A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

A. A nurse at the competent stage typically has 2-3 years of experience and is able to handle more complex situations. Competent nurses have developed a level of efficiency and are able to plan and organize their work more effectively. They usually require less support from mentors and are able to function independently, although they may still seek guidance for complex or unusual cases.
B. Expert nurses have extensive experience (usually more than 5 years) and demonstrate a high level of intuitive understanding and clinical decision-making. They do not require significant support from mentors as they have developed the ability to handle complex and unexpected situations autonomously. Experts often serve as mentors themselves due to their depth of experience.
C. Proficient nurses have a deeper understanding of patient care than competent nurses, often with 3-5 years of experience. They can see situations holistically and are able to make decisions based on a broader context. While they might still seek occasional guidance, they generally require less support compared to novice or advanced beginner nurses.
D. Advanced beginner nurses are typically in the early stages of their career, having recently graduated or gained initial clinical experience. They are characterized by a need for guidance and support as they are still developing their clinical skills and understanding of various situations. They often benefit significantly from mentoring and support to help them build their skills and confidence.

A. This client needs IV pain medication, which requires advanced skills and knowledge to manage and administer safely. This situation involves complex and sensitive care, including pain management and end-of-life issues. RNs are typically responsible for administering IV medications, especially in critical or end-of-life situations.
B. A client who is 3 days postoperative and needs a dressing change generally requires a level of care that may be suitable for LPNs. LPNs are trained to perform dressing changes and manage postoperative wounds. However, if there are complications or concerns about the wound or the client’s condition, the RN should oversee or handle the situation.
C. Frequent ambulation can be managed by assistive personnel (AP) under the supervision of the RN. This task typically involves supporting and assisting the client with walking, which is within the scope of AP duties. LPNs can also assist with ambulation, but it is generally a task appropriate for APs when performed as part of routine care.
D. A client in protective isolation requires careful attention to infection control practices to protect them from infections. While the RN is responsible for ensuring adherence to isolation protocols and assessing the client’s needs, the day-to-day care tasks might be managed by LPNs and APs, provided they are trained in infection control procedures.