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Role of the nurse in delegation of tasks

Delegation Considerations for Nursing Practice

Call 800 394-5995, ext. Questions of the greatest general interest will be answered in this department each and every issue. Q What are the considerations nurses should evaluate before delegating tasks to nonnursing care providers? Everyone remembers their nursing licensure examination and the feeling of overwhelming relief once the passing scores were in. Although that was a great feeling, ongoing licensure carries with it some significant responsibilities.

The nursing license is the individual agreement between the nurse and state governing bodies committing the nurse to function competently and within the Nurse Practice Act. These governing bodies are responsible for defining nursing practice and overseeing licensure, quality, and ongoing nursing competency.

  • She is alert and oriented;
  • Is the person licensed or unlicensed?
  • Does the person feel confident that he or she can complete the task?

The key role for these governing bodies is to serve to protect the public. The Nurse Practice Act is the basic enabling law for licensure and the definition of nursing practice in the jurisdiction of the legislative body establishing the Act. This Act defines who may practice nursing. Delegation is discussed within these regulations.

  • Discuss with the delegatee if there were better ways to do things that can be considered in the future;
  • Tolento 66-year-old female, diagnosis;
  • This Act defines who may practice nursing;
  • You approach the assistant on your team;
  • Examples of tasks you might delegate to an unlicensed assistive staff member include obtaining routine vital signs on stable patients, documenting food and oral intake, bathing patients, changing bed linens, feeding patients who can eat safely, ambulating steady, stable patients, or transporting stable patients.

Assessment, nursing diagnosis, setting goals, planning care strategies, implementing care, delegating care to qualified others, supervising, evaluating, teaching, managing care, maintaining patient safety, collaborating with other health care members. Competency is an ongoing process; it is the ability to integrate knowledge, skills, and judgment to practice safely and ethically in a designated role.

Next, how is competency determined for the unit or work environment? Review the approved skills from the state. Then evaluate the detail of the approved skills from the department or work setting specific to the patient population. Once you are aware of the activities that the delegatees are competent to perform, judgment and decision making come into play. Considerations What potential patient safety issues or risks may be related to the task considered for delegation?

Is the delegatee approved to perform the competency skills of the task?

  • Once you are aware of the activities that the delegatees are competent to perform, judgment and decision making come into play;
  • Weekly Reader Poll How difficult is it for you to maintain a healthy lifestyle with your current workload?
  • He needs to be reminded to use the urinal rather than getting out of bed on his own to use the bathroom;
  • Her vital signs are stable;
  • Helping new nurses with the fine art of delegation After reading this article, you will be able to:

Clear communication is critical. Remember to set expectations that are concise and identify the outcomes you want to see from the delegatee.

  1. Swanson to ambulate three times per day. Retrieved January 2, 2009, from www.
  2. This Act defines who may practice nursing. She is alert and oriented.
  3. I can manage to get sometime in the week to focus on my health, though it can be a time crunch. I almost never have enough time to look after my health, I have too much work to do.

Clear communication will serve to support delegatees in not only delivering care as to the plan, but will support them in succeeding in their role.

Ask the delegatee for questions. Use the opportunity to mentor, support, and coach performance, and recognize good performance. Creating a good relationship with the delegatee will result in better care for patients and a more fulfilling work environment for everyone.

Discuss with the delegatee if there were better ways to do things that can be considered in the future. This collaboration will add satisfaction to the work environment and create respect through listening and valuing ideas.

Previous Section Next Section Summary The work environment changes throughout a busy shift; each situation needs to be evaluated differently. Ensuring patient safety through appropriate delegation is the goal. Use the listed considerations as a way to support nursing judgment in the delegation of tasks.

  1. If the person has time, ask whether there are any questions, concerns, or feedback. Black is alert but is experiencing some confusion.
  2. Is the person licensed or unlicensed? The nurse offers direct supervision and feedback as needed, ensures that the task has been completed per policy, and makes him- or herself available in case an unexpected outcome occurs Huber 2006.
  3. Johnson has been having abdominal pain and severe bouts of diarrhea for the past several months.
  4. These governing bodies are responsible for defining nursing practice and overseeing licensure, quality, and ongoing nursing competency.