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To delegate is to __ authority to a competent individual for completing selected nursing tasks/activities/functions.

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transfer

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To __ is to direct an individual to do activities within an authorized scope of practice

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ASSIGN. Assignment (noun) describes the distribution of work that each staff member is to accomplish in a given work period.

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__ __ __ __ determine what level of licensed nurse is authorized to delegate.

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State Nurse Practice Acts

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__ are accountable for practicing within the scope of their licensure

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LPNs

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__ are liable for performing tasks they have been trained to do and for NOT doing things that they are NOT authorized to do.

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UAP

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Vicarious Liability is when RN, doctors, hospitals, supervisors:

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held liable for harm to the patient if you inappropriately delegated to UAP a task for which they have not been trained and which is not in their job description

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The __ is accountable for delegation through the allocation of resources to ensure sufficient staffing so that the RN can delegate appropriately

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organization

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The RN assigns or delegates tasks based on :

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the needs and condition of the patient

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The RN assigns or delegates tasks based on

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potential for harm

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The RN assigns or delegates tasks based on

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stability of the patient's condition

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The RN assigns or delegates tasks based on :

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complexity of the task

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The RN assigns or delegates tasks based on :

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predictability of the outcomes

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The RN assigns or delegates tasks based on :

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abilities of the staff to whom the task is delegated

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The RN assigns or delegates tasks based on :

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the context of other patient needs

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Principles of Delegation:

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The RN takes responsibility and accountability for the provision of nursing practice

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Assessment, planning, evaluation and nursing judgment (nursing process) __ be delegated by RN.

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cannot

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The RN may delegate components of __

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care

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Five Rights of Delegation

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1. The right task 2. Under the right circumstances 3. To the right person 4. With the right directions and communication; and 5. Under the right supervision and evaluation

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Chief Nursing Officers are ___ for establishing systems to assess, monitor, verify and communicate ongoing competence requirements in areas related to delegation.

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accountable

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Organizational accountability relates to :

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providing sufficient resources, staffing, appropriate staff mix, implementation of policies and role descriptions, opportunity for continuing staff development and creating an environment conducive to teamwork, collaboration and client-centered care.

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__ __ __ have jurisdiction over licensed nurses and the nursing care they provide

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Boards of nursing

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RN retains accountability and __ for the delegation

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responsibility

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The NCSBN uses the verb ___ to describe those situations when a nurse directs an individual to do something the individual is already authorized to do,

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"assign"

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Example of assignment by and RN:

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when an RN directs another RN to assess a patient, the second RN is already authorized to assess patients in the RN scope of practice.

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Organizational accountability for delegation

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Sufficient staffing with an appropriate staff mix .

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Organizational accountability for delegation

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o Documenting competencies for all staff providing direct patient care and for ensuring that the RN has access to competence information for the staff to whom the RN is delegating care

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Organizational accountability for delegation

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o Organizational policies on delegation are developed with the active participation of all nurses, and acknowledge that delegation is a professional right and responsibility

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_ __ __: regulates the practice of RN and certified advanced practice nurses in order to protect the public

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The Board of Registered Nursing

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__ __ __ __ __ is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing.

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The National Council of State Boards of Nursing (NCSBN)

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Nursing is an outcome driven, knowledge-based, process discipline that is : .

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context dependent and requires critical thinking

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Step 1 Delegation - Assess & Plan ; An understanding of client needs:

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The nature, complexity, variability and urgency of care

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