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Leadership Exam 2 > Delegation and Prioritization > Flashcards

Delegation and Prioritization Flashcards

1
Q

how is delegation governed

A

by each state’s Nurse Practice Act

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2
Q

what is delegation

A

“allowing a delegatee to perform a specific nursing activity,
skill or procedure, that is beyond the delegatee’s traditional
role and not routinely performed”

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3
Q

what is a delegated responsibility

A

a nursing activity, skill, or procedure that is transferred from a licensed nurse to a delegatee

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4
Q

what is a delegator

A

the individual who delegates a nursing responsibility

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5
Q

what is a delegatee

A

an individual who is delegated a nursing responsibility by a
licensed nurse who must be competent to perform the
delegated responsibility and verbally accept the responsibility

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6
Q

what is the difference between assignment and delegation

A

Assignment: Accepting the care within the scope of
practice of the nurse: when you walk through the door
Delegation: specific tasks are requested and be completed and overseen by the licensed person

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7
Q

why is delegation so essential in patient care

A

Complexities of patient care
delivery increased, the work
demand and expectation of RNs
became more challenging,
creating the need to employ more
UNP/AP to support patient care

too much for one person

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8
Q

employer/nurse leader responsibilities

A
  • Identify a nursing leader
  • Determine nursing responsibilities that can be
    delegated, to whom, and in what circumstances
  • Develop delegation policies and procedures
  • Periodically evaluate delegation process
  • Promote positive culture/work environment
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9
Q

licensed nurse responsibilities

A
  • Determine patient needs
    and when to delegate
  • Ensure availability to delegatee
  • Evaluate outcomes of and maintain accountability for delegated responsibility
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10
Q

Delegatee responsibilities

A

*Accept activities based on own
competence level
* Maintain competence for
delegated responsibility
* Maintain accountability for
delegated activity

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11
Q

employer/nurse leader and licensed nurse responsibilities

A

Communicate information about
delegation process and delegatee

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12
Q

employer/nurse leader and delegatee responsibilities

A

training and education

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13
Q

licensed nurse and delegatee responsibilities

A

two-way communication

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14
Q

employer/Nurse Leader
and licensed nurse and delegatee responsibilities

A

public protection

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15
Q

components of two-way communications

A

trust
advocacy

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16
Q

components of Communication for safe/efficient person-centered care

A

Clear
Concise
Timely
Reliable

17
Q

Strategies for Communication when Delegating

A

Give information
Give direction
Seek clarity
Seek advice

18
Q

organizational accountability

A

Ensures the team has what it needs to perform at peak.
Promotes positive culture
Shared governance

19
Q

individual accountability

A

Be answerable for choices.
Accountable for:
–nursing judgment
–decision making
–actions

20
Q

Nurses have the ability to delegate a nursing responsibility…
BUT…

A

We retain the accountability for ensuring that the delegated by the right person with proper supervision

delegation must comply with the law

21
Q

right #1 of delegation

A

Task
Is the delegated responsibility appropriate to delegate based on the individuals’ job description and facility policies and procedures?
Is the delegated responsibility legally appropriate to delegate?

22
Q

right #2 of delegation

A

circumstance
Is the delegation process appropriate to the situation?
Are the equipment and resources available to complete the delegated responsibility?
Do staffing ratios demand the use of high-level delegation strategies?
Does the delegatee have appropriate supervision to complete the delegated responsibility?

23
Q

right #3 of delegation

A

person
Is the prospective delegatee a willing and able employee?
Does the delegatee have the knowledge and experience to perform the specific delegated responsibility safely?
Does the delegatee have the expertise to complete the delegated responsibility safely and effectively in relation to the acuity of the patient?

24
Q

right #4 of delegation

A

direction/communication
Do the delegator and delegatee understand a common
work-related language? (Do terms such as time frame,
patient needs, and critical mean the same to each of
them?)
Does the delegator provide clear and concise directions
for the delegated responsibility?
Does the delegatee understand the assignment,
directions, limitations, and expected results as they
relate to the delegated responsibility?
Do the delegator and delegatee know how to maintain
open lines of communication for the purpose of questions
and feedback?
Does the delegatee understand how, what, and when to
report to the delegator?

25
Q

right #5 of delegation

A

supervision
Is it clear that the delegatee will provide feedback related to the delegated responsibility when appropriate?
Is the delegator able to monitor and evaluate the patient appropriately?

26
Q

delegatee condition: Has limited knowledge and ability to
perform the task

A

DELEGATEE RELEVANCE
Requires more guidance
TERMINOLOGY
Tell (if the relationship is not going to be
ongoing)
CLINICAL EXEMPLAR
“It is important that you take his blood pressure every 15 minutes.”

27
Q

DELEGATEE CONDITION
Has ongoing relationship, but a new task is delegated

A

DELEGATEE RELEVANCE
Requires explanation
TERMINOLOGY
Sell
CLINICAL EXEMPLAR
“This is what you need to accomplish; in fact, let me show you what is necessary.

28
Q

DELEGATEE CONDITION
Has willingness and ability, but the relationship is new

A

DELEGATEE RELEVANCE
Requires that both individuals create mutual expectations and conditions for performance
TERMINOLOGY
Participate
CLINICAL EXEMPLAR
“Please tell me how you go about performing this procedure, and I will share with you my expectations about how frequently and under what conditions we need to communicate/report to each other.”

29
Q

DELEGATEE CONDITION
Has established relationship and
expertise

A

DELEGATEE RELEVANCE
Little guidance is needed
TERMINOLOGY
Delegate
CLINICAL EXEMPLAR
“I know you know what you are doing and when to report. Just remember that I am available to you at any time if an issue or
concern arises. Thank you for being part of the team.”

30
Q

Challenges to delegation

A

Often unlicensed nursing personnel are the delegatee
Job descriptions vary
Multiple designations and levels
Requires awareness of individual ability

31
Q

complicating factors of delegation

A

age
gender
ethnicity
culture

32
Q

barriers in delegation lead to:

A

underdelegation
overdelegation
improper delegation

33
Q

job of nurse in delegation

A

The nurse must understand the
delegation process, develop critical
judgment skills, and effectively use
delegation skills to maximize
productivity while providing safe,
high-quality, cost-effective person-
centered care.

Leadership Exam 2 (7 decks)

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