Summary Of A Student Nurse: A Case Study

A situation that I observed, which did not meet the five rights of delegation, was a student nurse starting an IV on a patient. The registered nurse (RN) caring for this patient was not successful gaining IV access. She knew the student not only had experience with IVs, but worked on a unit where nursing assistance could start IVs. Once the RN was unsuccessful, the RN allows the student to start the IV nevertheless she was successful. Although this may be an appropriate task for a nursing assistant it was still not appropriate for a nursing student. Considering she was there as a nursing student starting an IV was out of her scope of practice. That’s why I feel this situation was not meeting the right task of the five rights of delegation.
The student said, “Let me try, I am normally the one who does this at my job anyways”. The RN should have clarified that students are permitted to start IVs with the clinical instructor, if she was unsure. If the RN knew students are not qualified to perform this task then she should communicated that to the student. If the student was unable to understand the purpose of this guideline then the RN should educate the student. To assure both parties understand what is in their scope of practice, expectations should always be clearly stated which includes limitations (Marquis& Huston, 2017). If boundaries and expectations are set during the beginning of the RN/student nurse relation then clarification would less likely be needed during the shift. However the clinical instructor should be involved in this situation because this is her student. The RN has responsibility for her patients, and the clinical instructor has responsibility for her group of students. Since the student was allowed to complete this task once she may feel it is acceptable to continue to do. If the instructor was notify before the task took place she could help reinforce the limitations to the student with the