Delegation know-how
Two reasons that Delegation is difficult
What is loss of control, perfectionism, lack of trust, fear of accountability, time constraints, being made replaceable, desire to maintain authority, lack of delegation skills, team overload, enjoyment of the task
You get in report that one of your patients was not bathed in the morning. You know you have to complete your assessments and medication administration by 0900 so you ask your NE to bath this patient. This is an example of which right to delegation?
What is right task
What is a common emotional barrier to delegation?
What is fear of losing control, bullying, "it's not my job" mentality, fear of task not being completed on time or correctly
Who can answer call bells?
Who is RN, NE, CCT, CPL, and manager!
What are two benefits of delegation to the delegator?
What are time management, decreased burnout, ability to complete more nurse-orientated tasks, increased unit productivity, professional development, improved morale, improved patient outcomes
What is the most important quality that delegation relies on?
What is trust
The CCT on your unit has just completed their phlebotomy course and is eager to enhance their skills. Your patient has 1400 labs due, so you ask the CCT to complete the blood draw and send them to the lab. What right of delegation does this scenario depict?
What is right person
How can perfectionism act as a barrier to effective delegation?
What is feeling that no one else can perform the task as well as you can
A NE is asked to get a temperature on a patient by the RN. The temperature 102F. What is the chain of communication going forward?
What is NE tells RN, RN tells physician.
What are two benefits of delegation for the delgatee?
What are growing knowledge, expanding skill sets, improved confidence, sense of belonging/purpose, increased motivation and morale
Who is responsible for evaluating the patient outcome after the delegated task is completed?
Who is the nurse
The following phrase is an example of which right of delegation?
"The patient in room 2 has not voided after their catheter removal. Can you bladder scan the patient while lying flat and document the results within the next 30 minutes?"
What is right communication
What is a frequent organizational barrier that prevents nurses from delegating tasks?
What is a lack of ancillary, staff feeling overworked/overwhelmed, task unable to be delegated to ancillary (no training)
True or False: A CCT can mix miralax with juice and administer it to the patient?
What is false (only RNs can administer medication!)
What is one benefit of delegation to the Jefferson enterprise?
What is increased efficiency, increased productivity, faster/more effective decision making, improved morale, improved time management, cost effectiveness, improved patient outcomes
How does providing feedback throughout the delegation process improve outcomes?
What is it helps course correct and improves both the process and the individual’s development
You ask the NE to set up the room for your incoming admission. This is the nurse extern's third day off orientation and has expressed that they have only set up a room once before. You offer to review the room setup before the admission comes to ensure the task was completed correctly. This is an example of which right?
What is right supervision
How does lack of time prevent effective delegation?
What is the belief that it takes more time to teach someone than to do the task themselves
A nurse is getting a patient who underwent a procedure that the nurse has never encountered before and has questions about postop care. Who can the nurse ask to help look up the Clinical Practice Guidelines for caring for this postop patient?
Who is RN, CPL, and manager
How does delegation improve teamwork on the unit?
What is fostering a trusting culture, recognizing coworkers strengths, having team members work together to accomplish a shared goal.
What is evaluation
Your patient calls you into their room and says they feel like their heart is racing. You check their vital sings and see that their blood pressure is 100/78 and heart rate is 122. You know that your CCT is currently ambulating another patient, so you decide to complete the EKG yourself and show the results to the physician. This is an example of which right of delegation?
What is right circumstance
What is one internal fear that can make a nurse avoid delegation, even when it is necessary?
What is fear of being held accountable if the task fails, fear of bullying, fear of being rejected/turned down
During an RRT the physician verbally orders an EKG. The nurse is currently administering IV medication. Who can be delegated the task of EKG?
Who is RN, NE, CCT, CPL, and manager!
What is one benefit of delegation to patients?
What is faster intervention, improved patient safety, increased patient satisfaction, more patient to staff contact.