Nursing - Delegation of Work
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.
Accountability and responsibility are two important parts of delegation. Accountability is defined as, “being responsible and answerable for actions or inactions of self or others in the context of delegation” (National Council of State Boards of Nursing, Resources section, 4). This refers to the nurse’s legal liability for her actions and patient outcomes. Responsibility is defined as the...
Education is the foundation of American society. It empowers the youth of America to become the successful leaders this country needs for the future. Education has been one of America’s top priorities since 1965, when the Elementary and Secondary Education Act was passed. Now, education is controlled by the No Child Left Behind Act, which was launched in January 8, 2002. This act was passed with intentions from the government to provide Americans with a more superior education system. However, The No Child Left Behind Act carried many flaws which were left unseen to a vast majority of the public. This act limited American students by not allowing them to demonstrate their full academic potentials while proceeding in school. While the act was still fairly fresh, there was already evidence to prove that it had already gotten off to a bad beginning. For the crucial math and science courses, statistics showed minimal improvements which had begun around the time period in which the No Child Left Behind Act was passed. The act was also supported by a number of educators who voiced themselves by testifying against having the right to teach at their own free will. Teachers across America claimed that because of this new act, they felt a constant heaviness upon their shoulders from the state government to “Teach the test.”
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
We know that a majority of our profession is made up of highly educated and trained professionals; colleagues who advocate for patient autonomy and patient-centered care (the patient’s right and ability to make their own informed decisions). Similarly, as nurses, we have the right and the ability to deliver autonomously holistic primary nursing care. Both nursing and patient autonomy allow for the healthy development of a respectful partnership: a relationship that can foresee and respond to patient/family needs (e.g., physical comfort, emotional, informational, cultural, spiritual, and learning needs) (Finkelman & Kenner, 2016, p. 274).
... of the main goals of NCLB is to increase teacher, school, and state accountability for students’ scores. (http://www2.ed.gov/nclb/accountability/index.html)ASK ABOUT LONG QUOTATION FOR THIS SECTION. What this means is that each state must spell out how they plan to lessen the achievement gap and make sure that all of their students, regardless of their status or abilities, reach proficiency. In addition, the state is required to send out report cards to parents and communities regarding state and school progress. If a particular school isn’t moving in the right direction and isn’t making progress, it must provide additional services, for example tutoring, and take corrective actions to make the school better. If after all of this the school still is not reaching AYP after five years, changes will be made at the foundation of the school, changing the way it is run.
Nurses are responsible for their own practice and the care that their patients receive (Badzek, 2010). Nursing practice includes acts of delegation, research, teaching, and management. (ANA, 2010). The nurse is responsible for the following standards of care in all practice (Badzek, 2010). The individual nurse is also responsible for assessing their own competence and keeping their practice within the standards of the current standards of care for the specialty which they are practicing and the state nursing practice acts (ANA, 2010). As the roles of nursing change, nurses are faced with more complex decisions regarding delegation and management of care (Badzek,
The American Nurses association defines delegation as, ‘The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome’ (Saccomano, 2010, p. 523). When delegating to staff or members of your team, it is important that it is used appropriately and within the proper guidelines. It is common to see RNs delegating in the hospital setting to the LVN or nursing assistant, however, the RN must know the limitations and what is within their scope of practice. Unfortunately, even if the nurse uses these guidelines, conflict can still occur with other staff making the process more difficult. Having the responsibility to delegate, especially as a new registered nurse, can be daunting,
The NCLB Act was signed by former President George Bush in 2002, which was created to improve student and achievement gaps. In the article, “No Child Left behind and the Transformation of Federal Education Policy”, Patrick J. McGuinn exclaimed, “No Child Left behind is an attempt by the federal government to regulate educational policy in the 50 states” (Patrick McGuinn,2007, p. 370). It is also designed to make sure that all students can achieve high standards from all states which include students with disabilities. Before the NCLB was passed, students with disabilities were excluded from school assessments. Now that this act was ...
As students in a Structure & Philosophy class, one of the main components has been to introduce and familiarize us with the No Child Left Behind Act. President Bush passed this legislation on January 8, 2002. The NCLB Act was designed to ensure each and every student the right to a fair education, to give parents more options in their child’s education, and to guarantee all teachers are highly qualified. By highly qualified, the act means teachers must have at least a bachelor’s degree, have full state certification or licensure, and have demonstrated competence in their subject areas (US Dept. of Education).
Vaccines are a controversial topic. While there are many benefits to getting vaccinated, there are also some concerns. The benefits include immunization against many deadly diseases, debilitating diseases, and other simply annoying diseases. The concerns include everything from fears about vaccines causing autism, feeling they aren’t necessary for what they cost, and contracting the disease from the vaccines. While certain concerns may be valid, others are much less so, and will be examined and explained why I would choose to vaccinate my child.
Vaccinations have been a controversial topic over the years because the benefits are inevitably invisible. People who do not receive the disease are unaware of the good that comes out of the vaccination as well as the risks. There are multiple killer diseases out in the world that could and do harm unsuspecting victims and need to be prevented; therefore, vaccinations are the solution. A vaccination is the injection of a killed or weakened organism that produces immunity in the body against that organism (vaccine.gov). Research shows that vaccinations have decreased the percentages of diseases such as Measles, Mumps, and Rubella, more than 90 percent (Immunize for Good). Even though some parents are worried about the slight risks and the money
In conclusion, the initial intentions of the No Child Left Behind Act (2001) were to close the achievement gap between low achieving students and schools and their counterparts; but have fallen short in many important aspects along the way. Teachers have become de-sensitized to the reasons they initially desired to be educators and have lost their vision of how to implement instruction due to standards of NCLB and the consequences for not meeting those mandated goals. Likewise, students must perform, many times, above their level in order to be labeled “adequate” by the federal government and their schools. In some cases, there is a disproportionate burden placed on schools, teachers, and students, all for the sake of what is federally deemed as average achievement.
Accountability defined as the responsibility of an individual in a position of an employee or student. In this section, I am going further to mention some situations and how does this situation demonstrate the responsibility that reflected from the dimensions of my personality, including conditions from communication, diversity awareness, decision-making and problem solving. First am going to point at some of my situation that I experienced as a student and then build it up to the situation that I faced in the work placement program as an employee.
Year after year students put themselves through large amounts of stress, attempts to prepare themselves mentally, and spend majority of their waking hours studying for standardized testing required through the No child left behind act (NCLB). An act put in place by the Bush Administration in hopes and efforts for student around the country to excel in education. However, the No Child Left behind Act is hindering a student’s ability to perform in the classroom rather than the student to excel as planned. Amongst other countries around the world, the United States performs significantly lower in education. Overall, the act had good intentions, but does it really raise achievement and close the achievement gap? Improving education has always been a top priority in the white house. Many laws have been passed but how many have succeed? NCLB is one of the biggest social engineering projects of our time, but shows very little progress in our children’s education. The No Child Left behind Act causes more of a negative outcome by being ineffective at achieving academic improvement, closing the education gap, limiting the teaching material for instructors, and causes a harmful repercussion on children and adolescents mentally and emotionally.
The American Nurses Association Code of Ethics for Nurses has five elements that pertain to the Principle of Autonomy. Each individual element applies to “respect individual persons” (Baillie, McGeehan, Garrett T, M., Garrett R. M., 2013, p.33). In Chapter 2 of the Health Care ethics: Principles and problems text, it discusses thouroghly the consent of an individual to make their own decisions regarding their health and future requests of care. As a nurse or within all heath care professions, we must treat each individual patient with care, respect, and to remain mindful to the patient regarding any aspect of their lives. In the ANA Code of Ethics for Nurses, it explains ways of maintaining the empathy required in the health field. It further discusses that the respect for human dignity must be a priority, relationships to patients must remain neutral, the severity of the situation, the right to self-rule, and the professionalism that must be upheld by the nurse and their associates.
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.