clear directions when a task is initially delegated and for periodic reassessment and
evaluation of the outcome of the task.
RNs must delegate tasks so that they can complete higher level tasks.
RNs may delegate to other RNs, PNs or APs.
PNs may delegate to other PNs or APs.
Predictability of outcome: Is this routine, or is this new, is there potential for
complications
Potential for harm: Is the client stable? Risks? Aspiration, Bleeding
Complexity of Care: Does the delegatee have the license to perform the task, and the
training?
Need for problem solving: Does this require the nursing process? Assessment skills or
judgment
Level of client interaction: Is there psychosocial support needed?
TO PN - ANSWER Monitoring findings
Reinforcing client teaching
,Tracheostomy Care
,Suctioning
NG tube patency
Enteral Feedings
Insert Catheter
Administering Meds
TO AP - ANSWER ADLs Bathing, Grooming, Dressing, Toliet
Ambulating
Feeding
Positioning
Routine tasks
Bed making
Specimen Collection, I and Os
Vitals For stable clients
Concepts of management—Strategies to identify solutions to community health problems
- ANSWER Planning
Organizing:
Controlling:
Directing:
Staffing:
Planning: - ANSWER What needs to be done, and who is going to do it
Organizing: - ANSWER Lines of authority, communications, and where decisions are
, made
Directing: - ANSWER Influences and motivates people to perform
Controlling: - ANSWER The evaluation of performance and unit goals to ensure outcomes
are met
Staffing: - ANSWER Adequate staffing, and staffing mix
Characteristics of managers: - ANSWER Hold formal positions of authority and power,
Possess clinical expertise, Network with members of the team, Coach subordinates, Make
decisions for the organization: Resources, Budget, Hiring, and Firing
Conflict Management between health care workers - ANSWER
Autonomy: - ANSWER The ability of the client to make personal decisions, even when
those decisions might not be in the client's own best interest
Beneficence: - ANSWER Care that is in the best interest of the client
Fidelity: - ANSWER Keeping one's promise to the client about care that was offered
Justice: - ANSWER Fair treatment in matters related to physical and psychosocial care and
use of resources
Nonmaleficence: - ANSWER The nurse's obligation to avoid causing harm to the client