Is it difficult for you to delegate to others? If so, do you know why? Yes it has been difficult for me to delegate to others. I work for a registry that sends to new nursing homes so I have to rely on CNAs to help me with the patients and to find stuff. I have some ideas of why it is hard for me to delegate. 1. CNAs may not look friendly or approachable. 2. When I ask a CNA to do something they often make an excuse as to why they can’t do it. Most of the time it’s because they are busy. 3. They can be hard to find. I might have to go all around the unit just to find them so it might be easier to just do whatever that is myself. 4. I am intimidated by some CNAs attitudes and rude responses to me. Have you experienced any resistance to delegation
2. I would say that the unit 2 RLC was most helpful; as it cleared up a lot of the confusions I had about the material we’re covering.
The author, Peter Fitzpatrick, a department head and associate professor of healthcare management, attempts to illuminate and suggest proposals on issues in the healthcare system. His study presents with estimated statistical data on the ever-growing elderly population and the need for affordable long-term care. Fitzpatrick discusses how a shortage of Certified Nursing Assistants present a crucial problem and how given a number of factors affect the patient-to-caregiver ratio. With his unbiased, well-researched pursuit he compels readers to take a look into these issues and implications. While he states that “Retention of CNAs is not singularly going to achieve these outcomes, but it will go a long way to assist their realization”, he presents
One common mistakes exhibited by professionals in the field is delegation of duties by persons. Nurses should be wary of delegating duties to health care assistant because nurses should be aware of the abilities of the person with whom he or she is delegating duties. This is to minimize any chance of poor service delivery. Poor patient attendance by a person tasked with the duty at the time of delivery will extend the liability to the nurse delegating duties.
I often have a hard time with delegation. There are times when our administrative assistants could be help us prepare documents for meetings, but I am often half done with a report, before I think about delegating. Coming from positions that I had to rely on myself has provided for difficulty letting work go to others. I understand that I will need to change the way I do things to continue to be effective and have enough time to complete my assigned tasks, otherwise my resilience will wane over time and I will become either tired, overwhelmed or unsatisfied with my job. Studies have shown that “innate resilience can be developed or enhanced though cognitive transformational practiced education and environmental support” (Grafton, Gillespie, & Hendersen,
After collecting the surveys I distributed, I found very vital data. I surveyed all competent residents and all employed CNAs. The surveys asked questions based on the quality of care provided and the stress levels from this issue. Many of the residents commented that they would like CNAs to stop in and visit. Some of the CNAs said they could complete all the tasks if a third CNA was on duty.
These tasks include the following: right task, right circumstance, right person, right directions and communications, and last right supervision and evaluation. It is important to know what task can be delegated and what must be done by you. It is important to understand if the task can be done by a delegatee. It is important the delegatee is allowed to perform the specific nursing activity, skill, or procedure being delegated. This is the key in preventing poor patient outcome, (National Guidelines for Nursing Delegation,
Looking through the delegation checklist, I would say I under delegate. I do recognize that I assume the responsibility of the outcome of the delegated assignments, which is why I hesitate to have someone else do it. I really need to trust my assistants to do the work that I am responsible for. I do feel I acknowledge my staff when I follow up with feedback to the delegated tasks. I feel I am approachable so the assistants are not afraid to ask questions. I do delegate novice RNs to do task to help them gain better skills and always offer myself as a resource for help.
• 29. You must establish that anyone you delegate to is able to carry out your instructions
Under the regulations of the California Nurse Practice Act, a Licensed Vocational Nurse has the ability to delegate tasks to unlicensed assisted personnel (UAP) according to individual facility policy. Delegation as stated in Hill & Howlett is defined as, “transferring the authority to perform nursing duties that are in the job description of the LVN charge nurse.” Prior to carrying out this important nursing duty, it is important for the LVN to recognize the difference between assigning tasks and delegating tasks. As explained in an article in the Journal of Nursing regulation titled; National Guidelines for Nursing Delegation. Assigning tasks would involve performing “routine care, activities, and procedures that are within the authorized scope or practice of the LVN or part of the routine functions of the UAP. Delegating tasks on the other hand is defined as “allowing a delegate to perform a specific nursing
It is up to the nurse/delegator to determine the delegatee’s knowledge, skills, abilities, and any training that will ensure that the task will be handled appropriately and safely. If it is necessary the nurse/delegator must provide instruction and direction to the delegatee. The nurse/delegator or another qualified nurse must be available to supervise the delegate and delegated task. The level of supervision needed will be determined by the training, capability, and willingness of the delegate to perform the task. A delegate may not delegate to another person or expand the delegated task without the permission of the nurse/delegator. Once the delegated task is completed the nurse must evaluate the delegated task, patient’s health status, determination if the goals are being met and if the delegation of the task may be continued (UT Admin Code R156-31b. Nurse Practice Act Rule, 2013). In section R156-31b-704 the rules for the recognized scope of practice of an RN are outlined. It states that the RN, RN managers, and RN administrators should practice
Delegation can save money and time, help in building skills, and motivate people. Poor delegation, on the other hand, might cause frustration and confusion to all the involved parties.
Over two night shifts I had very similar assignments. Both nights my assignment had multiple patients requiring blood glucose checks, and one patient that required hourly checks with lab draws ever other hour. These simple tasks do not take much time, but the culmination of them all can be time consuming, so I needed some help getting those checks done one time. However, the first night I arrived to find that we did not have a clinical assistant (CA) helping the nursing staff.
Delegating nursing care to subordinates and colleagues, so how do things get missed? Our day is planned out, we have a perfect plan of action, and something goes wrong. Our shift is coming to an end we are checking our list to see if everything was completed but inevitably we have forgotten something. You’re running through your mental list and you thought you delegated duties to someone but did you? Keeping up with all of your patients’ needs can be overwhelming. Each day at work is different with a new set of patients
The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’
Delegation is an important function in any organization and in today’s environment we see it becoming increasingly important in the health care setting. For management to make the best use of their time and skills effective delegation of tasks to the staff assists in their growth and development, builds confidence and trust, and increases the amount of work completed. Effective delegating provides benefits to the organization when managers mobilize resources, share responsibilities, and focus on doing a few tasks well, rather than many things less effectively resulting in increased management and leadership potential. The need for accessible, affordable, quality health care and an ever-growing shortfall of practitioners and providers