Nursing NCLEX RN Review Video: Delegation of Tasks + Triage (UAP/LPN/RN) 2021

Nursing NCLEX RN Review Video: Delegation of Tasks (UAP/LPN/RN) 2021. Roles on NCLEX 2021 exam is important to know.

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In this video I am going to talk about the delegation of tasks needed to know for the nursing NCLEX RN exam. Before I begin, be sure to check out the links in the description box for various free NCLEX content and subscribe as I upload at least one new nursing video every single week.

The NCLEX exam will test you on your role in relation to other health care professionals. It is important to know when to contact a provider, when to utilize UAP's or care aides or nursing assistants etc.. Therefore this is an incredibly high yielding portion of the NCLEX exam that you need to practice heavily. It is common to get a question like this on your exam so be prepared. Try not to use your personal experience with these other disciplines in the hospital as it seems to vary greatly from hospital to hospital-instead use these general guidelines.

Now you might be asking what is the best way to approach these questions and what I can tell you is a list of tasks that UAP and LPN are NOT supposed to do. If you think about it in this way it becomes easier to know for sure what to not select on a SATA question. This is one of those skills that as you do more questions you become familiarized with a theme of what a discipline can or cannot do.

Let’s start off by talking about Unlicensed assistive personnel or UAP’s. UAP’s are NOT allowed to:
Feed clients with potential dysphagia or make evaluations about treatment effectiveness.
Perform INITIAL teaching, education and assessment. Emphasis on initial as they will use this to trick you.

Now let's talk about what UAP’s can do:
They can perform passive range-of-motion exercises.
They can apply protective ointment
They can obtain objective data for stable clients under the direction of a registered nurse. Here is a list of objective data UAP’s can perform:
UAP’s can perform technical skills such as capillary blood glucose monitoring and IV catheter removal with appropriate training.
They can obtain routine, stable vital signs
They can document input/output
They can obtain patient’s weight
They can help with activities of daily living, Hygiene, change linens and help place patients in positions.

Before I continue talking about LPN’s, these videos take a long time to make and if you would like to see more videos like this give me feedback by either giving it a thumbs up or thumbs down. This will help me decide whether I should continue making more videos like this. Thank you.

LPN Duties include:
Monitoring RN findings
Reinforcing education
Routine procedures (think of catheterization)
Most medication administrations
Ostomy care
Tube patency & enteral feeding
Specific assessments*

LPN’s are NOT allowed to do:
Initial assessment, teaching and education

RN Duties include:
Clinical assessments
Initial client education
Discharge education
Clinical judgment
Initiating blood transfusion
Teaching

Other important facts about delegation:
Although these tasks could be performed safely by an LPN, underutilizing UAP would be an ineffective use of resources. Therefore if a situation has UAP and LPN make sure UAP does what an UAP can do and a LPN does what a LPN can do. Basically try to be effective in utilizing both UAP’s and LPN’s.
For example, routine activities of daily living (eg, positioning) are generally suitable to be delegated to unlicensed assistive personnel (UAP). Obtaining the client's weight may be delegated to UAP. However ostomy care and routine procedures such as catheterizations can be given to a LPN.