Leadership CMS
5 rights of delegation - ANS - right task, circumstance, person, supervision, direction, &
communication
\Abuse/sexual assault victim - ANS - single bed room
\Agitated patient - ANS - preferably a single bed room; can double if need be
\Airborne PPE - ANS - gloves, gown, N95 mask, negative pressure room
\Anthrax - ANS - mandatory reporting
\Botulism - ANS - mandatory reporting
\C. diff - ANS - contact precautions
\Changes in status (new chest pain, new facial droop) - ANS - experienced RN
\Chemotherapy patient - ANS - experienced RN
\Cholera - ANS - mandatory reporting
\Class A fire extinguisher - ANS - ordinary wood, paper, cloth, trash
\Class B fire extinguisher - ANS - flammable substances - grease, oil, gas
\Class C fire extinguisher - ANS - electrical fires
\Class D fire extinguisher - ANS - Combustible metals
\Code black - ANS - bomb threat
\Code gray - ANS - tornado
\Code orange - ANS - chemical spill
\Code pink - ANS - infant or child abduction
\Code red - ANS - fire
\Complicated skills - ANS - experienced RN
\Congenital Rubella Syndrome (CRS) - ANS - mandatory reporting
\Contact PPE - ANS - gloves, gown, isolation room
\Diptheria - ANS - mandatory reporting
\Discharge education - ANS - experienced RN
\Disoriented/confused patient - ANS - preferably a single bed room; can double if need be
\Double bed room assignments - ANS - same infection, surgical, same gender, spouses
\Drip medications - ANS - experienced RN
\Droplet PPE - ANS - gloves, surgical mask, gown & goggles (if spray), isolation room
\Ebola - ANS - airborne precautions
\End of life patient - ANS - single bed room
\Experienced RN assessment - ANS - everything the UAP, LPN, new RN, & float RN can do
PLUS
discharges, acute issues
\Float RN assessment - ANS - everything the UAP, LPN, & new RN can do PLUS
new patients, changes in status
shouldn't assess outside their experience
, \Float RN assignment - ANS - acute or chronic
stable
complicated if experience with similar patients
\Float RN diagnosis - ANS - problems within their experience
\Float RN evaluation - ANS - only within their experience
\Float RN implementation - ANS - everything the UAP, LPN, & new RN can do PLUS
nursing skills, meds, education within their experience
shouldn't do nursing skills, education, or administer meds outside of their experience
\Floate RN plan - ANS - problems within their experience
\Giardiasis - ANS - mandatory reporting
\Gonorrhea - ANS - mandatory reporting
\Hepatitis A,B, & C - ANS - mandatory reporting
\Herpes - ANS - airborne precautions
\High risk medications - ANS - experienced RN
\HIV - ANS - mandatory reporting
\Influenza - ANS - droplet precautions
\Influenza-associated pediatric mortality - ANS - mandatory reporting
\Legionnaire's Disease (Legionellosis) - ANS - mandatory reporting
\Lice - ANS - contact precautions
\LPN assessment - ANS - everything the UAP can do PLUS
nursing assessment after initial assessment
orientation, pulses, lung/heart/bowel sounds, fall/pain assessment, sterile specimen collection,
tube patency, venipuncture
CANNOT assess new patient or a change in status
\LPN assignment - ANS - chronic
stable
uncomplicated
predictable outcomes
COPD, DM, contagious patients
24hr post-op patients
72hr post MI