Delegating Summary

According to the ANA, Delegation is when a nurse who is responsible for nursing care delivery, transfers responsibility of a task to an LPN/ LVN or nursing assistive personnel while retaining accountability for a safe outcome (ANA, 2012). There are five rights of delegation; These include, the right task, the right circumstance, the right person, the right communication and the right supervision" (ANA, 2012). In the right task, the nurse takes into consideration whether it is within a person’s scope of practice to perform the task being delegated.

Currently healthcare is changing, “from the hospital into the community setting, shorter hospital stays, and an increase in day surgery procedures and an ambitious public health agenda have all increased demands on the workforce” (Carr & Pearson, 2005, p. 72). Therefore, the health care teams are now trying to adjust to the changes as well as meet the new demands (Carr & Pearson, 2005). As with most health care setting, there is a wide variety of health care workers with different skill sets. The diverse level of skills and roles in the health care system allows the increased workload to be spread appropriately when utilized correctly; this is called delegation. As with any situation if not performed correctly it could lead to

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’

In nursing, delegation helps in making use of the talent or skills of another person. One nurse transfers interventions which are under his/her practice roles to another to another member of the healthcare team who lacks such powers authorized under their scope of practice. Delegation can only take place if it is in patient’s best interest.

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

Delegated tasks, and monitoring all direct-patient staff, including LPNs and Dialysis Assistants, assessed care needs and developed

Registered nurses are the primary caregiver to the patient, they enhance the safety and care of the patient. Registered nurses put together the data collected by other nurse in order to maximize the good health status of the patient (Weydt, 2010). The challenges faced by nurses lead to delegation of duties so that there will be clinical influence and financial outcome. The delegation has been one of the most effective, challenging skills that is practiced by nurses. The registered nurse has to understand the need of the patient and family members making sure the appropriate nurse is delegated to the for patient care better outcome (Weydt, 2010). The purpose of delegation, challenges faced and how and when to delegate duties will be discussed.

Effective delegation allows people to be given tasks and the authority to complete them that optimises the use of their knowledge and skills. In my opinion effective delegation requires me to be clear about the nature of the task in need a person to complete and the authority limits required to complete it successfully, it needs me to identify the right person for the task and provide feedback and support

I was able to plan, provide, and delegate care as I worked with nurse cole and fellow student nurse. Whenever the children came to the nurses office a problem I provide care by performing a focused assessment based on their complain, and proceed to givng the student the necessary medication. Nurse cole would delegate assessments to eith the Del tech students and

Nursing is a vast career field where someone can choose to work in many different settings. No matter what area of nursing one chooses to work in, nurses will almost always need to rely on team members and colleagues to help provide quality care. Appropriately delegating tasks and duties is an integral part of maintaining the highest level of nursing. According to a joint statement by the American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN) they both defined delegation as “the process for a nurse to direct another person to perform nursing tasks and activities. NCSBN describes this as the nurse transferring authority while ANA calls this a transfer of responsibility. Both mean that a registered nurse (RN) can direct another individual to do something that the person would not normally be allowed to do” (ANA/NCSBN, 2006). The Nurse Practice Act (NPA) allows for licensed nurses to delegate tasks to an unlicensed individual, a certified nursing assistant, or a medication technician, as long as certain criteria is met (Code of Maryland Regulations 10.27.11.03). First of all, the nurse delegating the task must realize that he or she remains responsible for the task and the outcomes. Because of this, it is important to make sure that tasks are being delegated appropriately.

In the Texas Board of Nursing “Rules and Regulations” chapter 224 and 225 explain what an RN should delegate and what can be delegated in certain situations. There are five rights of delegation including the right task, right circumstance, right person, right direction and communication, and right supervision. These five rights must always be considered before any sort of delegation can occur.

In Carrie’s final statement, she neglects to account for the level of collaborative work necessary for an emergency room to run efficiently. The emergency department is one centered in split second decision and organized chaos. Staff within the department are therefore interdependent upon each other to provide an acceptable quality of care. While it is Carrie’s responsibility to ensure the department runs smoothly, part of that role involves delegating tasks because delegation is necessary.

One of the most commonly practiced methods for providing care for patients in a timely manner is the use of delegation in the provision of patient care. Delegation is the act of assigning specific activities to another person in which the person gains responsibility but not accountability (Yoder, 2015). Delegation is the process of organizing responsibility to those that can complete the given task.

The article “Creating Shared Value“, written by Michael E. Porter and Mark R. Kramer and published in the “Harvard Business Review“ in January 2011 deals with the idea of innovating the purpose of a corporation and their relationship to the government and social environment in order to identify unknown customer needs and expand the total pool of economic and social value.

Delegation is a management tool that can be used to empower or when abused can be a detrimental force in a company. Delegation can aid employee growth and development while getting the job done efficiently. The true purpose of delegation is to accomplish the task by assigning it to someone else (Blair, 1992). Many misunderstand the concept of delegation and therefore either will not delegate or improperly apply the principle which provides unsuccessful results.