Assignment/Delegation Mnemonics

RN - Invasive procedure = I AM RN EDUCATED - Initial/Comprehensive/Baseline (assessments) - Assess (FREQUENT/ONGOING =UNSTABLE Patients) - MANAGING and LEADING client care environment Ex. Clients who are in severe and Refusing Meds (needs more assessment) - Review - NSG Process/ NSG Judgement Use (APIE= Assessment,Planning, Implementation,Evaluation) - Encourage - Develop - Use Of IV meds (ex. plasma, blood products-- these and IV are done by RN only) - Consult/Counsel/Suggest & Update - ADMISSION .. NEW & POST OP - Teach - Educate - DISCHARGE & ADMISSION Preparation LPN/LVN-Certain Invasive Task =I-SOUND STAR CROSS ++ - IM adm - SQ adm. - ORAL meds adm - URINARY CATHETERIZATION - Nitroglycerin - DREASSING of WOUND (CHANGING & IRRIGATING) very commonly seen Q. - SUCTIONING - TUBE FEEDING - Auscultate/Listen - Routine/Standard - Check(s) - Reinforce/remind - Observe - Set up (basic equipment) - Specimen Collection & Data Colletion + -Blood glucose readings

-Monitor -Review/Teach-- Usually standard practices (hand washing/hygiene) or med administration (ie. eye drops) -- RN mostly teaches/educated and LPNs Reinforce + CAST & TOE Amputation are stable clients and need on going assessment and pain mgt./La Charity Book(Dont know too..just dont deprive with it.. just follow the book Data Collection such as LISTENING to LUNG SOUNDS & CHECKING for PERIPHERAL EDEMA_Part of LPN scope of practice: /LaCharity Book ** Don't assign LVN/LPN to do a task an nurse assistant can complete** NURSING ASSISTANT/UAP- Unlicense assistive personnel - Non Invasive procedure/Basic Care =SPARRTACUS GROAM +++ -SKIN CARE (ex. bed rest with a skin tear and hematoma from a fall 2 days ago, Apply and care for a clients rectal pouch ) -POSITIONING-- Special positioning-- requires initial education by RN -- assistant will assist not teach -AMBULATION/ Assisting with ADL (AMBULATION of FRACTURED HIP only RN& PT) ( Patienst with CHESTUBE ambulating the hall-LPN/LVN) -RECORDING & MONITORING of V/S (BP,Pulse, Oxygen sat,) -RANGE OF MOTION &EXERCISE -TRANSPORT OF CLIENT -ASSIST (Assisting for Prep for SITZ Bath) -COLLECTION OF -URINE & -STOOL -GROAM (Groaming & Hygiene Measure, Bathing & checking water temp) + WEIGHTING INTAKE & OUTPUT FEEDING + - Remind/Reinforce: usually reminds pt. TO do something rather than HOW to do it (skills previously taught by other health care professional or precaution measures)*** - They can detach suction and remove a foley but not connect or insert - Gather (equipment) + - Measurement of ankle and bracial blood pressure for ankle brachial index calculation.(Calculated already) ( Calculation on the ankle-brachian index is responsibility of RN) -Experienced Nsg Assistant should have been taught how to.. Monitor Apical Pulse, However, the RN should observe to be sure that s/he mastered this skills. ---La Charity Book--NEW RN -Education and hospital orientation includes.. SAFE administration of IV meds.

-STABLE PATIENTS SOME KEY POINTS: Patients that require teaching about drugs or need procedures done are NOT RN priority. PHYSICIAN -Informed Consent -Medical diagnosis -Prescriptions -Order procedures Avoid These Assignments for New/Float/LVN/LPN/Traveling -New onset/sudden/acute -New admission -Transfer -Newly diagnosed -Discharge -Require education/teaching (beyond basic skills -- tend to be complex and specific to patients on that particular unit) - Unstable (ie. High risk of sudden respiratory failure, or requires frequent assessments and changes in therapy(like electrolyte imbalances) Give: - Chronic - Routine meds/procedures - Stable ALL HEALTHCARE WORKERS - Responsible for knowing about and implementing standard precautions + airborne/droplet/contact --> therefore all can teach about it or prepare a room for it