Which task should a new RN reconsider delegating to a nursing assistant?

In a healthcare setting, it is crucial for a nurse to understand the scope of practice for nursing assistants and how it differentiates from nursing responsibilities. Applying hydrocortisone cream to a patient's skin involves not only a basic skill but also the need to assess the skin condition beforehand and determine which treatment is appropriate based on that assessment. This task requires clinical judgment, knowledge of skin integrity, and an understanding of the implications of applying medication for specific skin conditions like eczema.

In contrast, assisting with the administration of a Fleet enema and collecting vital signs involve tasks that are typically within the scope of practice for a nursing assistant and do not require the same level of clinical assessment. Similarly, emptying an ostomy bag, while it may require basic knowledge of the procedure, is generally deemed an appropriate task for nursing assistants.

Therefore, the task of applying hydrocortisone cream should be reconsidered for delegation to ensure that a qualified nurse conducts the assessment and implementation of treatment, safeguarding the patient’s health and ensuring effective care.