Standards related to licensed practical nurse responsibility to organize, manage, and supervise the practice of nursing

In the administration and management of nursing care, a licensed practical nurse may assign or delegate the responsibility for performance of nursing interventions to other persons. In maintaining accountability for the delegation of nursing interventions, the licensed practical nurse shall: 1. Assign nursing interventions. a. Assign nursing care within the licensed practical nurse scope of practice to other licensed practical nurses who are authorized to provide nursing care through licensure as a licensed practical nurse; and b. Monitor and evaluate the care assigned to a licensed practical nurse. 2. Delegate to another only those nursing interventions for which that person has the necessary skills and competence to accomplish safely. The delegation of the intervention must pose minimal risk to the client and consequences of performing the intervention improperly are not life-threatening. Unlicensed assistive persons complement the licensed nurse in the performance of nursing interventions but may not substitute for the licensed nurse. A licensed practical nurse may delegate an intervention to a technician who may perform limited nursing functions within the ordinary, customary, and usual roles in the individual's field. In maintaining accountability for the delegation, the licensed practical nurse shall: a. Ensure that the unlicensed assistive person is on a registry and has the education and demonstrated competency to perform the delegated intervention; b. Ensure that results of interventions are reasonably predictable; c. Ensure that interventions do not require assessment, interpretation, or independent decisionmaking during its performance or at completion; d. Provide clear directions and guidelines regarding the delegated intervention or routine interventions on stable clients; e. Verify that the unlicensed assistive person follows each written facility policy or procedure; f. Provide supervision and feedback to the unlicensed assistive person; g. Observe, evaluate, and communicate the outcomes; h. Intervene when problems are identified; i. Assist in the revisions to the plan of care; and j. Retain accountability for the nursing care.