Delegation and Continuity of Care Flashcards
The act of transferring to a competent individual the authority to perform selected nursing task in a selected situation.
Delegation
Communication must be clear and verify that UAP understands:
The specific task to be done for each client, when each task is to be done. The expected outcome for each task, including parameters outside of which the unlicensed person must immediately report to the nurse. Who is available to serve as a resource if needed. When and in what format a report on the task is expected.
What tasks can be delegated to UAP?
Taking of vital signs, measuring and recording intake and output, client transfers and ambulation, postmortem care, bathing, feeding, gastrostomy feedings in established systems, attending to safety, weighing, performing simple dressing changes, suctioning of chronic tracheostomies, performing basic life support (cpr)
Tasks that cannot be delegated?
Assessment, interpretation of data, making a nursing diagnosis, creation of a nursing care plan, evaluation of care effectiveness, care of invasive lines, administering parenteral medications, insertion of NG tubes, client education, performing triage, and giving telephone advice.
True or False: Anyone who feels unqualified to perform a delegated task must decline to perform it?
TRUE
What is the coordination of health care services by health care providers for clients moving from one health care setting to another and between and among health care professionals?
Continuity of Care
To provide Continuity of Care nurses must:
Initiate discharge planning for all clients when they are admitted to any health care setting. Involve the client and the clients family or support persons in the planning process. Collaborate with other health care professionals as need to ensure that biopsychosocial, cultural, and spiritual needs are met.
Discharge planning needs to begin when?
As soon as a client is admitted.
Who do we make home care referrals for?
Older adults, children with complex conditions, frail persons who live alone, those who lack or have a limited support system, those who have a caregiver whose health is failing, and those whose home presents barriers to their safety.
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