Chapter 16- Delegation In Nursing Flashcards
Delegation
As essential component
An essential component of the management of nursing units
Allows health care managers to maximize the use of caregivers who are educated at multiple levels
The goal of delegation
To meet the cost restraints of limited health-care budgets by using less expensive personnel that maximize the use of time by RNs and promote teamwork
Delegation
The designation of competent to the responsibility of carrying out a specific group of nursing tasks in the provision of care for certain clients
Supervision
The intital direction and periodic evaluation of a person performance as assigned task to ensure that he or she is meeting the standards of care
Assessment
Designating tasks for ancillary personnel that fall under their own level of practice according to facility policies, position descriptions and, if applicable, state practice act (licensed practical nurse and licensed vocational nurse)
Nursing responsibilities when delegating
Asses the client Know staff availability Know the legalities in the nurse practice act Know the job description Educate the staff member
Delegation of the NCLEX
Need to know the person’s skill level and education.
Know the job description
Evaluate the client’s status
Delegation: RN to LPN
Lpn's cannot: Do admission assessments Give IV push medications Write nursing diagnoses Do most teaching So complex skills Take care of clients with acute conditions Take care of unstable clients
Delegation: RN to unlicensed assistive personnel (UAP, CNA, and Aides)
Look for lowest level of skill required for the task
Look for the most uncomplicated task
Look for the most stable client
Look for the client with the chronic illness
Key skills for delegation
Clear communication
Careful monitoring
Assessing the client
Knowing staff avaliablility
Knowing the job description
Educating the staff member
Direct delegation
A specific decision made by the RN about who can perform what tasks
Indirect delegation
A list produced by the healthcare facility of tasks that certain healthcare personnel can perform
A form of covert institutional liscensure
Takes away much of the authority of the RN to assign personnel tasks
RN remains accountable for the safe completion of the tasks under then doctrines of respondent superior and vicarious liability
