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Nursing Delegation

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Intake and Output Delegation to an Unlicensed Assistive Personnel
XXXXXXX XXXXXXXX
XXXXXXX University School of Nursing

Nursing is an excellent career and one that is in very high demand. Many times, the workload required of nurses is too much to bare. When working as a nurse, it is often necessary to delegate tasks to others in order to provide the best possible care for a patient. Before delegating to assistive personnel, the nurse must make sure the assistant is competent in performing the desired task. All 5 rights of delegation must be met. These rights include the right task, circumstance, person, direction/communication, & supervision. There are some tasks that a nurse must not delegate to others. Those tasks include the assessment, planning, evaluation and nursing judgment of a patient (Nebraska Department of Health and Human Services, 2004). These tasks are only within the RN’s scope of care and cannot be passed to other members of a team who are there to assist. This paper looks at the care of a 40-year-old male patient with cellulitis and type 2 diabetes. The monitoring of his intake and output are necessary and is an appropriate task to delegate to a nursing assistant. The reasons for delegating this task are the topic of this paper.
Before the delegation is made to the assistant, a delegation decision-making grid was completed to assess the client’s level of stability and the assistant’s competence to see if delegation is appropriate for the patient. This tool is very helpful in ensuring that the patient is cared for in the most appropriate method possible. The client in this situation shows a condition that has a moderate potential for change according to the delegation decision-making grid. This is due to the fact that the patient has a stage 3 ulcer, pitting red edema and very unstable blood sugars ranging from 50-450. These extreme blood...

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