...DECISION TREE Nurse Delegation to Nursing Assistive Personnel (NAP) Step One – Assessment and Planning Are there laws and rules/regulations in place that support the delegation? [NMAC 16.12.2] Yes Is the task within the scope of practice of the delegating nurse? [NMAC 16.12.2] Yes Has there been assessment of the client’s needs? Yes No Do not delegate. No If not in the licensed nurse’s scope of practice, he/she should not delegate to NAP. Authority to delegate varies from state-to-state; licensed nurses should check the local jurisdiction’s statutes and administrative rules/regulations. No Assess client’s needs; then proceed to a consideration of delegation. Does the delegating nurse have competencies to make the delegation decisions required? Yes No Do not delegate until evidence of competency is obtained and is documented; then reconsider delegation. Does the procedure/task meet all the following recommended criteria for delegating to NAP? • • • • • • • Task/procedure is within the range of approved functions for the NAP. Task/procedure frequently recurs in daily care of client or group of clients. Task/procedure is performed according to an established sequence of steps. Task/procedure involves little or no modification from one client-care situation to another. Task/procedure may be performed with a predictable outcome. Task/procedure does not inherently involve ongoing assessment, interpretation, or decision-making which cannot be logically separated from...
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...Continuing Education Effective Delegation: Understanding Responsibility, Authority, and Accountability Christine Mueller, PhD, RN, FAAN, and Amy Vogelsmeier, PhD, RN The obligation to provide safe, quality care creates challenges and concerns when registered nurses (RNs) delegate duties to unlicensed assistive personnel. These challenges and concerns are magnified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; health care settings with high patient acuity rates; and the use of sophisticated technology. To make safe, effective delegation decisions, RNs must understand the responsibility, authority, and accountability related to delegation. Delegation decisions must be based on the fundamental principle of public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation...
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...Delegation in nursing is the most evident but yet most overlooked of management skills. Integrating this ability is an essential constituent within the scope of the nursing practice. The American Nursing Association (2006) defines delegation as, “The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome”. With the anticipation of the baby-boomer generation and the utilization of unlicensed nursing assistive personnel (NAP) on the rise; how will healthcare prepare for such conditions? By distinguishing the nature of communication as well as personal interaction during delegation, may better clarify how both roles work together to carry out patient care and...
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...------------------------------------------------- Does delegation help or hurt nursing? A Research Paper April 11, 2013 Fiona Molloy Dr. McDonnell HAS 420 April 11, 2013 Fiona Molloy Dr. McDonnell HAS 420 Fiona Molloy Dr. McDonnell/Bill Miller HSA 420 Does Delegation Help or Hurt Nursing? Chapter One: The History of Nursing. The first nursing school was established in India in about 250 B.C., and only men were permitted to attend because men were viewed to be more pure than women. If you think of a woman dressed in scrubs with a stethoscope around her neck and a clipboard in her hands, you aren’t alone. An overwhelming majority of nurses in the United States today are women. However, nursing began as a practice reserved for men. It wasn’t until the 1800's that nursing became an organized practice. During the Crimean War, Florence Nightingale and 38 volunteer nurses were sent to the main British camp in Turkey. Nightingale and her staff immediately began to clean the hospital and equipment and reorganized patient care. Nightingale pushed for reform of hospital sanitation methods and invented methods of graphing statistical data. When she returned to Britain, Nightingale aided in the establishment of the Royal Commission on the Health of the Army. As a woman, Nightingale could not be appointed to the Royal Commission, but she composed the Commission’s report. (Travel Nurses of America, 2010) Completed, the report was over 1,000 pages in length and included detailed...
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...Delegation Example in a Health Care Setting Presentation * The delegation model or process * The delegation issue in your work place * The stakeholders in their different health care roles * How you choose the right stakeholder for the job At the completion of this presentation the learner will know the delegation model process, be capable of identify issues in the workplace, how to choose the appropriate stakeholder to complete the job, and the stake holders in their different health care roles. By using a possible occurrence that can happen in the work place as an example we will walk through the delegation process. * How you communicate with the stakeholders * How you resolve conflict * How you know when to give feedback * How you evaluate the problem solved * Relevant recommendations With communication being the most important aspect of delegation, we will discuss how to communicate with the stakeholders, resolving conflict, different ways to know when to give feedback, different evaluation methods to problem solve and relevant recommendations. * Know Your World * Know Yourself * Know What Needs To Be Done * Know Your Delegate * Communicate * Resolve Conflict * Feedback/Evaluate First, we will need to know what the definition of delegation is. According to Hansten and Jackson (2009), the National Council of State Boards of Nursing states that delegation is the “transferring to a competent individual...
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...1Care Delivery: Delegation Introduction The topic I have chosen to discuss in this essay is delegation, as from my experience this is one of the most complex nursing skills to develop, this claim is supported by literature (Weydt: 2010) Delegation is a suitable topic to discuss as it is a necessity for any nurse to be able to delegate effectively, especially in recent times in which nurses are stretched to their limits due to an increase in patient numbers and current government NHS cuts. The NHS is supposed to be protected from the public sector cuts, but new research shows that more than 50,000 jobs are disappearing from the NHS (Ramesh: 2011) Delegation has particular relevance to me as a third year student because knowing when, how and to whom you can delegate requires a complex understanding of the task in hand, the process of delegation, and the skills and existing workloads of the people available. It is especially important to achieve the right balance as a third year student, as delegating too much may result in a loss of control, while failing to delegate or not delegating enough can lead to duties not being completed. I will begin by discussing areas of delegation such as responsibility, accountability and authority. I will then move on to discuss aspects and principles of best practice. I will then continue to focus on managerial and organisational aspects relating to delegation, I will discuss these aspects using examples from practice. Delegation may be difficult...
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...views of yourself and the situations you are involved in. It makes you fearful of challenges, unable to stand up for what you believe, and with no courage to admit your limitations (Berger, 2005). Last but not lease is lack of humor. A sense of humor goes a long way in leadership. Lack of humor can be an image of negative work place, hampering friendship in an organization. To achieve the positive attributes such as communication, delegation, commitment and creativity, I would be proactive in creating the platform of discussion and regular meetings. There should be a clear mission statement, official and un-official get together parties and work retreats can be organized to encourage communication. Communication is an important key to a leader’s success. To grow as a leader and a manager, you have to learn to be an effective communicator. For the success of your organization you and your team have to know the art of communication together, so that, new levels of leadership excellence can be reached (Froschheiser L., no...
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...adapting is paramount. Not only does the manager have to be a talented individual he has to have qualities of working as a great team player and certain qualities. A talented manager must have the skills of motivation to keep the team going, He must be willing to learn from mistakes made in the past and he must understand that respect has to be earned and is not a right. Penguin’s vice president Chris Kolbe have demonstrated that he possesses most of the skills discussed above and more and have taken the business to new altitudes altogether. Even though the Kolbe seems to be doing a reasonable job, this essay intends to point out two key skills which Kolbe must master in his job and also this essay intends to explain the importance of communication in the two skills discussed in detail. The first main skill that Kolbe must have as a senior manager (Vice President) is that of being a motivator for the team. When the going gets tough just as it did for the Penguin, it takes tough employees and tough managers to come out of the situations and emerge as winners. To achieve this task a manager has to be a great motivator. Motivation in itself is a science and art, even though some people have a natural flair for motivation, others can learn this skill. There have been many studies where the methods of motivation for employees have been exploited in great detail. Some of the prominent theories include Hezberg’s two factor theory,...
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...Delegation and Ethical Decision Making Student’s Name Institution Date Question 1 Delegation Delegation is a process by which a task’s responsibility and authority is transferred to individual who accepts the transfer. It is based on effective up-down and down-up communication in an organization or unit. However, the delegator retains accountability for the tasks delegated (Lipe & Beasley, 2004). The five rights of delegation are the right task, circumstances, person, communication and supervision. Considering the right task, a task may only be delegated if the delegator has responsibility and authority over it and if it has not been delegated to them. From the right circumstances, a task is appropriate for delegation if it does not involve personal information or confidential issues that the person is not allowed to access. Considering the right person, tasks that require specific skills, knowledge and attitudes can only be delegated to a person who has such qualities. The right communication implies that a task will be appropriate for delegation if there are clear instructions and information concerning it. Lastly, a task that requires a certain level supervision and monitoring, cannot be delegated unless that level of monitoring and supervision is available. These rights of delegation are applied in decisions concerning what tasks a manager will delegate and to whom the tasks will be delegated (Lipe & Beasley, 2004). Question 2 Ethical Dilemmas The...
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...Introduction • Delegation is the assignment of authority and responsibility to another person to carry out specific activities. • The person who delegated the work remains accountable for the outcome of the delegated work. • Delegation provides a means for increasing productivities. • Delegation empowers a subordinate to make decisions. Definitions • Delegate- “to entrust to another; to appoint as one’s representative; to assign responsibility or authority”. • Delegation- “the act of empowering to act for another”. • "Delegation is defined as the transfer of responsibility for the performance of a task from one person to another" • "Transferring to a competent individual the authority to perform a selected nursing task in a selected nursing situation . The nurse retains accountability for delegation" • "The transfer of responsibility for the performance of an activity from individual to another while retaining accountability for the outcome". (American Nurses Association) • Delegation is appointing a person to act on one's behalf 5 Rights to delegation (NCSBN) NCSBN in US presents 5 rights to delegation from the perspectives of both nursing service administrator and staff nurse. 1. Right task 2. Right circumstance 3. Right person 4. Right direction/communication 5. Right supervision/evaluation Delegation Process 1. Define the task 2. Decide on the delegate 3. Determine the task 4. Reach an agreement 5. Monitor performance and 6. provide...
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...This article main presents how three kinds of skills namely teambuilding, communication and delegation, the author learned via military leadership is applicable to the People’s Health Clinic (PHC). It has been manifested that there is more similarities than differences for the application of these three skills in any organization according to the experience of the author. In case of either military or PHC, it is has proved that building a team with personal difference as well as complementary capabilities should be placed with enough importance for it is crucial to complete a mission or a task. In this article, the author produced evidences for how to build a team and the good returns brought by such practices. With three positions set in this article, the PHC succeeded in hiring the qualified people, which can create a team to hold people together and then work for the organization to serve the community. Based on this team, more extensive activities can be facilitated by PHC, proving the significance of building a team. According to the interception of the author, effective communication can be identified as members’ capability of understanding the role and corresponding capability in achieving the mission. Furthermore, the meaning of effective communication has been extended to people’s capability to affect communities to understand that people are doing. In order to apply the explanation of such skill learned in military to the PHC, the author presented how they worked around...
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...These changes have subsequently led to the emergence need of registered nurses having to work with personnel who will assist them in their work. Delegation of tasks is important so that the nurse can have more time to critically reason, plan and coordinate healthcare given to patients. The act of delegating is attributed to the fact that, as a registered nurse, one has greater knowledge and critical reasoning ability than the assistive personnel. As a result, the RN has the responsibility of delegating, assigning and supervising the assistive personnel. According to the NCBSN and the ANA, appropriate delegation of tasks can result in effective and safe nursing care (NCSBN & ANA, 2006). In the case study given, the recently graduated registered nurse (RN) is new in the field, thus does not have enough experience with regard to attending to six patients during the morning shift. Six patients are too many for the new RN thus, need for the UHCW. Delegation of duties as stated earlier on should be done so that the registered nurse gets enough time to complete tasks that require his or her specialized attention and knowledge. The reason why the RN has delegated the UHCW to assess the patients’ vital signs is so that he or she can do the final touches with regard to personal hygiene care. This reason is not professional enough in that the RN can use the help of the UHCW in completing the personal hygiene care process. The UHCW can gather up the dressing the used up dressing materials...
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...Delegation Example in a Healthcare Setting Abiola Edwards April22, 2010 Introduction * Definition of delegation * Delegation process * Delegation issue one faces at work * Stakeholders in their different roles * Choosing the right stakeholder * How to communicate with stakeholders * Conflict resolution * Feedback/ Evaluation * Recommendations * Summary * References My name is Sadie Edwards and I have over 10 years of nursing experience Definition of Delegation Delegation: Transferring to a competent individual the authority to perform a selected nursing task in a selected situation. The nurse retains accountability for the delegation. Concepts and Decision-Making Process National Council Position Paper, 1995 Most nurses would rather do the tasks themselves, but they can not perform all of them safely. According to Hansten & Jackson, “it is our responsibility to the patients we care for to ensure that they receive the best that we can offer by delegating wisely”. Delegation Process * Define the task * Select the individual or team * Assess ability and training needs * Explain the reasons * State required results * Consider resources required * Agree to deadline * Support and communicate * Feedback and results Alan Chapman, Delegation 1995-2009 The steps to successful delegation are: 1. To define the task, ask yourself if the task is right to be delegated. Does it meet the criteria...
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...Ngwu who was also the representative of the Director General of ITF and other staff of ITF. Mr. Godwin D. Udiba was in attendance for the opening ceremony as the representative of the Managing Director, Pamol (Nig) Limited. After the opening ceremony, a group photograph was taken with ITF staff. A total of 14 participants were in attendance all of whom were from Pamol (Nig) Limited. The workshop ended on Friday 17th August, 2012. PROGRAMME CONTENT The course content covered the following areas: • Concept of Supervisory Management. • Roles of the Supervisor in Training and Development. • Coaching and Mentoring Techniques. • Effective Team Work. • Problem Solving and Decision Making Skills. • Delegation and Motivation for Performance Improvement. • Effective Communication and Human Relation. • Performance Appraisal. CONCEPT OF SUPERVISORY MANAGEMENT - BY MR. BEN O. A. C. Several definitions of a Supervisor were given, one of such definitions was that a Supervisor was an officer whose major activities focus on people and their problems. The management functions of a Supervisor were given to include planning, organizing, directing, coordinating and controlling. We were made to understand that over the years, studies done on organizations with capability for full...
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...Elizabeth Franco University of Phoenix NUR 482 Nursing Leadership and Management in Health Care Delegation is the act of appointing a person to perform an act in your stead where both parties are still accountable for the action taken. This helps to unburden registered nurses (RN) from having to accomplish all necessary tasks on their own allowing the RNs to accomplish more. It is important that when an RN delegates a responsibility to someone else that the person assigned the task are qualified and properly trained to perform that task. There are two common ways to determine who a task should be delegated to. The first is to match a staff member’s job description to the task at hand. The other is commonly referred to as scope of practice, or matching a person’s expertise to the patient’s needs. Delegating responsibility not only makes it possible for more tasks to be completed but maintains the involvement of the entire staff so that everyone feels needed. Basically delegation comes down to the five rights of delegation which are the right task, right circumstance, right person, right direction and right communication. There are many aspects of determining if delegation is appropriate or not. First a mutual respect must be developed between the RN and their helpers. This is achieved through the personalities of the RN and their helpers, communication style and skills and cooperation. It is important when an RN is delegating tasks that they use critical thinking...
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