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Delegation in Practice: Case Study

ANSWER

Mr. Smith

ANSWER

  • It is not appropriate to delegate any tasks to an unlicensed care professional as Mrs. Robinson's health status appears to be declining.
  • Mr. Smith's health status is stable at this time, allowing tasks to be delegated to UCPs.
  • Tasks for delegation:
  • Assisting Mr. Smith with elimination.
  • Completing vital sign assessment every 4 hours, as long as the RN has given clear directions to report vital signs as soon as they are obtained, and technique has been supervised and deemed satisfactory.
  • Always keep the 5 rights as well as the process of delegation in mind.

Mrs. Robinson

  • Mr. Smith is a 75-year-old male admitted to your unit with a diagnosed urinary tract infection. Mr. Smith is alert but displaying signs of confusion. Vital signs are ordered to be assessed every 4 hours. Mr. Smith is experiencing urinary frequency, and needs to be reminded to ring his bell or use the urinal rather than getting out of bed on his own to use the bathroom.
  • Would you delegate any tasks for Mr. Smith to an unlicensed care provider? Why/why not?
  • Which tasks would you choose to delegate?
  • What are some things you need to keep in mind when delegating these tasks?
  • Mrs. Robinson is a 65-year-old female who has recently been transferred to your unit with a diagnosis of congestive heart failure. Medications include diuretics, digoxin, and an ACE inhibitor. She has begun to display decreased levels of consciousness at times. She is on 2L of oxygen via nasal prongs with a pulse oximetry of 90%. Her temperature is 38.2 degrees celsius (O). She is on strict I&O and has an indwelling Foley catheter.
  • Would you delegate any tasks for Mr. Smith to an unlicensed care provider? Why/why not?

Ms. MacDonald

ANSWER

  • Ms. MacDonald is a 60-year-old female admitted to your unit following a hysterectomy two days ago. Her post-op course has been uncomplicated. The surgeon has ordered for Ms. MacDonald to ambulate three times each day. Her vital signs are stable and she is alert, oriented and cooperative.
  • Would you delegate any tasks for Mr. Smith to an unlicensed care provider? Why/why not?
  • Which tasks would you choose to delegate?
  • What are some things you need to keep in mind when delegating these tasks?
  • Ms. MacDonald's health status is stable at this time, allowing tasks to be delegated to UCPs.
  • Tasks for delegation:
  • Assisting Ms. MacDonald with ambulation.
  • Always keep the 5 rights as well as the process of delegation in mind.
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