Scope of Practice
In Texas, the type of nurse who can delegate to unlicensed assistive personnel (UAP).
What is a "registered nurse?"
The combination of time assessment, goal setting, planning, and performance monitoring.
What is time management?
The topics we discussed today during Professional Development.
What is time management, prioritization, and delegation?
The website that has information about the scope of practice for registered nurses and where I can renew my nursing license.
What is the Texas BON website?
The ability to see what tasks are more important at each moment and give those tasks more attention, energy, and time.
What is prioritization?
When a staff member accepts a task that is outside their scope of practice.
What is over delegation?
When someone with lower rank delegates to someone with higher rank.
What is reverse delegation?
The association with the nursing Scope and Standards of Practice, which are an essential tool for nurses.
What is "American Nurses Association" or "ANA?"
Interruptions from unscheduled guests, phone calls, and the inability to say no.
What are types of time management obstacles?
The type of delegation when the delegator delegates a task but does not transfer full authority and takes back responsibility or fails to direct the task?
What is "under delegation?"
Nurses use "what" to delegate, assign, and supervise care and activities.
What is "clinical judgement" or "critical thinking?"
The education, knowledge, experience, competency, and supervision of the unlicensed person are essential to ensure ....
The nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Name the intervention for airway management that could be delegated to a nursing assistant.
A. Assisting the patient to sit up on the side of the bed.
B. Instructing the patient to cough effectively.
C. Teaching the patient to use incentive spirometry.
D. Auscultation of breath sounds every 4 hours
What is answer A?
The most forgotten step in delegation.
What is evaluating the outcomes?
The ability to work with more complex patients, increased job satisfaction and retention, and increased number of safe patient outcomes.
What are the benefits of delegation?
The RN MUST do this before delegating patient tasks to the UAP.
What is assess the patient?
Fatal, fundamental, frequent, fixed, and facility.
What are the five F's for prioritization?
Assessing, planning the delegation, determining the most appropriate person for the task, delegating responsibility for the activity, establishing controls, and evaluating outcomes.
What are the steps of delegation?
The three fundamental managerial concepts of successful delegation (they must be understood by both the delegator and the delegate).
What is accountability, responsibility, and authority?