From RN to AP delegation, which task is NOT appropriate to delegate?

• A. Bed making
• B. Administer IV medications
• C. I/O
• D. Vital signs on stable

Answer: (B)

Delegation from an RN to an AP hinges on safety and the need for nursing judgment. Administering IV medications is not appropriate to delegate because IV therapy involves pharmacologic management that requires nursing assessment, monitoring for infusion reactions, verifying compatibility and dose, controlling the rate, and the ability to stop or adjust the medication promptly if issues arise. The RN is responsible for interpreting the patient’s responses and making clinical decisions about ongoing therapy.

Tasks like bed making, measuring and recording intake and output, and obtaining vital signs on a stable patient are typically appropriate for delegation because they involve routine data collection and activities that don’t require independent clinical decision-making. The RN remains accountable for assessing changes, interpreting data, and initiating any necessary interventions if the patient's condition changes. If vitals become unstable or the patient’s status changes, the RN should reassess and adjust the plan accordingly.