Registered nurses are required to do many things, but one of the most difficult aspects and responsibility of being a registered nurse is delegating effectively. Delegation is a complex nursing skill that takes time and practice. “Delegation is a complex process in professional practice requiring sophisticated clinical judgment and final accountability for patients’ care” (National Council of State Boards of Nursing [NCSBN], 2006). A registered nurse needs to learn to trust and understand the licensed practical nurses, the patient care techniques, certified nursing assistant, and other members of the health care system. A registered nurse will be responsible for delegating certain aspects of patient care to LPNs, CNAs, and PCTs. The registered …show more content…
But, tasks like surgical dressing changes and tracheostomy suctioning and care should not be delegated to a nursing assistant, due to the fact it is something that is not in their scope practice. According to “10 Tips for successful delegation” by Carol J Huston, “Delegation should occur when someone else is better qualified to complete a task, when someone equally qualified has more time than you do to complete a task, or when delegating a task to an individual empowers her to achieve something she hasn’t had an opportunity to do before” (54). Another important skill a registered nurse should have is effective communication. A registered nurse should be able to communicate with LPNs and nursing assistants to provide optimal care for the patient. The registered nurse should clarify and address any questions or concerns the LPNs and nursing assistants may have. The LPNS and nursing assistants should not feel hesitant or afraid of the registered nurse; therefore, the registered nurse should create a welcoming atmosphere where people can come and ask questions and talk about issues without any …show more content…
J.M. is a 78-year-old Catholic male patient who came to the emergency room with complaints of difficulty breathing and constipation. She said, “I haven’t been eating right these past few days because I live alone and do not have the strength anymore to go to the grocery store.” Her examination revealed fever, tachycardia, and productive cough. J.M. had hypertension for 10 years, emphysema for 5 years, and diabetes for 4 years. His home medications include atenolol 50mg twice daily and metformin 500mg daily. J.M. wife died 5 years ago and he lives alone. He has one daughter and one son. The son lives 15 minutes away from him and tries to help him out in anyway that he can, but J.M. informed us that he is on vacation with his family. J.M. smoked 2 packs per day for 10 years and quit 5 years ago. J.M. denied using recreational drugs and drinking alcohol. He was diagnosed with pneumonia and admitted the medical surgical unit. His orders include a high fiber diet and ADA diet, oxygen via nasal canal if < 89%, monitor and record O2 stat every 4 hours, record intake and output, arterial blood gas in AM, and blood glucose levels every one a day. His medication orders include Ciprofloxacin 400mg IVPB every 8 hours, Ipratropium aerosol 18mcg puff metered dose inhaler 2 puff every 12 hrs, Senna 15mg PO once daily, acetaminophen 325-650mg PO every 4-6 hours prn
Without doubt, there are two variables that should be considered when evaluating the benefit of shared governance in long term/nursing home settings. First, obtaining consent from the nursing assistant to volunteer for the leadership role for the duration of one year, and the nursing assistant employment status at the time of consent. Second, the effectiveness of the shared governance project to reduce falls, weight loss, in-house acquired pressure injury, and nosocomial infection rates for the sake of the resident’s comorbidity.
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.
This also includes creating personal connections this is knowing how to be approachable and engage with groups and listen attentively. Understanding the importance and what is emotional intelligence and developing this to help these management and leadership skill to develop and ensure the application of these kills is shown ( (Beauvais, Brady, & O’Shea, 2011). It is important that newly qualified nurses understand their own emotional intelligence to develop these skills as leadership and management skills are used in all areas of clinical care. In the workplace newly graduate nurses will undertake the care and responsibility of patients that are critically ill. In these settings changes in the patient’s condition can rapidly change in a
...cannot attend to it alone. The nurse must be able to understand and organize a multi-dimensional approach to care. During my clinical experience I was able to work with CNA’s, LPN’s and RN’s. This allowed me to learn from their experience and to deliver better care as a result. I also worked with members of my own team and we each learned from each other’s strengths and weakness.
The role of a Registered Nurse cannot be neglected in the provision of quality and safe care to patients and adopt procedures adequate for the condition of the patients because they work at the front line level; moreover, they have direct dealing with patients and integration of personal and professional skills is necessary. Therefore, there are certain attributes that are necessary to be present in a Registered Nurse for accurately performing various tasks. These include; Workload management, leadership qualities, interpersonal skills, control of practice, professional development, effective communication skills and organi zational loyalty (Daly & Carnwell 2003, pp. 158-167). These attributes hold significance in terms of obtaining positive outcome for not only the Registered Nurse but also the organization and the patient. Workload should be managed in such a way that the care process is not affected. Registered Nurse should have leadership qualities to help, motivate and inspire other nurses. Similarly, a Registered nurse should also enable and promote learning opportunities for other nurses. A Registered Nurse has responsibilities towards the subordinates, patients and most importantly to the organization. Effective communication skills can allow Registered nurses to establish a trusting relationship with patients identifying their problems and needs. The code of ethics and principles of practice must be followed and the practice of the nurse should be in the line of the organization’s working principles. The responsibility should be met as accountability factors must be considered significant in healthcare setting (Cornenwett, et al, 2007, pp.122-131; Bradshaw et al 2012, pp.13-14). ...
We are not only responsible for patient care, but we are also included in many other roles. Before nursing school, I thought that the main responsibility of the nurse is to take care of patient. During nursing school, I learned that patient care was not the nurses known just for. We took many general courses and nursing course work to prepare ourselves to be an educated member. For example, it was required to us to take microbiology, anatomy, leadership, professionalisms, etc to help us to become a better nurse and have a foundation base of education. We give patient care in the hospital, but we are also provider of care. We use the nursing process to help and make decision for our patient. Our decisions are based on critical thinking, clinical reasoning, and accountability. We are hold accountable for everything we do and based on our judgment to provide care to the best of patient’s benefit. We are also known for our role as a manager, designer, and coordinator of patient care. I plan and coordinate patient’s care based on their health care needs. In clinical, my patient has a Foley catheter, I will know to plan and implement Foley care to help with personal hygiene and preventing infections. It is important to make decisions based on priorities, time, and resources. As nurses, we need to know how to delegate and ask for assistance when needed. For example, I needed help to ambulate my patient who has a total knee replacement, I then ask
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
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
The first step to understand your role as a CNA is to know the difference between a hospital setting and a nursing center. Hospitals provide emergency care, surgeries, and laboratory testing. They care for people of all types of ages and all scenarios. Hospital patients have three types of illness: acute, chronic, or terminal. Acute illness is a sudden illness from which someone is likely to recover. Chronic illness is an on-going illness which there is no known cure. Terminal illness is an illness or injury from which a patient is expected to expire. On the other hand, long term care centers are designed to meet the needs of people who no longer can care for themselves but do not need hospital care. These people are called residents upon their entrance. Care centers provide residents with the right medical, nursing, rehabilitative, recreational, and social services. Nursing centers meet the needs of all kinds of residents from alert, oriented, confused, short term, life long, mentally ill, terminally ill, to persons needing complete care. Besides the differences hospitals and nursing centers have similar standards. They must protect and promote patients or residents rights. Both require high quality care, and a clean and safe setting. The Omnibus Budget Reconciliation Act ...
The medical community has changed since the 1980s, as positions and duties has changed. Each position contains specific duties to help with patient care and outcome. Just like a pyramid, each position holds a superior rank to the other. The doctors are at the peak and control the patient care. They make the decisions based on the information provided to them by the nurses. The registered nurse (RN) is at the next level and communicates between the doctors and the supporting staff. The supporting staff, the final level, assist the patients on a one on one basis. This pyramid of positions alters depending on the specialty or facility that an individual is employed, and condition of the patient. One without the other is an impossible task...
Mr. GB is a 78 year old white male admitted to Bay Pines VAMC on 6/18/96. for " atypical chest pain and hemoptysis". V/S BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x 3 and cheerful. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a pleural suction drainage tube inserted in his chest . Pt is extremely thin with poor skin turgor with a diagnosis of cachexia ( wasting) secondary to malnutrition and infection. Patient is no known allergies to drugs but is allergic to aerosol sprays disinfectants and dust.. Advanced directives on chart. Code status DNR. Primary physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There is PT, OT Dietary and Infectious Disease consults when necessary. He lives with his wife who he has been married to for 56 years. His son and his daughter come to visit him. He does not smoke. He wears dentures but did not bring them. He dose not use a hearing aid but he does have a hearing deficit.
Patient profile: Heterosexual Muslim Woman who has been in the United Stated for three years. She came from Pakistan. She is 42 forty-two years old, from low socioeconomic standing, English language barrier, and is Muslim rituals and practices. She came to emergency department with her husband due to shortness of breathing, high fever, severe cough. She was dignosed with new onset of pneumonia and currently on antibiotic. she also has history of Vitamin D deficiencies and diabetes mellitus type II. She admitted to medical-surgical floor for observation...
One of the many challenges in being a nurse is demonstrating the professional responsibilities of ones own practice in order to provide proper care to the patients and their families. It is crucial that nurses are in a healthy mental and physical state in order to provide adequate care for the patient. An example of Standard 1, professional responsibility and accountability, Indicator
There are many members of the inter-professional team, all of which are contributing to the healthcare of acute and critically ill patients. Every member of the team has had education and obtained a license of practice compatible to their level of knowledge (Prater, Fundamentals of Nursing, 2013). As a practical nurse you need to be mindful of your scope of practice in relation to registered nurses, certified nurses’ assistants and other healthcare professionals. With so many different people involved in the immediate care of a patient, there is always the possibility of a mix up. The purpose of this paper is to help differentiate between the roles of the healthcare staff, which will in turn help develop a knowledge base for prioritizing care;
There are many themes that present in literature about delegation. American Nurses Association(ANA) defines delegation as the transfer of responsibility for the performance of a task from one person to another. The National Council of State Boards of Nursing(NCBSN) defines delegation as transferring to a competent individual the authority to perform a selected nursing task in a selected situation. I think delegation is a skill that needs to get proficient. Kleinman and Saccomano(2006) state that the nurse must be taught delegation skills, both in academic and clinical settings. The use of unlicensed assisted personnel(UAP) or licensed practical nurse(LPN) is essential in todays health care because of the increased acquity of patients and increased custom-service approach.