Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
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Outline
Delegation of Tasks to Assistive Personnel
Definition/Etiology:
- Delegation – “Delegation generally involves assignment of the performance of activities or tasks related to patient care to unlicensed assistive personnel while retaining accountability for the outcome.”
- “The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome”
Pathophysiology:
- You cannot delegate the nursing process
- Don’t delegate what you “EAT” Evaluate, Assess, Teach)
Nursing Process:
- Assessment
- Diagnosis
- Outcomes/Planning
- Implementation
- Evaluation
Clinical Presentation:
5 Rights of Delegation:
- Right person
- Right task
- Right circumstance
- Right direction/communication
- Right supervision/evaluation
Collaborative Management:
- Assisting the client with their activities of daily living such as ambulation, dressing, grooming, bathing and hygiene
- Measuring and recording fluid intake and output
- Measuring and recording vital signs, height and weight
- Observation and reporting changes in and the current status of the patient’s condition and reactions to care
- The transport of clients and specimens and other errands and tasks such as stocking supplies
- Assistance with transfers, feeding, ambulation, and other tasks such as making beds and assisting with bowel and bladder functions
Evaluation | Patient Monitoring | Education:
- Ensure task was appropriate for UAP
- Monitor for completion of the task
- Assess any abnormal findings
Linchpins: (Key Points)
- Don’t delegate the nursing process
- The nurse is responsible for the delegated task.
- Think task!
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Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- American Nurses’ Association. (2012). Principles of delegation – American nurses association. Retrieved October 16, 2022, from https://www.nursingworld.org/~4af4f2/globalassets/docs/ana/ethics/principlesofdelegation.pdf
- RegisteredNursing.org. (2022, August 28). Assignment, delegation and supervision: NCLEX-RN. RN Programs – Start Your Journey as a Registered Nurse. Retrieved October 16, 2022, from https://www.registerednursing.org/nclex/assignment-delegation-supervision/
- The nursing process. ANA. (2017, December 20). Retrieved October 16, 2022, from https://www.nursingworld.org/practice-policy/workforce/what-is-nursing/the-nursing-process/
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Concepts Covered:
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Circulatory System
- Fundamentals of Emergency Nursing
- Emergency Care of the Neurological Patient
- Emergency Care of the Respiratory Patient
- Medication Administration
- Vascular Disorders
- Emergency Care of the Trauma Patient
- Shock
- Intraoperative Nursing
- Communication
- Delegation
- Postoperative Nursing
- Studying
- Legal and Ethical Issues
- Neurological Trauma
- Neurological
- Multisystem
- Neurological Emergencies
- Musculoskeletal Trauma
- EENT Disorders
- Central Nervous System Disorders – Brain
- Perioperative Nursing Roles
- Respiratory Emergencies
- Health & Stress
Study Plan Lessons
02.01 Hypertensive Crisis for CCRN Review
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.11 12 Lead EKG- Injuries for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
1st Degree AV Heart Block
2nd Degree AV Heart Block Type 1 (Mobitz I, Wenckebach)
2nd Degree AV Heart Block Type 2 (Mobitz II)
3rd Degree AV Heart Block (Complete Heart Block)
Abuse
Abuse and Neglect for Certified Emergency Nursing (CEN)
Acute Confusion
Acute Coronary Syndrome (ACS)
Acute Coronary Syndrome (ACS) Module Intro
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Acute Respiratory Distress
Adenosine (Adenocard) Nursing Considerations
Aggressive & Violent Patients
Amiodarone (Pacerone) Nursing Considerations
Aneurysm & Dissection
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Bleeding for Certified Emergency Nursing (CEN)
Blunt Abdominal Trauma
Blunt Thoracic Trauma
Calling for RRT, Code Blue
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Cardiopulmonary Arrest
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
Combative: IV Insertion
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Crash Cart
Critical Incident Management
Crush Injuries
Day in the Life of an ICU (Intensive Care Unit) Nurse
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
Discharge Planning for Certified Emergency Nursing (CEN)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Dysrhythmia Emergencies
Dysrhythmias for Certified Emergency Nursing (CEN)
EKG Basics – Live Tutoring Archive
Emergency Drugs Nursing Mnemonic (LEAN)
Emergency Nursing Course Introduction
EMTALA & Transfers
Ethical Dilemmas for Certified Emergency Nursing (CEN)
Fall and Injury Prevention
Flight Nurse
Forensic Nurse
Gastrointestinal Trauma for Certified Emergency Nursing (CEN)
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Head Trauma & Traumatic Brain Injury
Heart (Heart) Failure Exacerbation
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension for Certified Emergency Nursing (CEN)
Hypertensive Emergency
Increased Intracranial Pressure
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
Injection Injuries for Certified Emergency Nursing (CEN)
Intracranial Hemorrhage
Ischemic (CVA) Stroke Labs
Joint Commission
Lacerations for Certified Emergency Nursing (CEN)
Legal & Ethical Issues in ER
Massive Transfusion Protocol
Maxillofacial Trauma for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Seizures
Nursing Case Study for Head Injury
Nursing Skills (Clinical) Safety Video
Patient and Healthcare Team Safety (Disasters, Environmental Hazards) for Certified Perioperative Nurse (CNOR)
Patient Safety for Certified Emergency Nursing (CEN)
Patient Satisfaction for Certified Emergency Nursing (CEN)
Penetrating Abdominal Trauma
Penetrating Injuries for Certified Emergency Nursing (CEN)
Penetrating Thoracic Trauma
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Procainamide (Pronestyl) Nursing Considerations
Pulmonary Embolism
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Rapid Sequence Intubation
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Trauma for Certified Emergency Nursing (CEN)
Restraints
Restraints 101
Risk Management for Certified Emergency Nursing (CEN)
Safety Check Nursing Mnemonic (MADLE)
Safety Checks
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Management in the ER
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Sexual Assault and Battery for Certified Emergency Nursing (CEN)
Sinus Bradycardia
Sinus Tachycardia
Stress and Crisis
Stroke (CVA) Management in the ER
Stroke (CVA) Module Intro
Stroke Case Study (45 min)
Supraventricular Tachycardia (SVT)
Transfer and Stabilization for Certified Emergency Nursing (CEN)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Trauma Nursing Interventions for Certified Perioperative Nurse (CNOR)
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Trauma Survey
Triage
Triage in the ER
Triage Nursing Mnemonic (START)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Verapamil (Calan) Nursing Considerations
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)