Nursing Shortage, An Essential Aspect Of The Nursing Profession

It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).

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’

Reyes, J. A. (2016). Nursing Delegation Guidelines for Nurses and Advanced Practice Nurses. Iowa Board Of Nursing Newsletter, 35(3), 1-4.

When working with a Staff Nurse on something outside of my training, they will take the lead and instruct me in the task. The same can be said for when assisting doctors, physiotherapists and all other professionals. Each has their own role and it is important that they work within the

(2010) said delegation by RNs is a primary mechanism for ensuring that professional nursing standards of care reach the

The one who will delegate or prioritize tasks must be knowledgeable, skilled and competent in knowing their staff. Delegation consists of knowing the team members scopes of practice and appropriately assigning tasks for those in the team to complete in a given situation. Delegation entails knowing who can be delegated what task, proper communication of said task, and more importantly follow up of assigned task. In nursing, delegation requires the nurse to have knowledge of what he/she can delegate and to whom they can delegate. Effective delegation requires clear, concise and direct orders.

If the nursing team isn’t working together to accomplish this task then it is the patient that ultimately suffers. Delegation can be a powerful tool to improve the patient health status or it can hinder what the health team is trying to accomplish if the wrong person is delegated the wrong task or isn’t capable of handling that particular task, the patient could suffer and even resulting in death.

As a registered nurse you are responsible for the supervision of unlicensed direct care staff in the performance of nursing tasks and activities. It is the responsibility of the nurse manager and the company to ensure that all staff is adequately trained regarding the elements of supervision and delegation of duties.

For nursing, all administration exercises have moral substance. They are coordinated toward a definitive objectives of ensuring what's more, advancing wellbeing and mitigating enduring utilizing nursing's points of view, whether at the individual level or at unit, center, or wellbeing strategy levels. They include: viable management of clinical consideration and [serves as] an asset individual, instructor and part model. The NP coaches different medical attendants, companions and interdisciplinary group individuals. He or she ought to have the capacity to clarify the subtleties and advantages of propelled practice parts to others including partnered health awareness suppliers.

required to step in if a patient becomes medically or emotionally unstable. As mentioned earlier nursing staff assist with transportation of patients, they are also in close proximity to the kitchen for medical assistance. During a placement opportunity a student becomes the facilitator of the program, completing all necessary tasks identified above, the student is required to report to their supervisor to discuss potential OPI and have documentation co-signed.

In this essay I intend to examine the issues surrounding nurses ' accountability in relation to the scenario discussed, and to Adult nursing. From the group sessions and further reading I have broaden my understanding of what being an accountable practitioner involves. Nurses are highly responsible for their own actions and care they provide. Consequently they are professionally accountable to the Nursing and Midwifery Council, (NMC) as well as their employer, public, patient, families and to themselves. Nurses have to justify why specific care was given in a particular way, (Royal College of Nursing, 2008). And they are required to use their professional knowledge, judgement and skills to make decisions continually throughout their

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

While discussion about work assignments is encouraged, nurses must have valid reasons for refusing work assignments. Allowing one nurse and not others to refuse assignments out of convenience creates an unfair environment. It is also imperative that nurse manager review work expectations regarding patient safety, timeliness, teamwork, and professional and unprofessional relationships with the nurse in question as well as with all employees. Furthermore, obtaining documentation of understanding in writing would be a great way for both parties to establish a solid starting point. After expectations clearly set, the nurse can be given the opportunity to self-correct the behaviors.

Within the nursing profession, understanding the principles of delegation as defined by American Nurses Association (ANA, 2015) and the Joint Statement by the National Council of State Boards of Nursing (NCSBN) is considered a fundamental skill acquired by nurses. Delegation as defined by both ANA and NCSBN is a process by which a nurse direct a task to one another personnel to carry out while the nurse who is delegating is still held accountable for the task itself. In this case, the nurse when delegating must take into account the Five Rights of Delegation, which are

Delegation is the responsibility of the knowledgeable and educated nurse. The nurses understanding of the level of skill the person posses is imperative to the successful act of delegating. Once the skill is performed it is the responsibility of the professional nurse to evaluate if it was completed and documented accurately. “Professional nurses use nursing judgment in delegation” (CNN, 2015).