When delegating a task to a licensed practical nurse (LPN) versus a registered nurse (RN), what key consideration determines appropriate delegation?

• A. The nurse's personal relationship with the patient
• B. The staff member's scope of practice and competency
• C. The shift length
• D. The availability of the charge nurse

Answer: (B)

Delegation hinges on scope of practice and each staff member’s demonstrated competency. Before handing off a task, the nurse must verify that what’s being requested is within what the LPN or RN is legally allowed to do and that the person has the knowledge and skill to perform it safely. RNs carry broader responsibilities, including assessment, care planning, and ongoing evaluation, while LPNs perform routine procedures and monitoring under supervision. So, the key consideration is whether the task aligns with the practitioner’s authorized scope and proven competency.

Other factors like personal rapport with the patient, how long the shift is, or who is available at the moment can affect workflow or supervision, but they do not decide whether delegation is appropriate.