: 91 | 1 LPN and UAP 的DELEGATION 的题大家是怎么搞定的？有没有JOB DESCRIPTION？ 多选
题用什么材料复习?多谢!! | h******q
发帖数: 865 | 2 don't remember where did I find this (maybe here?) but something interesting:
Delegation:
NURSING ASSISTANT
- ADLs/Noninvasive
- Assist
- Remind/Reinforce: usually reminds pt. TO do something rather than HOW to
do it (skills previously taught by other health care professional or
precaution measures)***
* Usually in regards to ADLs (hygiene, nutrition, ambulating, skin care),
turning, repositioning, cough deep breathe ROM *
- Special positioning-- requires initial education by RN -- assistant will
assist not teach
- I/O , VS, Weight
- They can detach suction and remove a foley but not connect or insert
- Gather (equipment)
* work with STABLE patients
* beds/H2O/enemas/stool spec./I&O
* transport pts
* feed = CHRONIC parkinson's, CHRONIC CVA (do not let an NA feed anyone who
is an aspiration risk)
* VS on STABLE patients, can do vitals 1/2 hr AFTER blood has started
* NO: admission vitals, sterile procedures, drugs (even OTC topicals!),
teaching, working with PTs with art lines, trachs, ETTs, vents, contagious
diseases
* STAY AWAY FROM options asking to show, explain, monitor, teach, check,
assess & demonstrate - all outside the scope of the NA!
LPN
- Auscultate/Listen
- Check(s)
- Reinforce/remind
- Administer (PO,SubQ,IM -- NO high alert meds, plasma, blood products
- Observe
- Collect (data, specimens)
- Monitor
- Set up (basic equipment)
- Review/Teach-- Usually standard practices (hand washing/hygiene) or med
administration (ie. eye drops) -- RN mostly teaches/educated and LPNs
Reinforce
- Wound care/Suction/Urinary Cath/Blood glucose readings
* get CHRONIC, STABLE pts with predictable outcomes (a popular one is COPD!)
* pts who are 24hr post-op
* NO: d/c planning, admission assessments (including admission VS) and IVs.
* YES: can give narcs, have patients 72hr after MI, have patients with CVA,
SCI, on vents or with low coma scale AFTER ONE WEEK.
* can do sterile procedures
* give meds (but nothing IV)
* nursing process under the direction of the RN
* can work with contagious patients (think of patient assignments! these can
all be delegated to the LPN)
Avoid These Assignments for New/Float/LPN/Traveling
-New onset/sudden/acute
-New admission
-Transfer
-Newly diagnosed
-Discharge
-Require education/teaching (beyond basic skills -- tend to be complex and
specific to patients on that particular unit)
- Unstable (ie. High risk of sudden respiratory failure, or requires
frequent assessments and changes in therapy(like electrolyte imbalances) | j**********1
发帖数: 91 | 3 谢谢好累大侠回复！！！
interesting:
【在 h******q 的大作中提到】
: don't remember where did I find this (maybe here?) but something interesting:
: Delegation:
: NURSING ASSISTANT
: - ADLs/Noninvasive
: - Assist
: - Remind/Reinforce: usually reminds pt. TO do something rather than HOW to
: do it (skills previously taught by other health care professional or
: precaution measures)***
: * Usually in regards to ADLs (hygiene, nutrition, ambulating, skin care),
: turning, repositioning, cough deep breathe ROM *
|
|
