Delegation in nursing – Flashcards
Unlock all answers in this set
Unlock answersquestion
Definition of delegation
answer
The process by which responsibility and authority is transferred to another individual Nurse retains accountability
question
Assignment
answer
Transfers both responsibility and accountability Example: nurses list of patients for the day
question
Can accountability be delegated?
answer
Only in an assignment, not through delegation
question
BRN standards of competent performance
answer
Delegates tasks to subordinates based on legal scope of practice of the subordinate Effectively supervises nursing care given by subordinate
question
What does delegation contribute to?
answer
Team building Builds trust good communication and positive reinforcement
question
Before delegating a task what should you do?
answer
Find out the competency of that person before delegating Job description Scope of practice
question
What are some of the most common errors in delegation?
answer
Delegated task beyond competence of worker Delegation of function outside legal scope of worker Failure to assume responsibility when worker questions appropriateness of care to be provided
question
What are the five rights of the delegation process
answer
Right task right person right circumstances right communication right feedback
question
describe right task
answer
Based on desired outcome or result Based on whether it is within the health workers practice preparation or scope Is the worker competent to perform the job has it been checked is it in the job description Example: CNA fed pt w G tube by mouth
question
Describe the right person
answer
Determine competency level The application of knowledge and interpersonal decision-making and psycho motor skills expected for the practice role.
question
What are the six criteria to determine competency?
answer
CPET - certification - performance - education - training Job description Demonstrated skill Verbal assurance from worker Knowing state regulations
question
CNA is an unlicensed assistive personnel - role to RN
answer
Providing patient care activities as delegated by under the super vision of the registered nurse
question
Licensed vocational nurse LVN/LPN
answer
Licensed and trained to perform specific tasks: Basic medication administration dressing and treatments some states IV skills
question
LVN's can do the following
answer
Practice under their own licenses but under the direction of RN or physician Can express doubt about a procedure or order - RN must listen and assume responsibility for advising LVN
question
Biggest liability in delegation
answer
Supervision via communication
question
Describe right circumstances
answer
Emphasis on the setting and the situation
question
Four C's of communication
answer
Clear correct concise complete
question
Teambuilding communication
answer
Use I statements Do not assume unlicensed assistive personnel know how to do the task Share information discuss plan and expected outcomes Identify rationale for task it will motivate Check in frequently three times per shift
question
Describe the right feedback
answer
Ask for team members input Acknowledge team members successful efforts Discuss feedback issues not personalities Get team members solution to problems
question
Excepting delegation means:
answer
You except full responsibility for the outcomes benefit and liabilities
question
Pitfalls of delegation
answer
Obstacles to delegation over delegation under delegation improper delegation legal aspects
question
What tasks are you allowed to delegate?
answer
Tasks for which you are responsible
question
Risk of liability comes from?
answer
Appropriateness of assignments and adequacy of supervision
