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Introduction to Nursing Module 5

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Delegation The process whereby a nurse (RN) directs another health care team member to perform specific nursing tasks, procedures, and activities that are beyond the personas traditional role and are not routinely performed by them. -Transferring authority to perform the task Assignment The allocation of tasks that each staff member is already authorized to perform during a given shift. Supervision The provision of guidance and oversight of personal to whom a nursing task was either delegated or assigned. Evaluation The assessment of the team members ability to complete the delegated or assigned tasks or patient care, which he or she received from the supervising RN. This includes direct and indirect observations.

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Introduction to Nursing Module 5
Delegation

The process whereby a nurse (RN) directs another health care team member to perform specific nursing
tasks, procedures, and activities that are beyond the personas traditional role and are not routinely
performed by them.



-Transferring authority to perform the task




Assignment

The allocation of tasks that each staff member is already authorized to perform during a given shift.




Supervision
The provision of guidance and oversight of personal to whom a nursing task was either delegated or
assigned.




Evaluation

The assessment of the team members ability to complete the delegated or assigned tasks or patient
care, which he or she received from the supervising RN. This includes direct and indirect observations.




Responsibility

The duty of a person, as a reasonable and prudent member of a particular group by training or licensure,
to complete tasks and assignments that are within their power, control and authority.




Accountability

,The obligation or willingness to be answerable for ones own actions and/or the actions of another,
particularly where there is assignment or delegation of tasks.




Which items can an RN never delegate to an LPN/LVN, or UAP's?

- Performing admission assessments

- Developing care plans

- Making a nursing diagnosis




What are the potential consequences of not conducting a throughout assessment before delegation,
particularly in terms of patient safety?

The patient could have further harm or death due to the missed items that would have been discovered
during the initial assessment. The RN could be held responsible for further damages sustained to the
patient.




Which clients are considered the most suitable for delegation?

Clients who are relaticly stable and not likely to expierence drastic changes in healthcare status.




What are the five (5) Rights of delegation?

1) Right Task

2) Right Person

3) Right direction or communication

4) Right supervision or feedback

5) Right circumstances




How did the Affordable Care Act (ACA) of 2010 impact the United States healthcare system?

, in 2010, the ACA began a major healthcare movement that moved away from a disease-based
healthcare system towards as health and wellness model of care.




Examples of what tasks RN's can perform

- Admission Assessment

- IV medications

- Blood products

- Care plans

- Client teaching

- Unstable clients

- Acute diseases




Examples of what tasks LPN/LVN/s can perform

- Vital signs

- Uncomplicated tasks

- Stable clients

- Chronic disease

- Oral and IM medications




Examples of what tasks UAP's can perform

- Feeding

- Basic Hygiene

- Bask skills

- Stable Clients

- Chronic disease

- Ambulation

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