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26 Cards in this Set
- Front
- Back
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what is delegation? |
Legal and management concept that involves assessment, planning, intervention and evaluation *transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome |
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delegation is a 2 way process.... |
*the RN requests that a qualified staff member perform a specific task *the RN delegator is responsible for a variety of tasks |
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what is the RN delegator responsible for? |
1. the act of delegation 2. supervising the performance of the delegated task 3. assessment and follow up 4. any intervention or corrective actions that may be required to ensure safe and effective care |
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what is the delegatee is accountable for the following? |
1. his to her own actions 2. accepting delegation within the parameters of his or her training and education 3. communicating the appropriate information to the delegator 4. complete the task |
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what factors influence delegation? |
1. nursing practices acts and other applicable state laws 2. patient needs 3. job descriptions and competencies of staff members 4. policies and procedures of the healthcare organizations 5. clinical situation 6. professional standards of nursing practice |
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delegating and patient needs |
*assessments (initial & ongoing), evaluation, and nursing judgement cannot be delegated *delegation is safe for stable patients |
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what are the questions to guide delegation decision making? |
*State Nurse Practice Acts *Patient Needs *Job descriptions and competencies *organizational police & procedures *clinical situation & task *professional standards of nursing practices |
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Job description and competencies |
*RN should know background, skill level, training received and job requirement of person delegatee *specific tasks, duties, and responsibilities |
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what does the RN consider when delegating? |
1. assessment of the patient condition 2. capabilities of the nursing and assistive staff 3. complexity of the task to be delegated 4. around of clinical oversight (supervision) the RN will be able to provide 5. staff workload |
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what activities can the RN NOT delegate? |
*activities that include the core of the nursing process *activities that require special knowledge, judgment and skill *initial & ongoing assessments *the nursing diagnosis *nursing interventions |
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when developing safe delegation practices, what are some of the essential requirements? |
1. know the patient 2. know the staff member 3. know the tasks to be be delegated 4. explain the task & expected outcomes 5. expect responsible action from the delegatee 6. assess and supervise job performance 7. evaluate & follow up 8. understand high-risk delegation |
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how should the RN know the patient before delegation? |
*perform a nursing assessment before delegation * know the level of care needed for patient * is the patient stable? *potential for change? * moderate to high risk task? * will patients safety be maintained when delegated? |
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how should the RN know the staff member? |
*know the skills and knowledge of the delegatee * job description, training program, documented competencies *experience & past job performance |
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how should the RN know the tasks to be delegated? |
*the delegator must be competent and skilled in performing any task he or she is considering delegating.
*consider scope of practice for self and delegatee |
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how should the RN explain the task and expected outcomes? |
*explain delegated task-what must be done *explain expected outcomes-what should happen *outline task in writing *effective communication *directions should be clear and concise |
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what are the expected responsible actions from the delegatee? |
*accepts and understands the task *be allowed to perform the task *obligated to complete the task as mutually agreed |
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assessing and supervising job performance |
*mechanism for feedback and control *performance is assessed by making rounds, observing and communicating *poor performance must be documented and reported to the nurse manager |
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evaluate and follow up |
*RN will evaluate the staff members performance and reassess the patient to ensure that the expected outcomes were achieved |
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the 5 rights of delegation |
1. the right task
2. the right circumstance 3. the right person 4. the right direction and communication 5. the right supervision and evaluation |
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what does the right task mean? |
delegate tasks must conform to the established guidelines |
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what does the right circumstance mean? |
Delegate taks that do not require independent nursing judgement |
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what does the right person mean? |
delegate to someone who is qualified and competent |
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what does the right direction and communication mean? |
give clear explanation about the task and expected outcomes, and indicate when the delegate should report back to the RN |
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what does the right supervision and evaluation mean? |
invite feedback to assess how the process is working and how to improve the process. Also evaluate the patient's outcomes and results of the tasks |
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types of supervision |
*unsupervised *initial direction and/or periodic inspection *continuous supervision |
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Building delegation and supervision skills |
*communicate effectively * create an environment of trust and cooperation *provide feedback and follow-up evaluation |
