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:
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Emergency Care of the Respiratory Patient
- Emergency Care of the Trauma Patient
- Communication
- Fundamentals of Emergency Nursing
- Delegation
- Studying
- Circulatory System
- Neurological Trauma
- Emergency Care of the Neurological Patient
- Shock
- Shock
- Cardiovascular
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of the Thyroid & Parathyroid Glands
- Acute & Chronic Renal Disorders
- Disorders of the Adrenal Gland
- Factors Influencing Community Health
- Preoperative Nursing
- Central Nervous System Disorders – Brain
- Integumentary Disorders
- Intraoperative Nursing
- Respiratory Emergencies
- Noninfectious Respiratory Disorder
- Disorders of Thermoregulation
- Renal Disorders
- Musculoskeletal Trauma
- Urinary Disorders
- Liver & Gallbladder Disorders
- Upper GI Disorders
- Immunological Disorders
- Respiratory System
Study Plan Lessons
1st Degree AV Heart Block
3rd Degree AV Heart Block (Complete Heart Block)
Acute Respiratory Distress
Atrial Fibrillation (A Fib)
Atrial Flutter
Blunt Abdominal Trauma
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Crush Injuries
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Dysrhythmia Emergencies
EKG Basics – Live Tutoring Archive
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Head Trauma & Traumatic Brain Injury
Increased Intracranial Pressure
Intracranial Hemorrhage
Premature Ventricular Contraction (PVC)
Sinus Bradycardia
Sinus Tachycardia
Supraventricular Tachycardia (SVT)
Trauma Survey
Triage
Triage in the ER
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Triage Nursing Mnemonic (START)
02.14 Shock Stages for CCRN Review
02.06 Heart Murmurs for CCRN Review
02.02 Cardiomyopathy for CCRN Review
02.15 Hypovolemic Shock for CCRN Review
02.16 Cardiogenic Shock for CCRN Review
02.17 Septic Shock for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.05 Endocrine Practice Questions for CCRN Review
1st Degree AV Heart Block
3rd Degree AV Heart Block (Complete Heart Block)
Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Acute Renal (Kidney) Module Intro
Addisons Disease
Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Artificial Airways
Atrial Fibrillation (A Fib)
Atrial Flutter
Brain Death v. Comatose
Burn Injuries
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Cardiac Stress Test
Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)
Cerebral Perfusion Pressure CPP
Chest Tube Assessment Nursing Mnemonic (Two AA’s)
Chest Tube Management
Chest Tube Management
Chronic Kidney Disease (CKD) Case Study (45 min)
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Complications of Spinal Cord Injuries Nursing Mnemonic (ABCDEFG)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Cushings Assessment Nursing Mnemonic (STRESSED)
Dialysis & Other Renal Points
Endocarditis for Certified Emergency Nursing (CEN)
Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Hemodialysis (Renal Dialysis)
Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)
Intracranial Pressure ICP
Lacerations for Certified Emergency Nursing (CEN)
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Neurogenic Shock for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Pacemakers
Peritoneal Dialysis (PD)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Pneumothorax for Certified Emergency Nursing (CEN)
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Premature Ventricular Contraction (PVC)
Respiratory Alkalosis
Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Spinal Cord Injury
Thoracentesis
Trach Care