Which statement correctly describes the RN's responsibility when delegating to a CNA?

Which statement correctly describes the RN's responsibility when delegating to a CNA?

• A. The CNA may perform any task once told to do so
• B. The CNA’s scope is defined by physician orders
• C. The RN remains accountable for patient outcomes when delegating
• D. The RN should not delegate any tasks

Answer: (C)

When a task is delegated to a certified nursing assistant, the nurse remains responsible for the patient’s outcomes. This accountability means the RN must choose tasks that are appropriate for the CNA’s scope and training, ensure the patient is stable enough for the task, provide clear instructions, confirm the CNA has the competence to perform it, and supervise and reassess after completion. If the patient’s condition changes or the task requires nursing judgment or assessment, the RN must intervene or perform it directly. Understanding this helps explain why the other statements aren’t correct. Delegation isn’t an open floor to have the CNA handle any task simply because it was requested; tasks must stay within the CNA’s role and be supervised to protect patient safety. The CNA’s scope isn’t defined by physician orders alone; it’s shaped by state practice acts and facility policies, though physician orders can guide care within that framework. And the RN does delegate as part of efficient, safe care delivery, while retaining accountability for the overall patient outcome.

When a task is delegated to a certified nursing assistant, the nurse remains responsible for the patient’s outcomes. This accountability means the RN must choose tasks that are appropriate for the CNA’s scope and training, ensure the patient is stable enough for the task, provide clear instructions, confirm the CNA has the competence to perform it, and supervise and reassess after completion. If the patient’s condition changes or the task requires nursing judgment or assessment, the RN must intervene or perform it directly.

Understanding this helps explain why the other statements aren’t correct. Delegation isn’t an open floor to have the CNA handle any task simply because it was requested; tasks must stay within the CNA’s role and be supervised to protect patient safety. The CNA’s scope isn’t defined by physician orders alone; it’s shaped by state practice acts and facility policies, though physician orders can guide care within that framework. And the RN does delegate as part of efficient, safe care delivery, while retaining accountability for the overall patient outcome.