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35 Cards in this Set
- Front
- Back
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what is authority
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the right to act
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what is responsibility
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obligation to accomplish task
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what is accountability
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accepting ownership for the results of lack there of
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transfer both authority and responsibility to another to complete a task while maintaining accountability
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delegation
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what is transferred in delegation
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authority and responsibility
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obiligated to do VS
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responsibility
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have the right to do VS
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authority
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benefits of delegation to the nurse
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more efficient
time mngt enhanced pt care increased job satisfaction increased retention rate |
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benefits of delegation to the delegate
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empower them
job security increase confidence appreciation increased job satisfaction |
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benefits of delegation to the manager
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better functioning unit
more time for quality mngt surveys budget |
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benefits of delegation to the organization
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achieve goals more efficiently
increased productivity increased pt care decreased overtime |
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complexity of care in relation to pts specific care needs (vent, heart mtr) or need for special precautions (fall risk , szs)
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client factors
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should be considered with assignment factors
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client factors
healthcare team factors |
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what are the delegatee factors (7)
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education
knowledge and skill critical thinking communication competence agency P&P License legislation |
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what care cannot be delgated
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nursing process
nursing judgement |
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what is included that RNs cannot delegate
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assessment
NSG dx education |
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steps to the delegation process (5)
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1) define the task
2) decide on the delegate 3) determine the task 4) teach agreement 5) monitor performance and provide feedback |
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delegate only whats your responsibility and aspects of your authority
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defining the task
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match task to individual
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deciding on delegate
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clear instructions and expectations, validate understanding
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determining the task
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make sure they have everything needed and make sure they agree to it
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reaching an agreement
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remain available and provide support
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monitoring performance and providing feedback
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what are the task factors for delegating
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* predictability of outcome
* potential for harm * need for problem solving * level of interaction w/ pt |
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is it routine or new treatment
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predictability of outcome
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could something bad happen while performing task
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potential for harm
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is it a simple task or does judgement need to be made
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need for problem solving
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is there a need for education, pyschosocial
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level of interaction with pt
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what are the obstacles to delegation
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non-supportive environment
insecure delegator unwilling delegate |
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what are the 5 rights of delegation
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right task
right circumstance right person right direction/communication right supervision |
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when delegator fails to transfer full authority, takes back responsibility, or person fails to equip and direct the delegate
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under-delegation
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what is reverse delegation
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when someone at lower level delegates to someone with more authority
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delegator loses control by transferring too much authority
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over-delegation
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reasons for insecure delegator (4)
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fear of loss of control
overburdening liability competition |
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reasons for unwilling delegate
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unexperienced
afraid of failing lazy don't want responsibility |
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what causes a non supportive environment for delegation
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just not supported on unit
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