Introduction “As defined by The American Nurses Association (ANA), delegation is the transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome” (Kelly, 2012 p. 369) Delegation occurs when a task is assigned based on job description and matching the staff to patient needs (NCSBN, 2005). Decisions on delegation are based on principles according to the individual’s scope of practice. Before any task is delegated, it is important to ensure the education, skill, knowledge, and judgment levels of the personal being assigned the task. The RN is accountable for assessing, diagnosing, implementing, and evaluating the patient’s plan of care (NCSBN, 2005). Nurses are legally
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The nurse caring for the client delegated the teaching of wound care instructions and wound assessment to a licensed practical nurse (LPN). The LPN floated to the surgical unit from the obstetric unit on that …show more content…
The task was in the scope of practice for the LPN, however when it comes evaluation of the nursing process, this requires independent nursing management. Evaluation and effectiveness of the teaching is the responsibility of the nurse (Hurst Review Services, n.d. ).
The Right person
“In considering the degree of supervision or the level of delegation, the nurse considers this decision based on the education [and scope of practice] of the LPN (Kelly, 2012 p.372).” There are three rules of LPN delegation; (1) Only nursing care in stable situations, (2) Orders not subject to change, (3) Selected task in unstable conditions (Hurst Review Services, n.d.). Anytime a nursing judgment, assessment, or problem solving is needed, the task should not be delegated.
The Right directions and communication
In this situation, the RN and the LPN should have communicated the care plan for this patient and the proper steps that needed to be addressed. If there is a degree of harm to a patient in a task the nurse must retain the task for themselves (Hurst Review Services n.d.). For instance, there is a possibility of infection when dealing with wound care, so the nurse should have not delegated the
The nurse caring for the client delegated the teaching of wound care instructions and wound assessment to a licensed practical nurse (LPN). The LPN floated to the surgical unit from the obstetric unit on that …show more content…
The task was in the scope of practice for the LPN, however when it comes evaluation of the nursing process, this requires independent nursing management. Evaluation and effectiveness of the teaching is the responsibility of the nurse (Hurst Review Services, n.d. ).
The Right person
“In considering the degree of supervision or the level of delegation, the nurse considers this decision based on the education [and scope of practice] of the LPN (Kelly, 2012 p.372).” There are three rules of LPN delegation; (1) Only nursing care in stable situations, (2) Orders not subject to change, (3) Selected task in unstable conditions (Hurst Review Services, n.d.). Anytime a nursing judgment, assessment, or problem solving is needed, the task should not be delegated.
The Right directions and communication
In this situation, the RN and the LPN should have communicated the care plan for this patient and the proper steps that needed to be addressed. If there is a degree of harm to a patient in a task the nurse must retain the task for themselves (Hurst Review Services n.d.). For instance, there is a possibility of infection when dealing with wound care, so the nurse should have not delegated the