T-1 Delegation

Question 1

Delegation

Answer 1

transferring to a competent individual the authority to perform a selected nursing task in a selected situation but the RN keeps the accountability

Question 2

Supervision

Answer 2

the provision of guidance and direction, oversight, evaluation and follow up by the licensed nurse for accomplishment of a nursing task delegated to nursing assistive personnel

Question 3

Prioritization

Answer 3

deciding which needs or problems require immediate action and which ones could be delayed until a later time because they are not urgent

Question 4

What do you need to know to prioritize ?

Answer 4

Fours P's:
purpose 
picture
plan 
part

Question 5

Delegation and assignment

Answer 5

the five rights :
circumstance 
task
person
direction and communication 
supervision

Question 6

Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs):

Answer 6

• Although practicing nurses know that LPNs often review a patient’s condition and perform data-gathering tasks such as observation and auscultation, RNs remain accountable for the total assessment of a patient, including synthesis and analysis of reported and reviewed information to lead care planning based on the nursing diagnosis

Question 7

Examples of LPN

Answer 7

o Monitoring findings (as input to the RNs ongoing assessment)
o Reinforcing client teaching from a standard care plan)
o Performing tracheostomy care
o Suctioning
o Checking NG tube patency
o Administering enteral feedings
o Inserting a urinary catheter
o Administering medication (excluding IV medications in some states)

Question 8

RN’s cannot delegate …

Answer 8

Nursing process
client education
tasks requiring nursing judgement

Question 9

Five Rights of delegations: Right task

Answer 9

• A right task is repetitive, requires little supervision, and is relatively noninvasive for a certain client

Question 10

Five Rights of delegations: Right Circumstance

Answer 10

• Assess the health status and complexity of care the client requires, match the complexity of care demands to the skill level of the team member, and consider the workload of the team member

Question 11

Five Rights of delegations: Right Person

Answer 11

• Continually review the performance and determine care competence. When necessary take steps to remediate any failure to meet standards

Question 12

Five Rights of delegations: Right Direction/Communication

Answer 12

Clear communication
Concise Statement
Correct Communication
Complete communication

Question 13

Five Rights of delegations: Right Supervision

Answer 13

• The RN remains accountable for the total care of the patient throughout the tour of duty
o Occurs after delegation and determines whether completion of tasks is on schedule, performance was at a satisfactory level, delegatee documented and reported unexpected findings, delegatee needed assistance to complete assigned task in a timely manner, supervising nurse should reevaluate and possibly change the assignment

Question 14

Four P’s

Answer 14

purpose
picture
plan
part