...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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...Home Health Chart Audit Review-Report 2011 GRANT/CATRON COUNTIES | |1st Q |2nd Q |3rd Q |4th Q | |60 day cycle sheet (in chart & frequencies consistent w/Dr.’s orders) |Met |Not met |Met |Not met | |60 day cycle sheet (in chart & frequencies consistent w/Dr.’s orders) |Met |Not met |Met |Not met | 60 day cycle sheet (in chart & frequencies consistent w/Dr.’s orders) |Met |Not met |Met |Not met |Met |Not met |Met |Not met | |a. Skilled nursing | | | | | | | | | |b. Physical therapy | | | | | | | | | |c. OT | | | | | | | | | |d. MSW | | | | | | | | | |e. HHA | | | | | | | | | |Original Intake in chart | | | | | | | | | |Initial Assessment-completed w/I 48 hrs after referral or discharge from referring facility | | | | | | | | | |Face to Face ‘s –effective 4/1/20 | | | | | | | | | |HABN’s | | | | | | | | | |BIPPA’s | | | | | | | | | |Medicare secondary payer worksheet- completed, signed, dated | | | | | | | | | |Consent for treatment- completed, signed, dated | | | | | | | | | |Privacy notice acknowledgement- completed, signed, dated | | | | | | | | | |Financial responsibility & insurance verify. | | | | | | | | | |Written 485-completed & signed by clinician | | | | | | | | | |Witten 485-goals signed off | | | | | |...
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...I believe all healthcare professionals should be licensed in their own discipline, assuring that they have met educational requirements, received a minimal number of hours of training, and passed the exams. Licensing is a mandatory credentialing process established by a state government board and requires us to meet the set standards. State boards write healthcare credentialing and scope of practice laws to protect the public (Allen, 2013). These laws sets the legal boundaries that each profession is authorized to perform. Today, to alleviate the stress resulting from the presence of sicker patients, fewer RNs and numerous cost and budgetary restrictions, healthcare organizations are utilizing the services of unlicensed assistive personnel...
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...nursing philosophy, impact and concepts of the Nursing Code of Ethics and how it applies to Nursing as a profession, the concept of patient centered care, use of technology in documentation, and the leadership aspects that are considered as a new graduate. Leadership aspects entail team leading, delegation, and role transition from graduate to RN. This is the point of view of the author and information given here will be both objective and subjective. Nursing Philosophy In a previous paper written, the reflection of this student’s own nursing philosophy seemed to coincide with that of Florence Nightingale as well as Dorothy Orem. Orem’s school of thought leans toward the nurse having a large hand in aiding a patient to achieve total self-sustainability. Dorothy Orem’s theory is actually three separate theories that work synergistically. These theories are the theory of self-care, theory of self-care deficit, and the theory of Nursing systems. This works well for a patient, when achieved, due to the self-care aspect. Someone whom is actively involved in their own progress displays an inherent will to do well by oneself. This promotes compliance which can be a large barrier in healthcare. Education is an extremely important aspect in all of nursing but even more so in this philosophy. Florence Nightingale paid close attention to the surroundings of the patient. By doing this she became the first...
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...2003, p. 268). Accountability is defined as, "being responsible and liable for actions or failure of actions of oneself or others in the context of delegation" (NCSBN, 2009). This is in reference to the nurse's legal liability for the actions taken and patient outcomes. Accountability and responsibility are different, as responsibility belongs to the person doing the task and accountability belongs to the person who assigned the task. The nurse is both accountable for the task being completed and is also responsible for the patients in their care. (RCN, 2010) Accountability and responsibility are two essential parts of delegation. DeWits and O’Neill (2014) define delegation as "transferring the authority to perform a selected nursing task in a selected situation to a competent individual ". When delegating, the registered nurse (RN) allocates nursing tasks to health care assistants (HCAs) while still remaining accountable for the patient and the task that was assigned. Delegating is a management technique that is used to provide more efficient care to patients. (NCSBN, 2009) Permitting HCAs to take on nursing responsibilities allows the nurse to complete other tasks that need to be completed; however, delegation is done at the nurses' discretion and is a personal choice. Nurses need to make careful decisions regarding delegation, taking into account the skill and training of the HCA, the difficulty and risk of the task, and the patient's condition. The expected outcomes, a time...
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...If there are images in this attachment, they will not be displayed. Download the original attachment[->0] Delegation has always been an important part of nursing. It has also been one of its most challenging aspects. How, as a new supervisor, you approach the subject can be a delicate matter. I would start by having a team meeting with the entire office staff. This approach would allow all of the members of the team to explain their rolls leading to a collaborative effort. In future staff meetings, I would also have follow up discussions in regards to what is working and what is not working within the healthcare team. When people feel that they are part of a team with equally important rolls it leads to greater job satisfaction and productivity. This will also allow everyone to become aware of the important jobs that all of the team members have. Working as a team from the beginning of care through to after the baby is born will lead to improved care and increase patient satisfaction. I would approach Ms. W in a non-threatening manner in a private area where we are not going to be interrupted. I would complement her on her concern for her patients and the individual attention that she pays them. I would explain to her that there are many services available at the clinic to assist her. Delegating some of the work would be beneficial in the overall care of the patient. She would still be responsible for the overall care and evaluating the outcomes of the care provided...
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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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...Application of Benner’s theory to problem of delegation Introduction A frequent problem at work is that registered nurse's (RNs) are often reluctant to delegate tasks to unlicensed assistive personnel (UAP). Many patients at the hospital suffer from strokes, spinal injuries, brain tumors, dementia/Alzhiemer’s disease, or other devastating illnesses/injuries. Also, large hospitals and hospitals in urban areas tend to have numerous patients at the hospitals at any given time. Every day hospital units are quite busy and nurses are required to turn, feed, constantly observe for patient safety, bathe, and assist with elimination. RNs need to delegate the tasks or responsibilities to unlicensed assistive personnel (UAP) or other healthcare professionals....
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...SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES 1 SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES Delegation Orchid Quiton Chefalo Western Governors University Nursing Program 11/11/2011 Revised 11/30/2011 12/10/2011 SUBDOMAIN 724.7 - PROFESSIONAL ROLES & VALUES 2 Delegation It takes a team approach to manage patient-care. As a FNP, and a provider for this patient, she could collaborate with other experts and delegate care of the patient. The nursing supervisor for the clinic can aid the FNP to identify her role in the best utilization of the diverse workforce by facilitating the coordination of care by employing the experts and give an introduction of what services each specialty can offer to meet the needs of the patient. Examples of the roles of the diverse workforce are as follows: The LVN educator can give one to one instructions and education in pre-partum, intra- partum and post-partum care; The social worker can interview the patient’s life condition like the family dynamics and make appropriate recommendations for the patient to be successful at home; The community health RN, BSN can use her knowledge on what specific resources the patients needs within the facility and/or outside the community; The obstetrician can be consulted, and may...
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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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...three different case studies which were found the chapter reading. I will also discuss a scenario from my health care experiences. These case studies will vary in communication styles as it relates to delegating task to coworkers. Effective communication is a very important part of the delegation process. According to O’neil and Hasten (2009) the key to successful delegation is understanding, first, that delegation is an investment if time and energy that doesn’t always have immediate returns, and second that delegation is a skill which implies that it has discrete steps or components, that it requires practice to improve, and that repeated practice of it will facilitate improvement. Scenarios In the first case study we find Rashad an aid who I believe has every intention of doing what is right for the patient ,but has been basically shot down but the comment made by Robin. This causes him to shut down and basically destroys the relationship between the two. Robin a RN whom I believe has the best interest of the patient at heart does not communicate very well with others she is a very aggressive and should tone it down a bit if she plans to have a successful relationship with the entire healthcare team. In the second case study we find Pamela who displays a passive or nonassertive communication style by not addressing the accuracy of Brigitte’s work and opts to complete the retest on her own she obviously does not like confrontation and would rather just keep the peace in my opinion...
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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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...the general guidelines of delegation are: * primary concern is to make sure that the patient is safe * you must know the job descriptions and abilities of the healthcare personnel and subordinates who you supervise * you must know facility policies and procedures * you must know your nurse practice act * you must delegate tasks to those who you know are capable of performing what you are assigning them to do * you base tasks that you delegate to others on your knowledge of the state nurse practice act, facility policies and facility job descriptions. * give directions for the task that are clear in order to avoid misunderstandings * give a deadline when you expect the task to be completed * ask the person to repeat back instructions to verify they have the directions correct if you suspect they do not understand what you are asking them to do * follow-up to make sure the task was completed correctly and by the deadline in order to evaluate the performance of the task (this is your supervision function) * provide praise when tasks are done well and within deadlines; provide feedback and criticism when necessary * assign same tasks to the same individuals if possible http://nclextestprep.com/delegation.html - points to ponder when considering delegation and nursing management of personnel. from the anderson nclex-rn review. this is more about delegation and prioritization of nursing task involving patients...
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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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...continuity of care for clients. It is important for healthcare providers to realize that they cannot single handedly meet all the healthcare needs of their patients through an independent practice approach. In order to be successful as a team, time needs to be spent in establishing goals for the patients, delegating tasks appropriately, explaining each member’s role, designating a team leader for decision-making, communicating effectively and resolving any conflicts that arise. In simple terms, the team should know which direction it is going, what is expected of each team member, what needs to be accomplished, who is responsible for what, and how it all will be done. Research has shown that there are multiple benefits to utilizing the interdisciplinary care team approach including improved patient care by increasing collaboration of multiple disciplines, encouraging patients to actively participate in their care and thus increasing patient empowerment. For the healthcare professionals it provides an opportunity to learn new skills and the ability to utilize expertise, allows the providers to focus on preventive care rather than on acute care only, and assists in professional satisfaction. The NCSBN and the ANA define delegation as the process for a nurse to direct another person to perform nursing tasks and activities. Many nurses do not know how to appropriately delegate or are reluctant, and thus need to be education on how delegation can save money and time, help build new skills...
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