When incorporating the five rights of delegation, the right circumstance is used in which of the following situations?
A)The RN asks the UAP to draw a prothrombin time on a patient on a heparin drip.
B)The RN asks the UAP to draw blood on a patient with bilateral upper extremity lymphedema.
C)The RN asks the UAP to draw blood on a newly admitted patient with pneumonia.
D)The RN asks a new UAP to draw blood on a patient known to be a "hard stick."

Question

Quizplus · Accepted Answer

It is within the UAP's scope of practice to draw blood (if allowed in the institution) from patients without IV issues.The prothrombin time blood sample should not be obtained from the arm in which the heparin is running and the UAP is not qualified to know that.The site for blood draws in this patient would need to be carefully chosen by only an RN to protect the patient from injury.Option D is inappropriate delegation; the RN should draw this patient's blood.

When Incorporating the Five Rights of Delegation, the Right Circumstance