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Accepting Work assig
Guidelines for RN in giving, excepting, or rejecting a work assignment Appendix
| Question | Answer |
|---|---|
| Legal responsibility for the provision, delegation and supervision of patient care is specified in the | Nurse practice act and the administrative rules. |
| Refusal to accept and assignment without appropriate discussion within the chain of command can be defined as | Insubordinate behavior |
| RN determines that in their professional opinion they have been given& assignment that does not allow for appropriate patient care, they will____. This can't be taken care of by_____The supervisor has to come to the unit within__a being contacted by the | Notify the supervisor or design he who shall review the concerns of the nurse. Phone. 4 hrs |
| The demonstrated ability to carry out specified tasks or activities with reasonable skill and safety that here's to the prevailing standard practice in nursing community. | Competency |
| The transference to a competent individual the authority to perform a selected nursing task or activity and a selected situation by a nurse qualified by licensure and experience to perform that task or activity | Delegation |
| The provision of guidance by a qualified nurse in periodic inspection by the nurse for the accomplishment of a nursing task or activity, provided the nurse is qualified and legally entitled to perform such a task or activity. They may been the delegator | Supervision |
| Provide competent nursing care to the patient. | RN'sresponsibility to |
| Exercise informed judgment and use individual competence and qualifications as criteria and seeking consultation, excepting responsibility and delegating nursing activities to others | RN'sresponsibility to |
| Clarify assessment, assess personal capabilities, jointly identify options for patient care assignments when they do not feel personally competent or adequately prepared to carry out a specific function | RN'sresponsibility to |
| Refuse and assignment that you do not feel prepared to assume after appropriate consultation with supervisor | RN'sresponsibility to |
| Ensure competent nursing care is provided to the patient | Nursing management responsibility |
| Evaluate the nurses ability to provide specialized patient care | Nursing management responsibility |
| Organize resources to ensure that patients receive appropriate nursing care | Nursing management responsibility |
| Collaborate with the staff nurse to clarify assignments, assess personal capabilities, jointly identify options for patient care assignments when the nurse does not feel personally Coppertip or adequately prepared to carry out a specific function. | Nursing management responsibility |
| Take appropriate disciplinary action according to Sillinti policies.--Communicate in written policies to the staff the process to make assignments and reassignment decisions | Nursing management responsibility |
| Provide education to staff and supervisory personnel in the decision-making process regarding patient care assignments and reassignments, including patient placement and allocation of resources | Nursing management responsibility |
| Plan and budget for staffing patterns based upon patient requirements and priorities for care. | Nursing management responsibility |
| Provide a clearly defined written mechanism for immediate internal review of proposed assignments, which includes the participation of the staff involved, to help avoid conflict | Nursing management responsibility |
| Safe professional nursing care it and acceptable level of quality. | Issue Central to potential dilemmas |
| Responsibility for an appropriate utilization and distribution of nursing care services when nursing becomes a scarce resource | Issue Central to potential dilemmas |
| Responsibility for providing a practice environment that sure is adequate nursing resources for the facility , while meeting the current Socio economic and political realities of shrinking healthcare dollars | Issue Central to potential dilemmas |
| Practicing or offering to practice beyond the scope permitted by law, or excepting and performing professional responsibilities which the license eat knows or has reason to know that he or she is not competent to perform | Behaviors and activities relevant to giving, excepting, or rejecting it work assignment that could lead to disciplinary action |
| Performing, without adequate supervision, professional services which the licensee is authorized to perform only under the supervision of a licensed professional, except in an emergency situation where a person's life or health is in danger | Behaviors and activities relevant to giving, excepting, or rejecting it work assignment that could lead to disciplinary action |
| Abandoning or neglecting a patient/client who is in need of a nursing care without making reasonable arrangements for the continuation of such care | Behaviors and activities relevant to giving, excepting, or rejecting it work assignment that could lead to disciplinary action |
| Insufficient observations (frequency of content) , Failure to assure competent intervention Linda patient's condition changes (qualified physician not in attendance), and withdrawal of services without provision for qualified coverage. | Abandonment or neglect (of the three behaviors list above this is one of the most devastating) |
| If you are asked to care for and unfamiliar patient population or go to a unit for which you are feel unqualified--what do you do? | Clarify. Assess. Identify options. Point of decision/implications |
| How many PT will you be expected to care for? Does he care of these patients require you to have special of the analogy and skills in order to deliver safe there's a kid? Will there be qualified and experienced RNs on the unit? What procedures and/or me H | Clarify--what it is you are being asked to do --A question of competence |
| Do you have the now age and skill to meet the expectations that he had been outlined for you? Have you had experience with similar patient populations? Have you been oriented to this unit or a similar unit? Would the precede discrepancies between your a | Assess your self --A question of competence |
| If you perceive that you can provide say patient care, you should accept the assignment. You would now be ethically and legally responsible for the nursing care of these patients. If you perceive there is a discrepancy between abilities and the expectati | Identify options and implications of your decision --A question of competence |
| A) accept that assignment document fully your concern for patient safety in the process used to inform the facility, manager) of your concerns. Keep personal copy of this document and send a copy to the manager (S) involved. Once you have reached this | Point of decision/implications --A question of competence (if none of the options are acceptable, you are at your final decision point). Bottom of page 254 List some options |
| B) Refuse the assignment, be prepared for disciplinary action. Document your concern for the patient safety in the process you used to inform the facility (manager) of your concerns. Keeping a personal copy of this documentation and send a copy to the nu | Point of decision/implications --A question of competence (if none of the options are acceptable, you are at your final decision point). Bottom of page 254 List some options |
| C) Document the process taken in making your decision it may be necessary for you to use the facilities grievance procedure | Point of decision/implications --A question of competence (if none of the options are acceptable, you are at your final decision point). Bottom of page 254 List some options |
| Would and additional shed to be with the same patient you are currently caring for, or would it involve a new patient assignment? Is your reluctance to work another shift because of a new patient assignment you do not feel competent to except? (If the a | Clarify what it is you are expected to do (scenario--a question of additional staff) |
| Is your reluctance due to work fatigue, or do you have other plans? Is this a chronic request due to poor scheduling, in adequate staffing, or chronic absenteeism? | Clarify what is expected (scenario a question of additional staff) |
| Are you being asked to work because there is no relief nurse coming for your present patient assignment? Because your unit will be short of professional staff and the next shift? Because another unit will be sure or professional staff on the next shift? | Clarify what is expected (scenario a question of additional staff) |
| How long are you being asked to work--the entire shift or a portion of the shift? | Clarify what is expected (a scenario question of additional staff) |
| Are you really tired, or do you just not feel like working? Is your fatigue level such that your care may be unsafe? Remember, you are legally responsible for the care of your current patient assignment if relief is not available | Assess your self (A scenario question of additional staff) |
| If he you perceive that you can provide safe patient care and are willing to work the additional shift, accept The assignment | Identify options and implications of your decision (a scenario question of additional staff) |
| If you perceive that you can provide safe patient care but are unwilling to stay due to other plans or the chronic nature of the request, inform the manager of your reasons for not wishing to accept the assignment. | Identify options and implications of your decision (a scenario question of additional staff) |
| If you perceive that your fatigue will interfere with your ability to safely care for patients, indicate this fact to the manager | Identify options and implications of your decision (a scenario question of additional staff) |
| Options for hyphen hyphen a scenario question additional staff and the bottom of the first column page 255 & top of 255 | Aaaa |
| D) If you refuse the assignment, be prepared for disciplinary action. If your reasons for refusal were patient safety or an imperative personal commitment, document this carefully, including the process you used to inform the facility (nurse manager) of y | Point of decision/implications --Scenario a question of additional staff (the first three are the exact same as scenario a question of competence) |
Created by:
srchilds
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