The Role of the Registered Nurse in relation to delegation. Essay

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’

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

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

Describe the roles and responsibilities of the Enrolled Nurse, Doctor and Pharmacist involved in the medication cycle.

The decision-making process of delegation incorporates critical thinking and clinical decision making; it is a process that requires skillful nursing judgement (Huber, 2014). Key issues to consider with this patient include: what is in the best interest of the patient, the delegate’s level of experience and understanding, and unique characteristics of the patient’s needs at this time. I recognized two problems in this case. The patient’s diagnosis, and lack of verbal communication with James, could indicate characteristics of her emotional status, and the need for humanizing nursing communication. James’s lack of experience with surgical mastectomy patients, compounded by his unfamiliarity with the hospital’s process, would indicate he may

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.

According to the Nursing Practice Act of Florida, during the delegation of the authority to perform a selected task to a competent individual the nurse must consider factors such as the nature of the assignments, competence of the individual to carry out the task, education, training, and the nurse’s supervision ability.

According to the Texas Board of Nursing, in this particular scenario the Registered Nurse (RN) would be covered in delegating the task of discontinuing the intravenous for the patients that were waiting to be discharged. Revised rules for delegation as stated by the Texas Board of Nursing (2003), included delegation of tasks to unlicensed personnel in an acute care, a stable patient having a predictable condition is permitted. The RN is aware of the Nursing Assistants’ (NA) past knowledge and experience in performing this task. In addition, one could say that the RN had enough information using the Five Rights of Delegation and in her opinion, the NA could perform the task properly and safely (Texas Board of Nursing, 2003). The right task which

There are a variety of registered nurses and most often their title depend on the duties and the patients that they work with (U.S Bureau of Labor Statistics, 2014). Among all the registered nurses some are licensed practical nurses, nursing assistants and others home health aides (U.S Bureau of Labor Statistics, 2014). They are allowed to practice in all health care settings even in camps, shelters or even prison (American Nurses Association, 2015). Their responsibilities are to perform physical exams, administer medications wound care and among others to make critical decisions only in situations that are necessary (ANA, 2015) All registered nurses have several responsibilities but their contributions and collaboration

my career choice was a registered nurse, and you have to have all types of skills to be a registered nurse. put one of the skills i have as a person to become a registered nurse is flexability, you have to learn to be patient with your people. there not always gonna move at your pace especially in a hospital setting where people are getting severly hurt and are actually dying. another skill i have to ave as a registered nurse is honesty, noone was someone taking care of there loved one if they cant even trust them to be helping them out, always be honest to your patient tell nothing but the truth. nursing is not a easy job at all you just have the abilitys and skills to work as a registered

Throughout time there have been many historical and political factors that have influenced the Australian healthcare system and shaped the role of Registered Nurses. As healthcare professionals within this system, it is important for RNs to maintain a contemporary understanding of key influences. For example, Florence Nightingale is one of the main historical factors which has played a major role in impacting the way nursing is approached and how nurses can advocate for patients to provide a proper caring and healing environment for patients and their loved ones. Another influencing factor being political is Medicare. Medicare is another major influencing factor that has shaped healthcare and healthcare access in Australian society. The

Delegation is the cornerstone to being a nurse leader, it facilitates the work effort of the staff to accomplish the mission and goals of the healthcare organization. The optimum administration of a unit is contingent on how well the staff functions as a team.

A Registered nurse is strongly committed to provide meticulous optimum care to the client. Every nurse has to have the attitude of caring, patience and dedication. Being autonomous in nursing is very important while making decisions and practice and which can be obtained by continual education. According to Potter and Perry (eds 2009), Accountability refers to responsibility of the nurse professionally and legally for the provided care. Trusted professional relationship is strongly built by effective communication. Communication with patient, family and multidisciplinary is essential for quality nursing care to the client.

Today’s nurse leaders practice in very complex environments. Managers are asked to function in a way that presents their professional moral courage while providing an environment that is conducive to safe, quality patient care. The patient safety umbrella covers multiple portions of the health care industry. Because of the patient safety magnitude, health care systems are challenged to identify patient safety issues and solve them. As new problems arise they are often pushed under the patient safety umbrella. Nurse leaders are faced with determining how these patient safety additions affect them and their staff. Since patient safety and quality care are largely dependent upon the nursing staff, this paper will focus on the nurse leader’s responsibility to their staff and the legal implications when these responsibilities are not met. Aspects that determine whether or not a manager is successful in balancing their requirements include: staff hiring, training, evaluating, and disciplining; safe staffing levels; providing a safe workplace; successfully matching nursing skill with patient factors; and security of patient information. These areas are important in order for the leader and organization to remain in compliance with accrediting organizations as well as to defend against law suits which may ensue.

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.