Scope and principles of delegation
The RN can ask the Nurse tech to assess the patient later on in the shift since the RN completed the initial assessment.
True or False
False- No aspect of assessment can be delegated to the nurse tech
Which of the following is NOT within the five rights of delegation?
Right task
Right person
Right time
Right circumstance
Right supervision
Right time
What is the first step of the delegation process?
right task
Approved and acceptable footwear include:
a. flip flops
b. slippers
c. loafers, flats, pumps, athletic shoes
d. sandals and open toed sandals/shoes
c. loafers, flats, pumps, athletic shoes
What is the biggest concern when using social media in healthcare ?
Disclosure of protected information
Which of the following does not apply to delegation?
a. Assignment of a specific task or area of responsibility
b. Representation assigned to a person or group on behalf of an individual
c. Transfer of accountability
d. Action on behalf of another
c. Transfer of accountability
Delegation is transfer of responsibility. Accountability isn't transferred.
Which of the following is the definition of "right task"?
1. Action for completion of the plan
2. A piece of work assigned
3. One that is delegable for a specific patient
4. One of several pieces of work performed as part of a routine
3. One that is delegable for a specific patient
Which task is not appropriate to delegate to a UAP?
A. Mouth care
b. making an occupied bed
c. Applying a nasal cannula or non rebreather and adjusting flow rate
d. Application of restraints
c. Applying a nasal cannula or non rebreather mask and adjusting flow
Why is appropriate appearance necessary ?
It creates an environment of caring. clinical excellence and professionalism.
Employees contribute to the EHC's image
Employees' appearance contribute to the community's impression of EHC
Which is not an advantage of using social media ?
a. Allows for professional connection
b. Promotes dissemination of patient practices
c. Promotes timely communication with patients
d. Nurture relationships and mentor professionals
b. Promotes dissemination of NURSING practices , not PATIENT practices.
The RN delegates the nursing process. True or False
False
Which of the following is the term described as "being responsible and answerable for actions or inactions of self or others in the context of delegation"?
1. Accountability
2. Regulation
3. Making the delegation
4. Receiving the delegation
Accountability
What step of the delegation is " RN remains responsible for the tasks and outcomes" ?
2. Right evaluation/supervision
What is the current standard attire for nurses at EUH and EUHM ?
Caribbean Blue scrubs.
What is Emory's safe social media site?
Yammer
In regards to delegation, what is wrong with this statement ?
"Please go take Mr Johnson's accucheck and tell me if his blood glucose is ok"....
The request doesn't have a time, isn't clear , and the direction is vague.
Would have been better to say "please check Mr Johnson's blood glucose level now and tell me what the reading is or tell me if the level is below 60"
Delegation isn't complete until what ?
The delegatee accepts responsibility of the task
Which one of the following five rights of delegation is the "clear, concise description of the task, including its objectives, limits, and expectations?"
1. Right task
2. Right supervision
3. Right direction/ communication
4. Right person
1. Action for completion of the plan
2. A piece of work assigned
3. One that is delegable for a specific patient
4. One of several pieces of work performed as part of a routine
a. Right patient
b.
3. Right direction.
True/False
You will be dismissed from class and sent to your UD if you aren't appropriately dressed for Residency class.
True- Your UD will decide if this counts as an absence for you on the unit but it counts as an absence from Residency class.
What caused the National Council State Board of Nursing to publish a White Paper which included guidelines for using social media ?
A survey in 2010 conducted by NCSBN which indicated that nurses were violating patients'' privacy using social media
The ........ defines the legal parameters for nursing practice
State Nurse Practice Act
Mr Johnson came to the floor from the ICU today. His wife is insistent that he be ambulated today. Mr Johnson's postop course had some complications and some of his VS aren't stable. You (RN) haven't done a full assessment as yet on this patient.
How would you direct his task to the Nurse tech ?
You would not direct this task to the nurse tech.
The patient isn't completely stable, and you haven't done a full assessment on this patient as yet.
What are the five steps of the delegation process?
Must give 3 or more to get all the points.
1. right task
2. right person
3. right direction/communication
4. right supervision /evaluation
5.right circumstances
Linda, a co- worker of yours, comes to work to complete her annual RN competency in the Annex N240. She comes to the class in a pair of denim pants. One of the educators informs Linda that she is not in compliance with the dress code and needs to return when she is. Linda starts to complain that she needs to read the dress code policy for herself but she doesn't know where to find it. Where do you tell her to find it ? What resource do you point her to?
Policy manager in VDT.
Identify two tips the ANA suggests to avoid social media problems?
Don't share or post nurse pt info
maintain prof boundaries
Do not make disparaging remarks
Do not take videos of patients
Report any breach of confidentiality
Do not transmit IIP
Evaluate your postings
Don't use employers' internet