Deciding Delegation Using the Nurse Practice Act

Which of the following tasks would you be willing to delegate to a nursing assistive personnel or licensed practical nurse/licensed vocational nurse? Use your state’s Nurse Practice Act or a decision tree created by the National Council of State Boards of Nursing or a State Board of Nursing as a reference for this case. 

  1. Uncomplicated wet-to-dry dressing change on a patient 3 days post-hip replacement
  2. Every 2 hours checks on a patient with soft wrist restraints to assess circulation, movement, and comfort
  3. Cooling measures for a patient with a temperature of 104°F
  4. Calculation of intravenous (IV) credits, clearing IV pumps, and completing shift intake/output totals
  5. Completing phlebotomy for daily drawing of blood
  6. Holding pressure on the insertion site of a femoral line that has just been removed
  7. Educating a patient about components of a soft diet
  8. Conducting guaiac stool tests for occult blood
  9. Performing electrocardiographic testing
  10. Feeding a patient with swallowing precautions (high risk of choking post-cardiovascular accident [CVA])
  11. Oral suctioning
  12. Tracheostomy care
  13. Ostomy care

Instructions:

  1. By utilizing the Florida State Board of Nursing standards decide which of the following tasks could be delegated to an UAP or a LPN/LVN.
  2. Use APA format with citations 

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