Michigan Delegation Checklist
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How to fill out Delegation Checklist?
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FAQ
Rationale: Only a licensed nurse can delegate. In addition, because they are responsible, they need to provide direction, determine who is going to carry out the delegated responsibility, and assist or perform the responsibility him/herself, if he or she deems that appropriate under the given circumstances.
Although there is considerable variation in the language used to talk about delegation, ANA and NCSBN both defined delegation as the process for a nurse to direct another person to perform nursing tasks and activities.
An LPN may delegate tasks such as ambulating or feeding a patient to the CNA. The question of when a nurse should delegate is dependent on many factors. Usually, nurses delegate when they need help to prevent patient care delay.
The Licensed Practical Nurse is not permitted to give any type of drug through an IV line (depending on the state). The LPN may flush a peripheral IV line in preparation for the Registered Nurse to give an IV medication, but the LPN cannot actually give it.
It is not within an LPN's scope of practice to:Administer high risk medications of any kind (such as Heparin and chemotherapeutic medications) Administer IV push medications of any kind. Titrate medications of any kind. Independently provide patient education (about medications, disease processes, etc.)
ONLY an RN may delegate nursing acts, functions or tasks. LPNs may not delegate.
Delegation is defined in the Occupational Regulation Sections of the Michigan Public Health Code, Act 368 of 1978, Article 15, Part 161, General Provisions as authorization granted by a licensee to a licensed or unlicensed individual to perform selected acts, tasks, or functions which fall within the scope of practice
In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated.
In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated.
The licensed nurse cannot delegate nursing judgment or any activity that will involve nursing judgment or critical decision making. Nursing responsibilities are delegated by someone who has the authority to delegate. The delegated responsibility is within the delegator's scope of practice.
