Question: Deciding Delegation Using the Nurse Practice Act Which of the following tasks would you be willing to delegate to an NAP? Use your state's NPA or a decision tree created by the NCSBN or a state Board of Nursing, as a reference for this case. Discuss your answers in small groups. Did you all agree? If not, what factors were significant in your differences?
1. Uncomplicated wet-to-dry dressing change on a patient 3 days post-hip replacement
2. Every 2-hour checks on a patient with soft wrist restraints to assess circulation, movement, and comfort
3. Cooling measures for a patient with a temperature of 104°F
4. Calculation of IV credits, clearing IV pumps, and completing shift intake/output totals
5. Completing phlebotomy for daily drawing of blood
6. Holding pressure on the insertion site of a femoral line that has just been removed
7. Educating a patient about components of a soft diet
8. Conducting guaiac stool tests for occult blood
9. Performing electrocardiographic testing
10. Feeding a patient with swallowing precautions (high risk of choking post-cardio-vascular accident (CVA)
11. Oral suctioning
12. Tracheostomy care
13. Ostomy care