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64 Cards in this Set
- Front
- Back
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What are the Principles of Delegation?
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1. Assign responsibility-shared with delegator and delegatee
2. provide authority 3. require accountability 4. responsibility to evalute |
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Why do we do delegation? what requires you to be a good delegator?
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employees are a valuable resource and you want to use them appropriately
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Advantages of Delegation are?
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1. more time
2. job satisfaction, reduces turnover and absenteeism and increases quality performance 3. delegator available for items requiring expertise |
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State board says accountability is on the?
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delegator but teacher says it is shared
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Barriers to delegation?
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1. no time
2. I can do it better 3. I enjoy doing it 4.I am afraid of losing control 5. I don't want to dump 6. the other person would complain |
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To decide to delegate the nurse must consider?
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competencies, regulations, variations in situation, stable vs unstable,
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What is the key to success in delegation?
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Clear communication - make sure the task is explained fully- clarify the assignment
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What does "SMART" stand for?
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Specific
Measurable attainable revelent/realistic trackable These are the goals of delegation |
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What are keys to successful delegation?
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1. Train them
2. Focus on desired outcome 3. Delegate responsibility, provide authority, require accountability 4. Describe specific criteria 5. Give clear, specific instructions 6. Leave them alone to work 7. Allow flexibility 8. Intermittently check on performance 9. Evaluate outcome and process 10. Use positive feedback 11. Publicly recognize accomplishments |
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What is the process by which responsibility and authority are transferred to another individual but accountability is retained?
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Delegation
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What is an obligation to accomplish a task?
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Responsibility
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What is the act of accepting ownership for the results or lack therof?
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Accountability
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What is the first principle of delegation?
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You can only delegate those tasks for which you are responsible- ex: nurse cannot delegate a physical therapist to set up traction that is another profession's job.
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To find out what you as a nurse can delegate look at your?
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Nurse practice act
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What is the 2nd principal of delegation?
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along with responsibility, you must transfer authority
But -- retain accountability |
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What is the "right to act"
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authority
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What is the difference btw delegation and work allocation?
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with delegation, responsibility and authority are given. With work allocation no transfer occurs
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Benefit to the manager in delegation?
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gives the manager time to devote to those tasks that cannot be delegated
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What benefits does the delegate recieve?
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gains new skills and abilities, can bring trust and support building self-esteem and job sat. and motivation, gives a sense of pride
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What are the benefits to the organization?
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by achieving its goals more efficiently. productivity increases
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What are the five steps of delegation?
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1. Define the task
2. decide on delegate 3. determine the task 4. reach agreement 5. monitor performance and provide feedback |
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What tasks should never be delegated?
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-discipline
-highly technical task -any situation that involves confidentiality or controversy -Nursing processes (assessment, diagnosis, planning, evaluation) -nursing judgement |
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To decide on a delegate what must be considered?
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match the task to the individual. must analyze their skills and abilites to perform the task.
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What is the rule of thumb when delegating a task?
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delegate to the lowest person in the hierarchy who has the requisite capabilities and who is allowed to do the task legally and by organizational policy
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What else should be considered when deciding on the person to delegate to?
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availability
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In determining the task, what is the major step?
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1. defining your expectations for the delegate.
2. Communication-use I statements 3.give the reason for the task 4. inform the delegate by what standard the task will be evaluated and how often 5. id any constraints for completing the task as well as the risks 6. validate understanding of the task by eliciting questions and feedback |
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ATI book info:
What are the five rights of delegation? |
Right task
right circumstance right person right direction/communication right supervision/evaluation |
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What is the definition of a right task for delegation purposes?
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repetitive, requires little supervision, and is relatively noninvasive for a certain client
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What is to be considered with the right Circumstance?
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-assess the health status and complexity of care required by the client
- match the complexity of care demands to the skill level of the health care team member - consider the workload of the TM |
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What should be considered for "Right person"?
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1. assess and verify the competency of the TM
a. the task must be within the TM's scope of practice b. the TM must have the necessary competence/training 2. continually review the performance of the team menmber and determine care competency 3. assess TM performance based on standards and, when necessary, take steps to remediate failure to meet standards |
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What should be considered for "Right direction/communication?"
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1. data that need to be collected
2. method and timeline for reporting, including when to report concerns/assessment findings 3. specific tasks to be performed: client-specific instructions 4. expected results, timelines, and expectations for follow-up communication |
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Who can assist a client with pneumonia to use a bedpan?
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AP
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Who can assist in obtaining vital signs from a stable postoperative client?
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AP
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Who can you delegate to administer enteral feedings to a client with a head injury?
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LPN
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Who can you delegate the task to of assisting the client with a shower, to be completed by 0900?
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AP
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Who can you delegate the task to of ambulating a client after completing the admission assessment?
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AP
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Developing a teaching plan for a client newly diagnosed with DM?
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RN
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Assessing a client admitted for surgery?
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RN
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Collecting vital signs every 30 min for a client who is 1 hr post cardiac catheterization?
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ap, lpn or rn
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Calculating a client's intake and output?
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ap, lpn or rn
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Administering blood to a client?
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RN
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monitoring a client's condition during bl. transfusions and IV admin.
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LPN or RN
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Providing oral and bathing hygiene to an immobilized client?
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ap, lpn or rn
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initiating client referrals?
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RN
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Dressing change of an uncomplicated wound?
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LPN or rn
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Routine nasotracheal suctioning?
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LPN or RN
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Receiving report from surgery nurse regarding a client to be admitted to a unit from the PACU?
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RN
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Initiating a continous IV infusion of dopamine with dosage titratin based on hemodynamic measurements?
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RN
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Administering subq insulin?
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LPN (per policy) or RN
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Assessing and documenting a client's d.ulcer?
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RN
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Evaluating a client's advance directive status?
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RN
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Providing written info regarding advance directives?
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LPN or Rn
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Initial feeding of a client who had a stroke and is at risk for aspiration?
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RN
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Assisting a client with toileting?
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ap, lpn or rn
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Developing a plan of care for a client?
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RN
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Administering an oral med?
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LPN or rn
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Assisting a client with ambulation?
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all
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Administering an IM pain med?
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RN (maybe lpn)
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Checking a client's feeding tube placement and patency?
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lpn and rn
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Turning a client every 2 hrs?
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all
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Calculating and monitoring TPN flow rate?
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RN
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Buzzwords for task only an Rn can do?
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Assess
Evaluate administer meds do care plan calculate develop intitiate IVs blood products teaching plans diagnosis |
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What is a non-complex task and how can perform it?
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can be safely performed according to exact directions, with no need to alter the standard procedure and the results are predictable
Unlicensed personnel |
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What is a prescribed task and who can perform one?
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requires a fixed body of knowledge, can be performed by following a defined procedure with minimal alterations, and responses of the ind. to the task are predictable. the change in the pt's condition is predictable
LPN |
