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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> &gt; <a href="/prep/" class="crumb_link">Public Health Preparedness Archive</a> &gt; <a href="." class="crumb_link">Reopening Shuttered Hospitals to Expand Surge Capacity</a> &gt; Appendix C</span></p>
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<td height="30px"><span class="title"><a name="h1" id="h1"></a> Reopening Shuttered Hospitals to Expand Surge Capacity</span></td>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
<p>This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.</p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
<h2>Appendix C. RN Nursing Skills for Possible Delegation</h2>
<p>The table below is set up as a shell to illustrate the process that could be employed to identify RN skills that could be delegated to other staff types.<2E>Only those skills
potentially applicable for other staff types are included. Knowledge of the training curriculum used with these other staff types would be essential. Tasks could be coded as &quot;able&quot; for those skills/tasks that the various staff types would be expected to know, &quot;potential&quot; for tasks that they, depending on training and experience, could do and &quot;with training&quot; for tasks that they could be trained to do.<2E>For example, nurse aides are taught how to take vital signs (temperature, pulse, respirations and blood pressure) and could likely be taught to do certain dressings and treatments.</p>
<table border="1" cellspacing="0" cellpadding="1" width="95%">
<thead>
<tr valign="top">
<th scope="col" width="26%">&nbsp; </th>
<th scope="col" width="18%">Nursing Student&#8212;4 Year BSN program</th>
<th scope="col" width="18%">Nursing Student&#8212;2 year Program</th>
<th scope="col" width="18%">Respiratory Therapy Student</th>
<th scope="col" width="18%">Respiratory Therapist</th>
</tr>
</thead>
<tr valign="top">
<td colspan="5"><strong>Cardiac</strong></td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Use of cardiac monitors</p></td>
<td width="18%"><p>x Year 4</p></td>
<td width="18%"><p>x If at all, Semester 4</p></td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Record/describe heart sounds</p></td>
<td width="18%"><p>x Year 3</p></td>
<td width="18%"><p>Only after work</p></td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>CPR</p></td>
<td width="18%"><p>x Year 3</p></td>
<td width="18%"><p>x Semester 2</p></td>
<td width="18%"><p>x</p></td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Care of a patient with:</p></td>
<td width="18%">&nbsp;</td>
<td width="18%"><p>x Semester 4</p></td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- CHF</p></td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Acute MI</p></td>
<td width="18%">x Year 4</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Aneurysm</p></td>
<td width="18%">x Year 4</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Angina</p></td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Cardiac arrest</p></td>
<td width="18%"><p>x Year 4, with direct supervision</p> </td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Medications</p></td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Digoxin</p></td>
<td width="18%"><p>x Year 3, oral only</p></td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Diltiazem</p></td>
<td width="18%"><p>x Year 3, oral only</p></td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>- Furosemide</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Nitroglycerin</p> </td>
<td width="18%"><p>x Year 3, no IV</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Thrombolytic therapy</p> </td>
<td width="18%">No</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td> </tr>
<tr valign="top">
<td colspan="5"><p><strong>Pulmonary</strong></p> </td> </tr>
<tr valign="top">
<td scope="row" width="26%"><p>Record description of lung sounds</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">&nbsp;</td>
<td width="18%"><p>x Semester 1</p> </td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Pulse oximetry</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Airway management</p> </td>
<td width="18%">x Year 3</td>
<td width="18%"><p>x Semester 4, but depends on clinical experience</p> </td>
<td width="18%">x Semester 2</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Endotracheal suctioning</p> </td>
<td width="18%">x Year 4</td>
<td width="18%">x Semester 4, but depends on clinical experience</td>
<td width="18%">x Semester 2</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Nasal airway suctioning</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4, but depends on clinical experience</td>
<td width="18%">x Semester 2</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Oropharyngeal suctioning</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4, but depends on clinical experience</td>
<td width="18%">x Semester 2</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Sputum specimen collection</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4, but depends on clinical experience</td>
<td width="18%">x Semester 2</td>
<td width="18%">x</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Tracheostomy suctioning</p>
</td>
<td width="18%">x Year 4</td>
<td width="18%">x Semester 4, but depends on clinical experience</td>
<td width="18%">x Semester 2</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Oxygen therapy and medication delivery systems</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Inhalers</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Nebulizer</p></td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Face mask</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Nasal cannula</p></td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Portable O2 tank</p></td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Trach collar</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Care of a patient with</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Ventilator</p></td>
<td width="18%">x Year 4</td>
<td width="18%">x Semester 4, if at all</td>
<td width="18%">x Semester 2</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Chest tube</p></td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">x Semester 2</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- COPD</p></td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Pneumonia</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Tuberculosis</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">x Semester 1</td>
<td width="18%">x</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Medications</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Theophylline</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Adrenalin</p> </td>
<td width="18%"><p>x Year 3, SC/IM/INH&#8212;no IV</p> </td>
<td width="18%">Not at all</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Steroids</p></td>
<td width="18%">x Year 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Isuprel</p> </td>
<td width="18%"><p>x Year 3, SL/INH&#8212;no IV</p> </td>
<td width="18%">Not at all</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr> <tr>
<td colspan="5"><p><strong>Neurological</strong></p> </td></tr>
<tr>
<td scope="row" width="26%"><p>Record/describe</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Glasgow coma scale</p></td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Reflex/motor deficits</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Visual/communication deficits</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p>- Level of consciousness</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p>Care of a patient with:</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Alzheimer's disease</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Closed head injury</p> </td>
<td width="18%">x Year 4</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
<tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- CVA</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Seizures</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p><EFBFBD>- Spinal cord injury</p> </td>
<td width="18%">x Year 3</td>
<td width="18%">x Semester 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"><p>Medications</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Decadron</p> </td>
<td width="18%">x Year 4</td>
<td width="18%">x Semester 2</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Dilantin</p> </td>
<td width="18%"> <p>x Year 3, oral only</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Mannitol</p> </td>
<td width="18%">No</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Phenobarbital</p> </td>
<td width="18%"> <p>x Year 3, oral only</p> </td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr><tr valign="top">
<td scope="row" width="26%"> <p><EFBFBD>- Solu-Medrol</p> </td>
<td width="18%">x Year 4</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
<td width="18%">&nbsp;</td>
</tr>
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