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

• A. Enteral feeding
• B. Blood administration
• C. IV push
• D. Reassessment and reinforcement of patient teaching

Answer: (C)

Delegation is tied to what level of nursing judgment and responsibility a task requires and to the PN’s scope of practice. IV push medications are high-risk and require the ability to rapidly assess the patient, recognize adverse reactions, and make immediate interventions. That level of critical decision-making and quick intervention is typically reserved for the RN, so IV push should not be delegated to a practical nurse.

Enteral feeding is a routine, protocol-driven task that can be handled by a PN under supervision. A PN can manage the feeding process, check tube placement as appropriate, flush lines, monitor tolerance, and report any concerns to the RN.

Blood administration is usually governed by specific protocols and training. In many settings, a PN can initiate and monitor transfusions under established policies and the RN’s oversight, depending on local regulations and facility guidelines.

Reassessment and reinforcement of patient teaching are within the PN’s scope after the initial instruction. The PN can re-evaluate understanding and reinforce education to support ongoing care, again under supervision.

So, the task not appropriate to delegate is IV push.