You want me to do what?
The RN delegates the CNA to remove a mid-line.
What is improper delegation, NO
Benefit of delegation to the the delegator
Ability to focus care on complex patients, increased job satisfaction and retention, increased patient outcomes
If the RN delegates a CNA to take VS for a patient, the RN must ensure the CNA _______ the vital signs in the chart and reports any __________ vital signs immediately back to him/her.
What is documents and abnormal?
The most missed Right of Delegation
What is Right Supervision/Evaluation?
Job duties include bathing, transferring, ambulating, VS, and IOs.
What is a CNA?
The RN is assigned two patients. One patient needs a straight catheter, while the other patient requires their foley catheter to be removed. The RN delegates which task to the CNA.
What is Foley catheter removal?
Key aspect in effective delegating
What is communication?
Responsibility can be delegated, while ____________ cannot.
What is Accountability?
How do nurses decide which tasks they can delegate?
What is Nurses can delegate any task they are able to perform under their license
I.e. prescribing medications is not within their scope of practice.
Primary goal of delegation.
What is improved patient care and satisfaction?
The RN is allowed to delegate the LPN to administer IVP furosemide (Lasix) for the patient in CHF.
What is improper delegation?
Lack of experience, a need for control, or being overwhelmed
What is under-delegation?
The most forgotten step of delegation
Supervision & Evaluation
The ability of a staff member to perform a specific task is not only based on their competency but it is also based on (name 2)
Ability to administer medications, change dressings, and differentiate normal from abnormal is physiologically stable clients with predictable conditions
What are Licensed Practical Nurses?
The UAP, who is also studying to be a paramedic, can start an IV in the emergency department.
What is improper delegation/NO?
The legal document that provides guidelines about scope of practice, delegating and supervising for RN's and LPN's
The State Nurse Practice Act.
This is among the tip 10 reasons for malpractice suits
Negligent Supervision
How often should the RN ensure the delegate is making progress toward completion of assignments
What is throughout the entirety of the shift
The RN asks another RN to assess the pain of a patient they are not assigned to
Not an example of delegation
The RN must do this before delegating patient tasks to non-RN personnel?
What is assess the patient?
The 5 rights of delegation
The "right" person
The "right" task
The "right" circumstances
The "right" directions and communication
The "right" supervision and evaluation
Name two criteria used in making a decision about what and when to delegate a task.
What are predictability of outcomes, scope of practice of delegate, knowledge and skills of delegate, potential for harm and frequency of completing the task?