The charge nurse observes a newly hired Registered Nurse (RN) delegating the task of feeding a client with dysphagia to a Personal Support Worker (PSW). The client has a documented history of aspiration pneumonia and requires pureed food with thickened liquids and close supervision. What is the most appropriate action for the charge nurse to take?

Question: The charge nurse observes a newly hired Registered Nurse (RN) delegating the task of feeding a client with dysphagia to a Personal Support Worker (PSW). The client has a documented history of aspiration pneumonia and requires pureed food with thickened liquids and close supervision. What is the most appropriate action for the charge nurse to take?

Answer options:

• Document the observation and address it during the RN's annual performance review. ✅ Immediately intervene, stop the PSW from feeding the client, and redirect the RN to reassess the delegation.
• Allow the PSW to continue feeding the client but provide closer supervision to ensure safety.
• Advise the PSW to be extra careful and report any coughing or choking by the client.

Correct answer: Immediately intervene, stop the PSW from feeding the client, and redirect the RN to reassess the delegation.

Explanation: Delegating feeding a client with dysphagia and a history of aspiration pneumonia to a PSW is unsafe delegation, as this task requires specialized assessment and monitoring skills beyond the PSW's scope. The charge nurse must intervene immediately to prevent harm and educate the RN on safe delegation principles.