You are supervising a new graduate LPN who is ordered to perform tracheostomy care. The LPN states that she has performed this procedure only a handful of times, and completes the task slowly. Which of the following actions made by you is most appropriate?
Perform the task yourself, and have the LPN watch.
Reassure the LPN that they are likely being overly self-critical and encourage them to perform the task alone.
Observe the LPN, then provide positive feedback after the task is completed.
Protect patient safety by prohibiting the LPN from performing tracheostomy care until the LPN feels confident.
The Correct Answer is C
A. Performing the task yourself takes away the opportunity for the LPN to gain hands-on experience and can create dependency rather than fostering confidence.
B. While reassurance is helpful, encouraging the LPN to perform the task alone without observation may compromise patient safety, especially given their limited experience.
C. Observing the LPN while they perform the task allows you to provide immediate feedback and support, which is crucial for their development and helps ensure patient safety during the procedure.
D. Prohibiting the LPN from performing the task without further evaluation does not support their learning and growth, as hands-on experience is essential for skill development.
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Correct Answer is D
Explanation
A. Involving nonprofessional workers can lead to resistance, but it is not the primary factor when considering the overall impact of change.
B. Interdisciplinary collaboration can present challenges, but it does not inherently lead to resistance. Many professionals recognize the value of collaboration.
C. While involving many layers can complicate change, it does not necessarily result in resistance if there is clear communication and support.
D. Change that threatens personal security, whether physical, emotional, or job-related, is most likely to evoke resistance as individuals often prioritize their sense of safety and stability.
Correct Answer is B
Explanation
A. This scenario involves the UNP providing education and re-teaching, which is beyond their scope of practice. Delegation should involve tasks that are within the UNP's competency.
B. This scenario appropriately delegates a task that is within the UNP's role, providing clear instructions and ensuring safety with non-slip socks. It maintains accountability by requiring a report afterward.
C. This scenario requires assessment and nursing judgment, which are tasks that should not be delegated to UNP, as they need to be performed by a licensed nurse.
D. This scenario suggests a lack of support and guidance for a new employee, which is not appropriate. Delegation should provide clear instructions and ensure safety rather than placing the burden of learning on the UNP without proper support.