Practice Delegation
Chen, Alex
Delegation
Plan Your Shift
Review your four care activity cards. In each column, tap the card numbers that belong there.
Delegate to CNA
14
45
57
86
Stays with the RN
14
45
57
86
Complete Assessment: RN onlyAssessment requires nursing judgment and forms the basis of the plan of care. It isn't something that can be handed off.
Empty JP Drain: Delegate to CNAEmptying an established drain and recording the amount is a routine task within CNA scope, as long as findings are reported back to you.
Complete Fall Assessment: RN onlyA fall risk assessment requires clinical judgment to score, so this stays with you. Once it's done, the precautions that follow from it can be delegated.
Collect IV Intake Values, Including PCA: RN onlyGiven Alex's risk for urinary retention, her intake values need to be interpreted as you go, not just recorded, so this stays with you for now.
Delegation
Work Through Your Tasks
Complete these in whatever order makes sense for your shift.
Take Cards for IV Values and PCA
Cards back
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Take Card #7
Card 7 back
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Take Card #14
Card 14 back
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Take Card #70
Card 70 back
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Shift Planned
You've sorted out what you can hand off and what needs your own eyes and judgment, and you know where each thread leads. Keep this plan in mind as the shift unfolds.