Nursing Compliance Report

The first consideration a registered nurse should determine is if “The Right Task (Cherry 355-356)” is being delegated to the right staff member. Delegation to the right staff member must be in their scope of practice and have proven to competent to complete. An individuals’ scope of practice will be set forth by the facility in which they work. In addition to individual facility polices the nurse must adhere to the scope of delegation set forth in the Nurse Practice Act of Maryland. Per the Nurse Practice Act of Maryland the task to be delegated must be “within the area of responsibility of the nurse delegating the act (Code of Maryland Regulations 10.27.11.03).” An example of incorrect delegating would be having an unlicensed individual, CNA or LPN to

The American Nurse Association defines delegation as “the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome” (Cherry, 2011). Delegation is an essential tool used by the registered nurse to routinely distribute responsibility and allow them to effectively complete more tasks during their daily routine. With this shared responsibility comes accountability for the registered nurse to know how, when and to whom he or she must appropriately distribute these tasks. To safely delegate patient care, the registered nurse must follow his or her own state

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’

Over 33 years of nursing experience ranging from staff nurse to nurse administrator, in the areas of long-term care, psychiatric nursing, managed care, disease management, and case management. A flexible and practical team player, with excellent organizational and time management skills.

A few perspectives related nursing delegation such as professional standards, legal aspects and ethics affects will be analyzed to clarify the authorizing mechanisms of nursing delegation. At the end, a personal reflection will be identified and described how I will approach to delegation in my own nursing practice in the future. Keys points about how to delegate in nursing will be summarized in conclusion section.

This is the legal liability the practitioner owes to the patient. By accepting the responsibility to perform a task the practitioner must ensure the task is performed competently at least to the standard of the ordinarily competent practitioner in that type of task. If a practitioner such as a registered nurse should delegate a task, then that practitioner must be sure that the delegation is appropriate. This means that the task must be necessary; and the person performing the delegated task, for example a HCA, must understand the task and how it is performed, have the skills and abilities to perform the task competently and accept responsibility for carrying it out

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

The literature provided speaks of the nurse’s responsibility in creating a safe environment for the patient and a healthy work environment for individuals of the organization. Part of providing safe and competent care to patients is for the RN to ensure that she is clinically capable of providing care at the skill level necessary for an assignment, especially when she floats to other units. Otherwise, she must decline the duty to care for that patient, make it known to the charge nurse that the assignment is beyond her competency level, and ask for an alternative assignment that matches her skill set (California Board of Registered Nursing, 1998). In addition to knowing the nurse’s

Implementation of a practice change requires the innovator to be able to describe the process of implementation, specifically addressing the methods utilized, with an assessment of the key components of the implementation plan. The Daily Safety Briefing (DSB) initiative does not gather new information, but it does present information in a new way. There is no requirement for subject consent, as safety reporting is already covered under the umbrella of a consent to treatment, which patients sign at the time of admission (Hughes, 2008). Existing safety reports will be summarized into a one page document that will be presented at the DSB.

Mission: One church, one heart one purpose advancing health awareness and providing people with tools to take responsibility for their health through early detection and prevention. The project is a public health intervention event with interactive and educational information with screenings and basic preventive medicine for the community.

I arrived on time in full nursing uniform. I practiced HIPPA when I interviewed SB and his mother by providing privacy in the conference room. Moreover, when I reviewed the immunization records of SB and other children, I followed HIPPA regulations after reviewing their medical records by logging out the computer when I am done reviewing the medical records.

As our healthcare system continues to evolve with the passage and adoption of the Affordable Care Act (Obama Care), new laws and regulations related to medical services reimbursement is also developing. However, disparities continue to exist between medical providers and third-party practitioners such as Advanced Nurse Practitioners(ARNP), leading to a lack of autonomy or independent practice (Woo, & Robinson, 2016). According to (Hain, & Fleck, 2014), many Nurse Practitioners report that payer’s policies have a critical impact in the way they care for patients and negatively reduces their ability practice to their full extent of their clinical expertise and education.

A Registered Nurse is a person who has graduated from a nursing program and met

Collectively there are over 2600 CRNAs in Michigan. Overall there are over 50,000 CRNAs in the United States. The strength of being unified and collaborative creates huge advancements within our professional practice.

According to Finkelman & Kenner (2016, p.157) the outlines for developing a policy include finding a problem area, give precise information, solutions on how to solve or reduce problem area, perform best solutions to problem area, and finally monitor the solutions effectiveness to the problem area. These are all very important steps in developing a policy and will be discussed later in more detail. Today we are going to discuss a huge potential issue that presents itself in most hospitals, and causes a long road to recovery for its unsuspected victims. To many times in nursing does a patent on the floor present with common symptoms or complaints were various protocols should be implemented but the patent has no orders. If we as nurses had more