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Nursing case studies on delegation
Major steps of delegation fir nursing
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Delegation can be defined as an act by which the delegator assign a specific task to a delegate. The delegator is the person delegating a task to another, and the delegate is the one accepting or chosen to carry out the order. In nursing, the delegator is usually a licensed personnel such as a registered nurse and the delegate can either be licensed (LPN) or unlicensed (NAP). According to the DC Board of Nursing, delegation is defined as the transfer of authority to a competent individual to execute a selected nursing task in a given situation. Register nurses do not only have the authority of delegating, but they must supervise and monitor for a proper and safe delivery of the assigned task. In DC, register nurses must follow the five right of a delegation which is: Right circumstance, Right person, Right direction/ communication, Right supervision, and Right evaluation. The registered nurse must make sure that he or she delegate by clearly communicating to the delegate the task assigned, the registered nurse must make sure that each delegated task is specific to each patient need. A District of Columbia Register nurse must delegate the appropriate task to the appropriate staff, for example, an unlicensed assistive personnel should not be assigned to educate a patient concerning a particular medication. The …show more content…
(3-1205.14). The nurse’s license may be revoked or suspended; the nurse will not be allowed to practice in DC; he or she will be fine up to $5000 for each violation; a remediation approved by the board of nursing may be required, or probation may be applied. (3-1205.16). A registered nurse failure to properly delegate a task can impact patient safety, his or her colleague's life and in some cases can lead to patient
One of the vitals skill required by the Registered Nurse is the skill to assign tasks to subordinates (Saccomanos and Pinto-Zipp 2011). When tasks are delegated to subordinates, the RN remains accountable (Nursing and Midwifery Council 2008). On the other hand, an individual who has been given a task also bears responsibility for the task and is answerable to the RN. Hence, delegation involves “responsibility, accountability and authority” (Sullivan & Decker 2005, p. 144). This essay will examine the role of the registered nurse in relation to delegation. Areas that would be discussed includes definitions of delegation, benefits, types of delegaton, nursing process in relation to delegation, common mistakes of delegation, five rights of delegation and barriers to delegation. At the end, it would give a conclusion and also a statement of my learning.
As a nurse it is our primary job to protect and promote the well being of patients throughout the health care industry. Each nurse has the responsibility to practice faithfully and to uphold all ethical values. These values are outlined and regulated by two very important entities, The Nursing Practice Acts and the Texas Board of Nursing. Nursing Practice Acts, are specific laws in each state that define a nurse’s scope of practice. These acts were first established in 1909 with the purpose of protecting public health, safety, and welfare. Their purpose is to provide rules and regulations that will protect society from unsafe and unqualified nurses. Nursing professionalism is rooted in the ethics and ...
The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’ discretion and is a personal choice. Nurses must make careful decisions regarding delegation, taking into account the skill and training of the UAP, the difficulty and risk of the task, and the patient’s condition. The expected outcomes, a time frame for completion, and any limitations should be explained to the UAP at the time that the task was delegated.
Delegation is the being able to pass the responsibility or authority to another person. This act of delegation is important in the outcome of patient care (Yoon,2016). As discussed to be able to have well developed leadership and management skills a good aid of communication has to be developed. In the workplace environment being able to effectively delegate without having appropriate communication skills therefore emotional intelligence the ongoing care of the patient can be threatened and errors can occur. However, being able to effectively do so enable the patient outcomes to be achieved ( Wong,2013). These skills aid in importance as newly graduate nurses receive student nurses to mentor and supervise. Being able to supervise and manage a student nurse contains having a well-developed leadership and management skills ( Jones,2013). The role of a mentor includes assessing and evaluating the students’ performance, providing supervision and having accountability of the students action( royal college of nursing, 2007). This role a graduate nurse must have an area of leadership and management skills. As If these skills aren't developed the student nurse not only will lack mentorship but also the lack of guidance and supervision can impact on the patients care (
...iation. (2009). ANA Position Statement: Patient Safety: Rights of Registered Nurses When Considering a Patient Assignment. Washington, DC: Author.
delegate to other LPN and nursing assistants but can’t delegate higher to a registered nurse. The
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations.
The nurse needs to recognize the limitations of each staff member and learn what assignments are within the scope of their practice and what are tasks that need delegation. Delegation is defined as a complex process that requires clinical judgment and final accountability for patients’ care (Weydt, 2010). An assignment is defined as “giving someone else a task within his/her own practice and is base on job descriptions and policies” (NCSBN, 2005, p. 1). The Board of Registered Nursing (BRN) and the Board of Vocational nursing & Psychiatric Technicians (BVNPT) website, lists what duties the RN and the LVN can legally do and is within their scope of practice, this is called the ‘nurse practice act’. A nurse assistant personnel (NAP) or Unlicensed Assistive personnel (UAP) may perform different tasks depending on the state that they reside in, but most include tasks that are considered activities of daily living (ambulating, hygiene, grooming)(NCSBN, 2005). The LVN can perform tasks that the nursing assistant can do, as well as other tasks which include: medication administration (oral, subcutaneous, intramuscular), simple dressing changes, wound care, suctioning, catheter insertion, drawing blood from a patient, and starting an IV and intravenous fluids. IV and blood draws are dependent on the LVNs certification, competence, and
Autonomy is identified as another professional value and one that the nurse must possess. Autonomy is the right to self-determination. Nurse’s respect the patient’s right to make a decision regarding their healthcare. Practical application includes, educating patients and their families on their choices, honoring their right to make their own decision and stay in control of their health, developing care plans in collaboration with the patient (Taylor, C. Lillis, C. LeMone, P. Lynn, P,
A leader is described as a person who guides others and has authority and influence over others. They work to influence others into meeting certain goals. There is no right or wrong definition of a leader and there is no recipe that ensures effective leadership. Successful leaders have a good balance of vision, influence, and power. Leaders gain their authority from their ability to influence others to get the work done; because of this, anyone has the potential to be a leader. (Finkelman. 2012, p15)
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
is the duty to do no harm. The nurse first needs to ask him or herself what
Nurses that are able to execute appropriate delegation can benefit immensely. Delegation
Overall delegation is get familiar with the national guidelines,state guidelines, job descriptions,scope of practice being accountable and responsible for the tasks who delegated. Nurses need good critical thinking skills, respect, trust for one another to maintain good relationships and to realize we are a team. This way any nurse can delegate with confidence.