Delegation Flashcards
What is the importance of delegation?
- Core skill to deliver safe, competent, and effective care
- Allows nurse leaders and managers to handle more complex activities.
- Agencies support delegation.
What are the three key principles of delegation?
- problem solving skills.
- critical thinking.
- clinical judgement.
Delegator
the person that is responsible for delegating tasks.
Delegate
The one that the task is delegated to - in their own scope of practice.
Authority
the legal source of power, right to command actions.
Supervision
act of guiding or directing.
What are examples of delegated tasks?
Document data, collect a specimen, measure I & O, take VS, provide oral care, assist with morning care.
What CANNOT be delegated?
Assessment, forming a nursing diagnosis, initiating and updating care plans, evaluating client progress and health status, implementing orders and communicating with health care providers, providing client or family teaching, required patient education, specialized knowledge, and nursing judgement.
Can RNs delegate to RNs?
Yes:
RN-RN, RN-LPN, RN-UAP, LPN-LPN, LPN-UAP, UAP-UAP. CANNOT GO THROUGH THREE PEOPLE!
What are the five rights of delegation?
- Right task
- Right circumstance
- Right person
- Right communication
- Right supervision and evaluation.
What is the most important part of delegation?
SAFETY!
What is the delegation process?
- Assessment
- Communication
- Supervision/surveillance
- evaluation/feedback
Why would a delegate be unwilling to complete a task?
Lack of skills, perception of excessive work load, physical inability.
What are the three barriers to delegation?
Under delegation: not a team player, insecurity, inexperience.
Over delegation: Too many tasks to one person, inexperience, unfamiliar.
Improper delegation: wrong task, wrong delegate, error on multiple levels.
