Scope of Practice
What is the legal document that provides guidelines about scope of practice-delegating and supervising for RN's and LVN's?
Nurse Practice Act.
What are the four main principles of delegation?
Delegate tasks for which you are responsible.
Need to transfer authority.
Know the difference between delegation and assignment.
Know the difference between delegation and dumping.
What is the first step of the delegation process?
1. What-define the task.
What is one benefit of delegation to the organization?
What is the organization can attain goals more efficiently.
Name the five rights of delegation.
Right task
Right circumstances
Right person
Right direction/communication
Right supervision?
Which type of nurse is able to delegate to other RN's, LPN's and CNA's / PCT's, & Nurse Techs?
Registered Nurse
What does responsibility mean related to delegation?
The task is within the delegator's scope of practice or something for which they could be responsible
What is the most forgotten step of evaluation?
Supervision and Evaluation
What is one benefit of delegation to the delegator?
Increased job satisfaction and retention, increased patient outcomes.
Name three criteria used in making a decision about what and when to delegate a task.
What are predicability of outcomes, scope of practice of delegate, knowledge and skills of delegate, potential for harm and frequency of completing the task?
An LVN is assigned to a patient who just had a Rapid Response called, if the patient is not transferred to higher level of care, to whom should the charge nurse assign the patient?
Assign the patient to an RN and give the LVN another patient.
When delegating to an un-licensed provider, who retains accountability?
The delegator
You have three PCT's on the unit and you have to delegate a manual blood pressure to one of them, how do you decide who to give the task too?
Consider what their experience and skill level is with that particular task.
Through effective delegation the team is able to provide patient centered care leading to what?
Patient satisfaction
What must the RN do before delegating patient tasks to non-RN personnel?
What is assess the patient?
You are short an RN, but you do have an experienced Level IV Nurse Tech on the floor who has been helping the PCT's / CNA's. Could (S)he take patients?
Yes, if they have been trained and checked off, but someone has to pass medications for them.
Delegating to another individual because the nurses does not want to complete the work.
What is dumping?
Prior to unlicensed providers starting their day, what is important for nurses to do for any delegated responsibilities?
Ensure that you give clear, and concise instructions on your expectations related to any delegated responsibilities and follow up to close the loop.
What is it called when someone with lower rank delegates to someone with higher rank.
What is reverse delegation?
When does a delegate have the right to refuse to accept delegation?
When the nurse or UAP is not qualified to complete the task. When the delegator does not clearly define the task and expectations. When you are a float nurse and it is a speciality area for which you have not been trained.
What are things that cannot be delegated or assigned to anyone except a Registered Nurse?
Comprehensive nursing assessment
Determining the nursing diagnosis
Establishing care goals
Developing the nursing care plan
What is the difference between delegation and work assignment?
In work or task assignment, there is no transfer of responsibility or authority. The job assignment is related to the job description and the organizational structure.
What are the five steps of the delegation process?
1. What-define the task. 2. Who- decide on the delegate. 3. How, when and where-determine the task/communicate expectations 4. Consensus-reach agreement 5. Supervision-monitor performance, feedback and evaluation
Safe patient outcomes depend on what?
The right communication
What are two key areas for liability related to delegation?
What are: 1. Staffing issues -not enough staff 2. Floating-perform tasks for which they are not competent. 3. Patient abandonment.