Delegation in nursing – Flashcards
23 test answers
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What does delegation contribute to?
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Team building Builds trust good communication and positive reinforcement
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Before delegating a task what should you do?
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Find out the competency of that person before delegating Job description Scope of practice
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What are some of the most common errors in delegation?
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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
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What are the five rights of the delegation process
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Right task right person right circumstances right communication right feedback
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describe right task
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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
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Describe the right person
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Determine competency level The application of knowledge and interpersonal decision-making and psycho motor skills expected for the practice role.
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What are the six criteria to determine competency?
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CPET - certification - performance - education - training Job description Demonstrated skill Verbal assurance from worker Knowing state regulations
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CNA is an unlicensed assistive personnel - role to RN
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Providing patient care activities as delegated by under the super vision of the registered nurse
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Licensed vocational nurse LVN/LPN
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Licensed and trained to perform specific tasks: Basic medication administration dressing and treatments some states IV skills
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LVN's can do the following
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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
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Biggest liability in delegation
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Supervision via communication
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Describe right circumstances
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Emphasis on the setting and the situation
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Four C's of communication
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Clear correct concise complete
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Teambuilding communication
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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
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Describe the right feedback
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Ask for team members input Acknowledge team members successful efforts Discuss feedback issues not personalities Get team members solution to problems
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Excepting delegation means:
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You except full responsibility for the outcomes benefit and liabilities
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Pitfalls of delegation
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Obstacles to delegation over delegation under delegation improper delegation legal aspects
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What tasks are you allowed to delegate?
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Tasks for which you are responsible
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Risk of liability comes from?
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Appropriateness of assignments and adequacy of supervision
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