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Delegation
Management Test 2
| Question | Answer |
|---|---|
| Delegation | transfer to a competent individual the authority to perform a selected task in a selected situation; retains accountbility for delegation |
| accountability | nurse is legally liable for her actions and is answerable for the overall nursing care of pt |
| Responsibility | reliability, dependability, and the obligation to accomplish work. Also includes each persons obligation to perform at an acceptable level |
| Authority | occurs when a person who has been given the right to delegate based on the state nurse practice act, also has the official power from an agency to delegate |
| Assignment making | process of assigning the duties and all aspects of care for a pt to individual personnel; includes giving clear, concise directions,and delegating the resp and authority for performance of the care |
| Assignment making - expected outcome | time frame for completion,and any limitatins on the assignment should be specified when the assignment is made; edu, skill, knowledge, and judgement levels of personnel being assigned to a task must be relevant to assignment |
| Function of the Professional Nurse | the rn is resp and accountable for the provision of nursing care; always resp for pt assessment, diagnosis, care planning, ad evaluation; remains resp for pt outcome; must be alert and avoid misuse of UAP/LVN |
| UAP Functions | can deliver supportative care (document & report info related); cant practice or provide total pt care; cant assess otr evaluate responses to tx |
| UAP Functions - RN considerations | Rn is accountable for the delegation of nursing care activities ans must consider: assessment of pt condition; capabilities of uap; complexity of task; amount of supervision rn can provide; available staff assigned to accomplish unit workload |
| Licensed personnel functions - LPN/LVN duties | teaching from a standard care plan; reinforcing teaching; updating initial assessments; removal of sutures |
| Direct delegation | usually verbal direction by the rn delegator regarding an activity or task in a specific nursing care situation |
| Indirect delegation | done using an approved listing of activities or tasks that have been established in the policies adn procedures fothe health care institution or facility |
| Under delegation | usually occurs when a person is in a new job role; Potential causes: trying to avoid resentment; not knowing who to delegate to or scope of staff duties; seeking approval by demonstrating competency |
| 5 rights of delegation | 1 right task; 2 right circumstanses; right person; 4 right direction/communication; 5 right supervision |
| Transcultural delegation | process of having personnel perform duties within the diversities of culture taken into consideration |
| Transcultural delegation - cultural phenomena | areas where cultures have different interpretations or preferences include: communication, space, social organization, time, environmental control, biological variations |
| Delegation of tasks by rn to uap for pt's w/acute conditions - definition of delegate | authorizing an unlicensed person to provide nursing services while retaining accountability for how the inlicensed person performs the task |
| Delegation of tasks by rn to uap for pt's w/acute conditions - general criteria for delegation | rn assesses the pt's nursing care needs; reasonable, prudent rn would do; task must be one that can be properly/safely performed by uap w/o jeopardizing pt's welfare; task must not require uap to exercise professional nusring judgement |
| Delegation of tasks by rn to uap for pt's w/acute conditions - general criteria for delegation (2) | uap must be adequately identified; rn should instruct the uap in the delegated task or verify the uap competency; rn shall adequately supervise the performance of the delegated nursing task; rn shall evaluate delegation of tasks; eval will be in pt cplan |
| Delegation of tasks by rn to uap for pt's w/acute conditions - Supervision | degree of supervision determined by rn after an eval of appropriate factors: stability of pt status; training, experience, adn capability of uap; nature of task being delegated; proximity and availability of rn to uap when task will be performed |
| Delegation of tasks by rn to uap for pt's w/acute conditions - task most commonly delegated | non-invasive & non-sterile tx; collecting, reporting, & documenting v/s; ambulating, positioning, turning; transporting pt w/in facility; personal hygeine, elimination; feeding, meal trays; socialization activities; adl's; reinforce health teaching |
| Delegation of tasks by rn to uap for pt's w/acute conditions - Task that may not be delegated | physical, psychological, social ass. requiring prof judgement, intervention, referral, follow-up; making cplan & eval of response; tasks required prof judgement or intervention; resp & accountability for pt's health teaching & counseling, admin of meds |
| Practical suggestions when delegating to uap | limit # of delegators; help uap prioritize; show respect; make assignment enjoyable, challenging; be consistent and fair; give feedback |
Created by:
Jessica1128