Do you agree with their assignments? Provide a rationale for your decision. What would you change about their assignment?

Do you agree with their assignments? Provide a rationale for your decision.
What would you change about their assignment?

Client 1: Room 422 A: A 49-year-old male client admitted two days ago with hypertension and peripheral vascular disease. The client underwent a stenting procedure to the left popliteal artery one day ago. The client is expected to be discharged home later today. As the charge nurse, I would delegate this patient to an LPN. Rationale: The patient is stable post stent placement and is set to be discharged home. The LPN can also reinforce discharge teaching to the patient after the initial teaching from the RN.

Client 2: Room 423: A 70-year-old female admitted yesterday with a diagnosis of community acquired pneumonia. She is afebrile, with stable vital signs. She has a saline lock in place and is receiving IV antibiotics every 8 hours. She is on oxygen at 2L/minute; her oxygen saturations have been 93-95% on the previous shift. As the charge nurse,  delegate this patient to the RN. Rationale: The RN can administer IV medications, the LPN and UAP cannot administer IV meds as ordered because the task is not within their scope of practice.

Client 3: Room 424: A 67-year-old female admitted with an exacerbation of COPD three days ago. The client is receiving IV solumedrol every 8 hours and is on oxygen at 2L/minute nasal cannula with oxygen saturations of 89%. As the charge nurse, Iwould delegate this patient to the RN. Rationale: The RN can administer IV medications to this patient, LPN and UAP cannot administer IV meds as ordered because the task is not within their scope of practice. The RN can also actively reassess the patient’s oxygen saturation and intervene if necessary.

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