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Rule #3: Delegate activities for stable patients with predictable outcomes. If the patientis unstable, or the outcome of an activity not assured, it should not be delegated. Rule #4: Delegate activities that involve standard, unchanged procedures. Activities that frequently reoccur in dailypatient care can be delegated. Bathing,feeding, dressing and transferring patients are examples. Activities that are complex or complicated should not be delegated. Rule #5: Remember Priorities! Remember Maslow, the ABC's, and stable versus unstable when determining which patient the RN should attend to fist. Keep in mind that you can see only onepatient or perform one activity when aswering questions that require you to establish priorities. Lets take a closer look at the question above and use these rules to eliminate answerchoices .........Question: A 7 year old boy with a compound fracture of the left femur is being admitted to a pediatric unit. Which of the following actions is best for the nurse to take? 12
A.Ask the nursing assistant to obtain the child's VS while the nurse obtains a history from the parents B.Ask the LPN/LVN to assess the peripheral pulses of the child's left leg while the nurse completes the admission forms C.Ask the LPN/LVN to stay with the child and his parents while the nurse obtains phone orders from thephysician D.Ask the nursing assistant to obtain equipment for the child's care while the nurse talks with the child and hisparents On first glance, all the answers seem possible. Lets look at this question using the steps outlined in this book. Step 1. Reword the question in your own words. It asks what the nurse should dowhen a child with a fractured femur is first admitted. That question is a very broad question. To establish exactly what is being asked, you must read the answer choices. In each answer, the RN is delegating tasks to the LPN/LVN or nursing assistant. The real question is, "What is appropriate delegation?" Step 2. Eliminate answer choices based on the Rules of Management. completes the admission forms. Checking the peripheral pulses is an important assessment for this patient because of the diagnosis of a fractured left femur. The nurse needs to assess the patient before delegating activities to someone else. Assessment of the patient is much more important than completing paperwork. Eliminate it.