✨ Leson an Vedèt · Leson 4 sou 8 · 60 sec

Kòd Delegasyon: Pa Janm Delege Sa Ou EAT

Delegation Cheat Code: Never Delegate What You EAT

👥 Twa lèt klase pifò kesyon delegasyon nan egzamen an. Kenbe yo pou ou menm, aprè sa matche chak lòt travay ak estabilite pasyan an ak domèn pratik moun ou remèt li a.

👥 Three letters sort most delegation questions on the exam. Keep them for yourself, then match every other task to the stability of the client and the scope of the person you hand it to.

💡 Ide prensipal

RN nan kenbe Evaluate [evalye], Assess [fè evalyasyon], Teach [anseye], jijman ak pasyan enstab yo. UAP: ADLs ak siy vital lakay pasyan stab. LPN: stab, yo ka prevwa, pifò medikaman (anjeneral pa gen IV push), ranfòsman.

RN keeps Evaluate, Assess, Teach, judgment and the unstable. UAP: ADLs and vitals on stable clients. LPN: stable, predictable, most meds (usually no IV push), reinforcing.

🧠 Poukisa sa enpòtan

RN nan pa janm delege sa li ka EAT: EVALUATE [evalye rezilta], ASSESS [fè evalyasyon], TEACH [anseye]. Ajoute jijman enfimyè ak tout sa ki konsène yon pasyan enstab, epi sa se lis RN nan. Pèsonèl asistans san lisans (UAP) fè travay abityèl yo ka prevwa pou pasyan stab: ijyèn, bay manje, mache, vire, sa ki antre ak sa ki soti, ak siy vital lakay pasyan stab, aprè sa yo rapòte sa yo te jwenn. LPN yo pran swen pasyan stab ki gen rezilta yo ka prevwa, yo bay pifò medikaman (medikaman IV push ak kòmanse transfizyon san yo anjeneral eskli pa lwa eta a oswa règleman etablisman an), yo chanje pansman esteril epi yo ranfòse ansèyman RN nan te deja bay la. Estabilite pasyan an, ansanm ak domèn pratik ak konpetans moun yo delege a, deside, pa senplisite travay la.

The RN never delegates what she can EAT: EVALUATE, ASSESS, TEACH. Add nursing judgment and anything involving an unstable client, and that is the RN's list. Unlicensed assistive personnel do routine, predictable tasks for stable clients: hygiene, feeding, walking, turning, intake and output, and vital signs on stable clients, then they report what they found. LPNs care for stable clients with predictable outcomes, give most medications (IV push medications and starting blood transfusions are usually excluded by state law or facility policy), change sterile dressings and reinforce teaching the RN already gave. Client stability, together with the delegatee's scope of practice and competence, decides, not the simplicity of the task.

🏥 Nan lavi reyèl

📋 'Pran siy vital lakay nouvo pasyan ki admèt ak doulè nan pwatrin nan' se yon travay senp pou yon pasyan enstab, kidonk li rete ak RN nan. 'Mache ak Mesye Lee ale nan twalèt la' se yon travay senp pou yon pasyan stab, kidonk li ale ak UAP a. Travay la pa t chanje; se pasyan an ki te chanje.

📋 'Take vital signs on the new chest-pain admission' is a simple task for an unstable client, so it stays with the RN. 'Walk Mr. Lee to the bathroom' is a simple task for a stable client, so it goes to the UAP. The task did not change; the client did.

📌 Sa pou retni

Pa janm delege Evaluate, Assess, TeachNever delegate Evaluate, Assess, Teach
UAP: pasyan stab, travay abityèl, rapòte sa li jwennUAP: stable clients, routine tasks, reports findings
LPN: stab epi yo ka prevwa; ranfòse ansèyman, pa fè premye ansèyman anLPN: stable and predictable; reinforces teaching, does not do initial teaching

📖 Tèm nan leson sa a

EAT (sa RN pa janm delege) (EAT (what the RN never delegates)): Evaluate, Assess, Teach (evalye, evalye eta, anseye): sa RN kenbe, ak jijman ak pasyan enstab; LPN yo kolekte done epi ranfòse ansèyman, epi pèsonèl asistans mezire epi rapòte done woutin.

✅ Teste tèt ou

Ki travay RN nan ka delege bay pèsonèl asistans san lisans?Which task can the RN delegate to unlicensed assistive personnel?

Fè evalyasyon yon pasyan ki fèk retounen soti nan operasyonAssessing a client who just returned from surgery
Evalye repons yon pasyan a yon nouvo medikaman doulèEvaluating a client's response to a new pain medication
Ede yon pasyan stab pran yon douchAssisting a stable client with a shower
Anseye yon pasyan kijan pou li enjekte insulin li menmTeaching a client how to self-inject insulin

Repons: C · Ede yon pasyan stab pran yon douch

Ijyèn pou yon pasyan stab se yon bagay abityèl epi yo ka prevwa li; twa lòt yo se evalyasyon, ansèyman ak evalyasyon. Evalye repons yon pasyan a yon nouvo medikaman doulè egzije jijman RN epi yo pa ka delege li bay pèsonèl asistans san lisans.

Hygiene for a stable client is routine and predictable; the other three are evaluation, teaching and assessment. Evaluating a client's response to a new pain medication requires RN judgment and cannot be delegated to unlicensed assistive personnel.

Ki pasyan ki pi apwopriye pou asiyen bay yon LPN?Which client is most appropriate to assign to an LPN?

Yon pasyan yo admèt depi 30 minit ki gen souf koutA client admitted 30 minutes ago with shortness of breath
Yon pasyan BP li desann 40 pwen nan èdtan sa aA client whose blood pressure has fallen 40 points this hour
Yon pasyan ki gen dyabèt stab sou medikaman oral pwogrameA client with stable diabetes on scheduled oral medications
Yon pasyan ki bezwen premye edikasyon sou yon nouvo estomiA client who needs the initial education about a new ostomy

Repons: C · Yon pasyan ki gen dyabèt stab sou medikaman oral pwograme

LPN yo pran swen pasyan stab ki gen rezilta yo ka prevwa; lòt yo enstab oswa yo egzije premye evalyasyon oswa ansèyman RN. Yon pasyan ki bezwen premye edikasyon sou yon nouvo estomi egzije ansèyman RN epi li pa yon asiyasyon apwopriye pou yon LPN.

LPNs care for stable clients with predictable outcomes; the others are unstable or require initial RN assessment or teaching. A client who needs the initial education about a new ostomy requires RN teaching and is not an appropriate assignment for an LPN.

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