ATI - Chapter 6 Flashcards
Delegation is the process of transferring the performance of a task to another member of the health care team while retaining ______ for the outcome.
accountability
_____ is the process of directing, monitoring, and evaluating the performance of tasks by another team number.
supervision
Nurses are responsible for supervising the performance of client care tasks they _____.
delegate to others.
Licensed personnel are nurses who have completed a course of study in nursing and successfully passed either a PN or ____ examination.
RN
Unlicensed personnel are individuals who have had ______ to function in an assisstive role to licensed nurses in providing client care.
training
These unlicensed individuals might be nursing personnel, such as certified nursing assistants or certified medication assistants or they might be non nursing personnel, such as dialysis techs, monitor techs, and ______.
phlebotomists
Some facilities differentiate between licensed and unlicensed personnel by using the acronym _____ for nursing assistive personnel or AP for assistive personnel.
NAP
A licensed nurse is responsible for providing clear directions when delegating a task initially and for periodic reassessment and evaluation of the _____ of the task.
outcome of the task
RNs may delegate to other RNs, PNs, and ____.
APs
RNs must be knowledgeable about their state’s nurse practice act and the regulations that guide the use of PNs and ____.
AP
RNs must delegate tasks so that they can complete high-level tasks that only RNs can ____. This allows more efficient use of all team members.
perform
PNs may delegate to other PNs and to ____.
AP.
Nurses may only delegate tasks appropriate for the __________ level of the individual who is receiving the assignment (the delegatee).
skill and education
RNs may not delegate the nursing process, client education, or tasks that require nursing ______ to PNs or to APs.
judgement
Delegation task factors
predictability of the outcome potential for harm complexity of care need for problem solving and innovation level of interaction with the client
Delegatee Factors
Education, training, experience
Knowledge and skill to perform task
level of critical thinking the task requires
Ability to communicate with others as it pertains to the task
Demonstration of competence
The facility’s policy and procedures
Licensing legislation
Use the five rights of delegation to decide
tasks to delegate (right tasks)
under what circumstances (right circumstances)
to whom (right person)
what info to communicate (right direction)
how to oversee and appraise (right supervision)
When delegating tasks use professional judgment and _____ skills when delegating.
critical thinking skills
The right task is repetitive, requires little supervision, and is relatively ______ for the client. Delegate activities to appropriate levels of team members according to professional standards of practice, legal, and facility guidelines, and available resources.
noninvasive
The right ______ determine the health status and complexity of care the client requires and match the complexity of care demands to the skill level of the delegatee. Also consider the workload of the delegatee.
circumstances
The five rights of delegation
right task right circumstance right person right direction and communication right supervision and evaluation
The right ____ must be assigned tasks within the delgatee’s cope of practice and job description. They must have the necessary competence and training. Continually review the performance of the delegatee and determine care competence. Evaluate the delagatee’s performance and remediate when necessary.
person
The right ______ in writing, orally, or both is used when you communicate what data to collect. Provide a method and timeline for reporting, including when to report concerns and assessment findings. Coummincate specific tasks to preform and client specific instructions.
direction and communication
The right _____ must be provided either directly or indirectly. Monitor performance. Intervene if necessary and provide feedback. Evaluate the client and determine the client’s outcome status.
supervision
