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What is the role of the nurse and their responsibilities
Case studies on nursing delegation
Case study on delegation nurse
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Delegation Is Part of the Nurse Role and Responsibility
Nurses working in a hospital setting or long-term care facility are often supported by licensed and unlicensed personnel. They are a vital part of the team and are of great assistance. Due to nursing shortages, high patient acuity, and the emphasis placed on patient satisfaction, delegation is a skill that is essential in professional nursing practice today. The delegation of suitable tasks to assistive personnel is a cost-effective method to ensure high-quality care and positive patient outcomes.
In todays restructured care delivery model, registered nurses are expected to make assignments and oversee the work of different ranks of employees (Marquis & Huston, 2017). The nurse practice act permits registered nurses to delegate tasks to certified nursing assistants, unlicensed assistive personnel, and licensed practical nurses. Delegation is a process that requires advanced clinical judgement and
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First, the nurse must determine if the right task can be delegated safely. Additional factors to take into consideration when delegating include does the staff possess the knowledge and skills to perform the job, does the task fall within the job description and scope of practice of the person to whom it is assigned. Additionally, the facility must not forbid the delegated person in the organizational procedures and policies from performing the duty. Second, the right circumstances must be present. The patient is stable and the outcome foreseeable. Prior to a nurse delegating, careful examination of the patient’s circumstances and needs is based on the nursing process. They are not replacing the nurse but assisting the nurse with the task. Further, the task must be within the individual’s job description and within their scope of practice. If any changes in the patient’s condition occur, the nurse must cancel the delegation and reassess the
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
One of the vitals skill required by the Registered Nurse is the skill to assign tasks to subordinates (Saccomanos and Pinto-Zipp 2011). When tasks are delegated to subordinates, the RN remains accountable (Nursing and Midwifery Council 2008). On the other hand, an individual who has been given a task also bears responsibility for the task and is answerable to the RN. Hence, delegation involves “responsibility, accountability and authority” (Sullivan & Decker 2005, p. 144). This essay will examine the role of the registered nurse in relation to delegation. Areas that would be discussed includes definitions of delegation, benefits, types of delegaton, nursing process in relation to delegation, common mistakes of delegation, five rights of delegation and barriers to delegation. At the end, it would give a conclusion and also a statement of my learning.
According to the National council of state board of nursing (2005), the task should be performed if it can be performed with a predictable outcome and does not endanger a client’s life or well-being. For example, the nurse can delegate to the nursing assistant to collect and measure urine output and report it to the RN. This is a non-invasive task and would not harm the patient. However, if the patient were requiring straight catherization to collect a urine specimen, it would be delegated to the LVN since this is an invasive procedure that requires skills and knowledge of performing this procedure. Right circumstance is the next right of delegation. Even though the RN can delegate to nursing assistant to have the patient ambulate, if the patient is recovering from hip surgery and had issues with bleeding during surgery, it would not be appropriate for the nursing assistant to do. The RN should do this task, since the patient is at a risk of being unstable (NCSBN, 2005). The third right of delegation is the right person. After determining what is the task or assignment that needs to be completed, the nurse should decide who would be the best person to do it. Factors that influence the RN’s decision are the knowledge and skill of the person who is performing the task (NCSBN, 2005). Most facilities check skills at the
This also includes creating personal connections this is knowing how to be approachable and engage with groups and listen attentively. Understanding the importance and what is emotional intelligence and developing this to help these management and leadership skill to develop and ensure the application of these kills is shown ( (Beauvais, Brady, & O’Shea, 2011). It is important that newly qualified nurses understand their own emotional intelligence to develop these skills as leadership and management skills are used in all areas of clinical care. In the workplace newly graduate nurses will undertake the care and responsibility of patients that are critically ill. In these settings changes in the patient’s condition can rapidly change in a
nursing assistants. All the delegation needs to be within the scope of practice. The registered
The role of a Registered Nurse cannot be neglected in the provision of quality and safe care to patients and adopt procedures adequate for the condition of the patients because they work at the front line level; moreover, they have direct dealing with patients and integration of personal and professional skills is necessary. Therefore, there are certain attributes that are necessary to be present in a Registered Nurse for accurately performing various tasks. These include; Workload management, leadership qualities, interpersonal skills, control of practice, professional development, effective communication skills and organi zational loyalty (Daly & Carnwell 2003, pp. 158-167). These attributes hold significance in terms of obtaining positive outcome for not only the Registered Nurse but also the organization and the patient. Workload should be managed in such a way that the care process is not affected. Registered Nurse should have leadership qualities to help, motivate and inspire other nurses. Similarly, a Registered nurse should also enable and promote learning opportunities for other nurses. A Registered Nurse has responsibilities towards the subordinates, patients and most importantly to the organization. Effective communication skills can allow Registered nurses to establish a trusting relationship with patients identifying their problems and needs. The code of ethics and principles of practice must be followed and the practice of the nurse should be in the line of the organization’s working principles. The responsibility should be met as accountability factors must be considered significant in healthcare setting (Cornenwett, et al, 2007, pp.122-131; Bradshaw et al 2012, pp.13-14). ...
Prioritizing care is one of the first things that nurses learn in their career. Prioritizing requires critical thinking whether it comes to discharging a patient, caring for a patient, or delegating a task to a LPN or CNA. As the charge nurse they must look at the whole picture and not just the tasks that need to be done. The charge nurse is the one makes the assignments for the individual nurses, so if there happens to be a float nurse from a different department they might give them the patients with the lowest acuity depending on the nurse’s experience. The charge nurse must know which patients could be discharged if there was an emergency to arise or not enough hospital beds for those patients who need to be admitted. For example, the nurse is not going to recommend someone who came in with a heart attack; they would most likely recommend someone who is two days post op and is being discharged to a rehab facility in a couple of days. It is the charge nurses duty to make that everyone providing great and safe care to the patient.
Nurses are responsible for their own practice and the care that their patients receive (Badzek, 2010). Nursing practice includes acts of delegation, research, teaching, and management. (ANA, 2010). The nurse is responsible for the following standards of care in all practice (Badzek, 2010). The individual nurse is also responsible for assessing their own competence and keeping their practice within the standards of the current standards of care for the specialty which they are practicing and the state nursing practice acts (ANA, 2010). As the roles of nursing change, nurses are faced with more complex decisions regarding delegation and management of care (Badzek,
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
Autonomy is identified as another professional value and one that the nurse must possess. Autonomy is the right to self-determination. Nurse’s respect the patient’s right to make a decision regarding their healthcare. Practical application includes, educating patients and their families on their choices, honoring their right to make their own decision and stay in control of their health, developing care plans in collaboration with the patient (Taylor, C. Lillis, C. LeMone, P. Lynn, P,
When it comes to switching shifts, nurses usually give a quick report on the patient, so the oncoming nurse knows what is going on with the patients. Sometimes nurses are rushing through the report, skipping through vital information, which can cause harm in our patients. We must have a standard hand off report each nurse must follow to provide patient safety and satisfaction.
A leader is described as a person who guides others and has authority and influence over others. They work to influence others into meeting certain goals. There is no right or wrong definition of a leader and there is no recipe that ensures effective leadership. Successful leaders have a good balance of vision, influence, and power. Leaders gain their authority from their ability to influence others to get the work done; because of this, anyone has the potential to be a leader. (Finkelman. 2012, p15)
Delegation is assigning a task and its responsibility to another who is able to perform it, while with holding the accountability (Silvestri, 2013). To regulate delegation, each state Board of Nursing enforces their Nurse Practice Act. The Nurse Practice Act varies by state, but is a detailed guideline which recognizes the 5 Rights of Delegation to follow when delegating specific tasks. It also defines the nurses’ scope of practice, education/ license requirements, and sets the consequences for noncompliance with the Act, such as license suspension and reinstatement (Rosdahl, 2012). Improper delegation can be harmful, and without these guidelines malpractice/negligence can result. Negligence is the result of a person not acting reasonably. When healthcare professionals’ actions results in negligence it is considered malpractice or professional negligence (Rosdahl, 2012). Nurses are held liable for their actions for instance: not providing safe patient care by delegating untaught procedures to other nurses or failure to question physicians’ orders if they seem wrong and not reporting medication errors are just a few that may lead to
Overall delegation is get familiar with the national guidelines,state guidelines, job descriptions,scope of practice being accountable and responsible for the tasks who delegated. Nurses need good critical thinking skills, respect, trust for one another to maintain good relationships and to realize we are a team. This way any nurse can delegate with confidence.
autonomy Empower nurses Facilitates collaboration among professionals Demonstrates accountability to peers, healthcare facilities, and the public (American Association