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Scope & Supervision

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Delegation in Nursing

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Scope & Supervision
 

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Scope & SupervisionOnline version

Delegation in Nursing

by RNPRPEPBESTIE
1

The LPN prepares IV ceftriaxone through the central line . The UAP mentions she previously accessed central lines in another role and offers to obtain the morning labs from the same line . Approving this plan would require before proceeding .

2

Orthostatic measurements decrease from 118 / 74 lying to 92 / 58 standing with heart rate rising to 110 . The client reports lightheadedness when upright . Before further ambulation , the nurse would prioritize to guide mobility decisions .

3

The LPN completes the central line dressing change and documents the site as clean , dry , and intact . Before continuing with other care , the nurse to verify the assessment .

4

During ostomy teaching , the UAP documents that the patient " understands pouch care . " The nurse follows up by to confirm readiness for independent care .

5

The patient ? s daily weight has increased by 1 . 5 kg since yesterday . Intake exceeds output over the past 24 hours . The UAP reports that the patient feels " more tired than usual " during repositioning . Before advancing activity for the morning , the nurse pauses and .

6

The patient with a tracheostomy develops thicker secretions during morning care . Oxygen saturation remains in the mid - 90s on humidified air . The UAP asks to perform suctioning while the nurse reviews new lab results . Before stepping away , the nurse to ensure safe airway management .

7

Morning labs return with potassium 3 . 2 and sodium 131 . The patient continues to receive IV furosemide twice daily . No new orders are present in the chart . While reviewing the medication profile , the nurse before administering the next dose .

8

The patient receives continuous enteral nutrition through a PEG tube . During repositioning , the UAP notes that the external tubing appears slightly loose at the insertion site and reports it to the nurse . The nurse before resuming the feeding .

9

A float RN unfamiliar with the unit ? s PEG protocol is assigned to care for the patient . Before delegating tube medication administration , the charge nurse ensures .

10

A grad nurse prepares to suction a tracheostomy for the first time independently . Appropriate supervision at this stage includes .

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