3.7 Learning Activities
Learning Activities
(Answers to “Learning Activities” can be found in the “Answer Key” at the end of the book. Answers to interactive activities are provided as immediate feedback).
1. Review the following case studies regarding nurse liability associated with inappropriate delegation:
- Nurse Case Study: Wrongful delegation of patient care to unlicensed assistive personnel
- Nurse Video Case Study: Failure to assess and monitor
Reflect on these two scenarios independently or with peers. Consider what errors in delegation you believed occurred and the repercussions of these actions for the nurse involved.
2. The RN is delegating tasks to the LPN and AP on a medical-surgical unit.
Place an “X” in the appropriate column where an error in delegation occurred.
| Right Person | Right Task | Right Circumstance | Right Direction and Communication | Right Supervision and Evaluation | |
|---|---|---|---|---|---|
| Directs the AP to assess the pain level of a post-op Day 3 hip replacement patient and report back the finding. | |||||
| Directs the LPN to give 1 mg IV push morphine to the 2-hour post-op of a total left knee replacement patient and ensure documentation. | |||||
| Assumes the AP will report back any abnormal blood pressures. The AP is assigned to collect blood pressures on all the clients on the unit by 0800. | |||||
| Directs a new AP to ambulate a post-op Day 2 shoulder replacement client who needs the assistance of one person and an adaptive walker. The AP voices concerns about never having used an adaptive walker before. The RN directs the AP to get another AP to help. |