The nurse retains the accountability for the delegation. The nurse who delegates a task or assignment must know the chosen person is competent to do that task. Legally the RN is obligated to delegate based on the unique situation, clients, and personnel involved and for ongoing follow-up.
Supervision is an integral part of delegation, whenever a nurse delegate, he or she must also supervise. Supervision is defined by NCSBN as "the provision of guidance and direction, oversight, evaluation and follow up by the licensed nurse for accomplishment of a nursing task delegated to nursing assistive personnel.
As for the accountability the delegates, they are accountable to "accept the delegation and for their own actions in carrying out the act. RNs should utilize a decision making process to delegate in a manner that protects public health, welfare, and safety.
The case scenario is on a medical surgical unit with 24 patients.
One of the RN left for lunch break. RN in the Emergency Department is on the phone requesting to give report to the nurse on the new admission being transferred to the unit. A 4-hour post-operative hysterectomy patient is requesting medication for pain. One of the patient requires assistance with feeding and another patient who is two days post hip replacement is asking for assistance to get up to the bathroom.
The CNA notifies the charge nurse that a first day post-op cholecystectomy patient is complaining of difficulty breathing and shortness of breath. A physician is requesting assistance to perform several complex dressings on a client who has extensive packed wounds.
The Radiology department has called and asked that a patient be prepared for an angiogram. They will send transportation in 30 minutes to pick up the patient. First the RN charge nurse should develop a delegation plan.
The delegation plan should include selecting and identifying nursing interventions which may be delegated. Staff RNs shall communicate decisions regarding selected interventions and the conditions of supervision to licensed nurses responsible to provide supervision and to unlicensed persons responsible to provide nursing interventions as appropriate.
Then implement the delegation plan by providing direction and supervision. According to the joint statement on delegation by the ANA and NCSBN, the steps necessary for the delegation process is first assess and plan the delegation based on the patient needs and available resources.
Then communicate directions to the delegate including any unique patient requirements and characteristics as well as clear expectations regarding what to do, what to report, and when to ask for assistance.
The RN will be delegated to assess the first day post-op cholecystectomy patient who is complaining of difficulty breathing and shortness of breath.Care Delivery In Nursing: Delegation the care of a nurse (NMC: ) Best practice indicates that delegation should be based on an assessment of individual needs, a .
Reasons for delegation. Delegating tasks in nursing is a necessity. However, one should possess effective and efficient leadership styles.
|Delegation in a Health Care Setting||The issues relating to delegation have become more complex in the contemporary healthcare environment which is evolving, hence calling for creation of guidelines which are practical to direct the delegation decision processes.|
|Delegation in Healthcare | Essay Example||Health care Abstract This paper will present an analysis on nursing delegation to unlicensed assistive personal UAP within the healthcare setting. Delegation is a responsibility nurses are expected to do in order to coordinate safe and timely care for their patients.|
|Delegation in Nursing - Essay||WHO Obesity and overweight This research will investigate to what extent is obesity related to unemployment. Obesity has become a major global issue in the last century since it has had an exponential increase throughout the world.|
|Nursing and Delegation - Sample Essays||
Delegation of tasks to Unlicensed Health Care Workers (UHCW) has been associated with various benefits. Delegating tasks enables nurses to have more time for their more professional roles.
Delegation is a widely-spread practice and, today, delegation is applied in different fields, including health care. At the same time, the use of. Delegation in Nursing This Essay Delegation in Nursing and other 64,+ term papers, including basic health care, that help people cope with difficulties in daily living that are associated with their actual or potential health or illness problems or the treatment thereof, and that require a substantial amount of scientific knowledge or 4/4(1).
Delegation in Healthcare Essay Sample Delegation is defined as the transfer of responsibility for the performance of an activity from one individual to another individual. Nursing Essay: Sample Reflecting on one’s Communication Skills Introduction Nursing students can enhance their learning through reflection that is, reflecting on a situation that involves nursing care (Parker , p).
In line with this thought, I shall reflect on an experience and discuss the communication skills I used or should have used during the patient encounter.