Nursing Question

attached case

Professional Roles in Healthcare
NUR 3000
Signature Assignment
Delegation
Case Study
Sarah Yandell, RN, a staff nurse on the medical-surgical floor of a large hospital, has just
finished receiving a report from the RN on the previous shift. As Sarah looks over her
assignments for the day, she sees that the nurse manager has scheduled an LPN to float over
from the postpartum unit. Sarah is assigned to supervise the LPN and orient her to the unit. Sarah
also has unlicensed assistive personnel (UAP) with whom she has worked closely for longer than
8 months, assigned to work with her. Sarah reviews the tasks that must be accomplished for her
seven assigned patients. Three patients are receiving intravenous antibiotics and need laboratory
results monitored. A newly diagnosed diabetic patient will be discharged tomorrow and needs
continued patient education about diabetes management. Two postoperative patients need
dressing changes and assistance with ambulation. A post–cerebrovascular accident (CVA)
patient with stable vital signs was just transferred from the medical intensive care unit and needs
a nursing assessment and a care plan. The routine activities of patient assessments, updating care
plans, taking vital signs, assisting with each patient’s personal hygiene, giving scheduled and
PRN medications, passing meal trays, stocking supply carts, and answering call lights also must
be accomplished. In addition to all these tasks, Sarah knows that she will have to spend time
orienting the LPN to the unit.
Questions
1. What should be included in Sarah’s plan to orient the LPN to the medical-surgical unit?
2. When reviewing the tasks to be completed, what may Sarah delegate to the LPN? What
level of supervision will be required?
3. What may Sarah delegate to the UAP and what level of supervision will be required?
4. What tasks might be assigned to the UAP (tasks that a UAP is responsible for performing
as a condition of employment and as spelled out in the job description)?
5. What patient care activities must be done by Sarah and may not be delegated to the LPN
or the UAP?
6. Illustrate how the delegation process could be used to evaluate the UAP’s readiness to be
delegated a task.
7. Review your state nurse practice act and discuss what guidance your state provides
regarding delegation to the UAP.
8. Reflect on what you learned from the assignment and how it will impact your practice in
the future.
Requirements
• State your rationales for all answers.
• Your paper must use APA format and include a minimum of 2 pages. APA format must be
used in citing and referencing sources.
• Double space your paper and use Times New Roman standard 12-point, 11-point Calibri,
11-point Arial, and 10-point Lucida Sans Unicode font.
•
•
Proofread your paper. Submit your paper to “Turn-it-in.”
A minimum of two (2) references must be used. The two references will include the
required class textbook and at least one outside scholarly source (ex. journal article).
Rubric for Case Study
CATEGORY
4
3
2
1
Points
Content
Effective
Delegation
Analysis
Organization
Knowledge
Demonstrates full
knowledge of the
topic. Identify and
understand some of
the issues in the
case study. Does
not support the
interventions using
evidenced based
references or not
used APA style 7th
edition.
Failed to
demonstrate full
knowledge of the
topic and does not
support the
interventions and
without using
evidenced based
references using
APA style 7th
edition.
/30
Little or no actin
suggested and/or
inappropriate
delegation and
solution for the
case study.
/20
Demonstrates full
knowledge of the
topic. Identify and
understand all the
main issues of the
case study.
Supports the
interventions
using evidenced
based references
using APA style
7th edition.
Demonstrates full
knowledge of the
topic. Identify and
understand all the
main issues of the
case study.
Supports the
interventions using
evidenced based
references without
using APA style 7th
edition.
Well documented
and appropriate
nursing
interventions for
delegation in the
case study.
Inappropriate
Appropriate well
thought out nursing documentation of
interventions about delegation.
solutions or
proposals of the
case study.
Insightful and
thorough analysis
of all the case
study
information.
Implements
critical thinking
and clinical
judgement.
Thorough analysis Superficial analysis Incomplete analysis
of all the case
of the case study.
of the case study.
study information.
Implements critical
thinking and
clinical judgement.
/20
The information
is well organized.
Information is
organized.
Information flows
well.
Information is
organized, but it
does not flow well.
Information appears
to be disorganized
and it is difficult to
understand.
/10
Student was able
to answer the all
the questions
clearly and
completely.
Student was able to
answer most of the
questions clearly
and completely.
Students had
difficulty
answering the
questions clearly
and completely.
Student was not
able to answer the
questions clearly
and completely.
/20