Which tasks related to venous thromboembolism prevention can be delegated to a licensed practical nurse?

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Delegating the task of applying sequential compression devices to a licensed practical nurse (LPN) is appropriate because it falls within the scope of practice and competencies of an LPN. LPNs are trained to perform functions that include assisting with basic patient care, which involves the application of devices intended to prevent venous thromboembolism (VTE). This task does not require advanced assessment skills or complex clinical judgment, making it suitable for delegation.

The other tasks involve higher-level clinical judgment or education that typically require the expertise of a registered nurse. Evaluating partial thromboplastin time, or PT, necessitates understanding the implications of lab results and making clinical decisions based on those results. Administering enoxaparin, although sometimes performed by LPNs, usually involves assessment and monitoring that is best conducted by an RN who has a fuller understanding of anticoagulation therapy. Teaching about bleeding precautions for warfarin also requires a comprehensive understanding of the medication's effects, potential interactions, and safety information, which is typically within the responsibility of an RN. Therefore, the application of sequential compression devices remains the most appropriate task for delegation to an LPN in the context of VTE prevention.

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