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Supervision is defined in Minnesota Rules 6321.0100 as es- tablishing direction, delegating, setting expectations, direct- ing activities and courses of action, critical watching, oversee- ing, evaluating and changing a course of action. In the May 2000 advisory, the Board stated, an LPN may not perform the
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.
These groups describe delegation as the process for a nurse to direct another person to perform nursing tasks and activities. Delegation involves at least two individuals: the delegator, and the delegatee. The delegator is a registered nurse who distributes a portion of patient care to the delegatee.
"Delegation" means the transfer of authority to another nurse or competent, unlicensed assistive person to perform a specific nursing task or activity in a specific situation.
In general, simple, routine tasks such as making unoccupied beds, supervising patient ambulation, assisting with hygiene, and feeding meals can be delegated.
Tasks that an LPN may, therefore, perform include the ability to:Administer medications that are not high-risk.Administer a nasogastric (NG) tube feeding.Perform wound dressing changes.Monitor blood products.Do tracheostomy care.Perform suctioning.Check nasogastric tube patency.Administer enteral feedings.More items...
The NPA provides definitions of practical nursing, professional nursing, and advanced practice registered nursing, and provides legal parameters to the scope of practice for nurses. Scope is also established by standards of practice.
Most daily care tasks fall under the scope of nurse delegation. A Registered Nurse Delegator (RND) can delegate the administration of most medications, non-sterile dressing changes, ostomy care, urinary catheterization, blood glucose monitoring, and gastrostomy feedings to a caregiver.
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.
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.