Class 11 Delegation Regulation of Nursing Practice

Question 1

Getting work done through others
Directing the performance of one or more people
Transferring to a competent individual the authority to perform a selected nursing task in a selected situation
Complex, requires insight and judgment

Answer 1

Delegation

Question 2

Manager to Employee Delegation Why do it?

Answer 2

Frees the manager to handle problems that are more complex or require a higher level of expertise

Provides learning or ‘stretching’ opportunities for subordinates.

When employee has better expertise or knowledge

Question 3

Common Errors in Delegation

Answer 3

 Under Delegating
 Over Delegating
 Improperly Delegating

Question 4

Delegation RN to RN, LPN, HCA

Answer 4

Making up patient assignments  Working in a team with LPN or HCA  Delegating tasks to LPN or HCA

Question 5

if you didn’t delegate correctly or didn’t supervise correctly AND
An empokee makes an error

Answer 5

Negligence

Question 6

Employer Responsibilities
In delegation

Answer 6

 Policies and procedures regarding who can delegate to whom
 Determines what procedures can be delegated
 Select suitable employees
 Provide adequate education and supervision

Question 7

Responsibilities Regarding Delegation

Registered Nurse is accountable for :

Answer 7

 Decision to delegate care
 Determining that the provider has the necessary knowledge and
skills to perform the task safely and competently
 Ongoing assessment of the client and the task

Registered Nurse Assesses  Is the client’s health status is stable?  Can you predict client’s response to the task?  Does the HCA have knowledge & ability to perform the task safely  Is the HCA allowed to perform the task?

Question 8

Five Rights of Delegation

Answer 8

Right task
Right circumstances
Right person
Right directions & communication
Right supervision & evaluation

Question 9

 Professional voice of RN
 Advocates for the RN and the public
 Promotes excellence in nursing practice, education, research, leadership & policy

Answer 9

Association of Registered Nurses of Manitoba

Question 10

Name three ways CNA promotes nursing and health of Canadians

Question 11

It is a national group

“Registered nurses contributing to the health of Canadians
and the advancement of nursing.”

Answer 11

CNA

Question 12

 Protects and supports nurses

Answer 12

MNU

Question 13

National group
“Advocates for the health and safety of our members and the patients that we care for from coast to coast”

Answer 13

Canadian Federation of Nurses Unions

Question 14

Protects the public through self- regulation

Regulation is the “forms and processes whereby order, consistency, and control are brought to an occupation and its practices.”

Answer 14

College of Registered Nurses of Manitoba

Question 15

Allocation of clients or speciic client care tasks to health-care providers. Occurs within the scope of practice of a regulated professional and within the scope of employment of an unregulated care provider.

Answer 15

Assignment

Question 16

Extending authority to perform a speciic client care task to an unregulated care provider who does not otherwise have the authority to perform the task.

Answer 16

Delegation

Question 17

What are the five things the RN is required to do when assigning tasks?

Answer 17

1. Use the nursing process to determine a plan of care and/or collaborate with other regulated professionals to determine a plan of care before assigning the task.
2. Understand the scope of employment of the unregulated care provider and assign only tasks that fall within their competence, position description and employer policies.
3. Provide supervision, guidance and collaborate with the unregulated care provider as appropriate within the team.
4. Collaborate with the health-care team to determine an appropriate plan for
   re-assessment, monitoring and evaluation of the plan of care based on an assessment of risk associated with the client, task, environment and unregulated care provider
   (see Appendix A).
5. Intervene when unsafe or unethical practice is identiied. Interventions may include guidance, teaching and direction, clarification of the plan of care and, if necessary, reporting to the employer.

Question 18

What is the RN required to do when delegating a task?

Answer 18

1. The employer supports delegation of the task.
   2, the task would normally be performed by a client or the ir family member as part pf self-care.
2. The task has defined limits and does not require the nursing process.
3. The need, response and possible outcomes have been identified and documented for the client.

Question 19

— mean that the profession regulates itself through creation of a regulatory body, rather than being managed by government (CNA, 2007)
— “is based on the belief that the profession has the specialized
knowledge necessary to set standards of practice and to evaluate the conduct of its members through peer review” (Storch, 2010, p. 201).

Answer 19

Self-regulation

Question 20

— to ensure protection of the public
— carry out activities and govern regulated members in an effective manner to protect and serve the public interest; otherwise, it risks having the privilege of self regulation revoked.

Answer 20

REGULATORY BODY’s main responsibility

Question 21

• organizations that represent workers in their negotiations with employers
• working women and men joining together to gain strength in numbers and presenting a united voice to address issues of concern and create safe work environments
• provide their members with many benefits and supports
• primary purpose of a union is to engage in collective bargaining with the employer to determine issues related to wages, terms and conditions of work, and worker security, and to support workers during conflict

Answer 21

Labour Union

Question 22

It is a process whereby members of a profession, supported by
their union, meet with representatives for the employer and discuss and negotiate agreements on key issues and concerns

Overall goal is to ensure that mutual agreement on issues of employee safety
and fair treatment on the job are defined and enacted

Answer 22

Collective Bargaining Agreement (CBA)

Question 23

national professional voice for registered nurses, representing almost 139,000 RNs.

Answer 23

CNA

Question 24

works to advance nursing excellence in order to

(1) achieve positive health outcomes in the public interest;
(2) promote profession-led regulation in the public interest;
(3) act in the public interest for Canadian RNs, providing national and international leadership in nursing and health; and
(4) advocate in the public interest for a publicly funded, not-for-profit health system.

Answer 24

CNA

Question 25

Mission: is to protect and serve the public interest through quality registered nursing regulation.
Vision: is to provide leadership and innovation in registered nursing regulation. Values: leadership, integrity, accountability, collaboration, excellence.

Answer 25

College of Registered Nurses of Manitoba (CRNM)

Question 26

Ensure that all registered nurses and nurse practitioners are qualified to provide safe, ethical care.

Answer 26

CRNM

Question 27

affirms that equity, diversity, and inclusion are central to the promotion and practice of nursing and as a profession, we must continue to support the creation of a more equitable, diverse, and inclusive society

Answer 27

Association of Registered Nurses of Manitoba (ARNM)

Question 28

— professional voice of nurses in Manitoba

— support nurses to be empowered health leaders across all settings to advance nursing and advocate for the public they serve

— Advancing the nursing profession and public policy as leaders in health.

Answer 28

Association of Registered Nurses of Manitoba (ARNM)

Question 29

Mission: Through our effective collective bargaining, innovative member engagement, and well-rounded advocacy, we instill and uphold the value of our nurses in supporting a healthy Manitoba.

Vision: strive towards a healthy Manitoba where all nurses are valued for their passion, dedication, caring, skill, and leadership.

Answer 29

Manitoba Nurses Union (MNU)

Question 30

It is an organization that

— Labour Relations processes such as Collective Bargaining to establish wages, benefits and working conditions

—Enforcing collective agreements and ensuring workplace standards are met

—Organizing member-driven campaigns to improve working conditions and patient care

—Advocating for both nurses and their patients

—Providing educational opportunities and resources for the membership

—Engaging in public and governmental relations to protect and improve health care for nurses and patients

—Strengthened the role of Manitoba nurses within an increasingly complex health care delivery system.

Answer 30

Manitoba Nurses Union (MNU)

Question 31

What are the attributes of Professional Identity?

Answer 31

1. Doing
2. Being
3. Acting Ethically
4. Flourinshing
5. Changing identities

Question 32

— the consensus or sociological perspective, incorporates the societal and
professional codes and standards that are part of the nursing discipline. It also includes skills orientation

— knowing how one functions (role) is central to understanding this part of professional identity. It is the external expectations and tasks

Answer 32

“DOING”

Question 33

— the personal or psychological view of the nurse professional, explains what it means to do the right thing even when no one is looking.

— Adopting attitudes and behaviors that reflect the value of how a professional thinks, feels, and acts.

— It is a personal sense of being a nurse and functioning within the norms and values that are characteristic of nursing as a discipline.

Answer 33

“BEING”

Question 34

Positive and transformational growth. It is necessary to move past the
initial phases of formation. The key qualities needed for sustainable, life-long growth as professional are: deeply engage with the profession’s public pirposes, develop a strong professional identity, see the workd through the lens of the profession’s moral purposes and standards, etc.

Answer 34

FLOURISHING

Question 35

“involve a generalized sense of disequilibrium for people deep in the
throes of change”

Answer 35

Role transitions