Delegation of Nursing Management
RN Case Study
A registered nurse (RN) who passed their NCLEX-RN exam 5 months ago and is working in a
rural Emergency Department (ED). Their unit is short staffed, and their manager has
determined that they are ready to progress to the charge nurse role, although they are
relatively new to the nursing profession. Today is the first time they have been in the charge
nurse role.
The nurse arrives on the unit at 6:30 am and places their belongings in their locker. They
walk around the unit to see how things are going. Soon, the night charge nurse signals to
begin shift report. They go to the charge nurse office to receive report.
As Alex considers the unit assignments and tasks for the day, he thinks about the evidence-based
guidelines for delegation. Which elements are part of the Five Rights of Delegation? (Select all that
apply.)
- supervision
- task
- circumstances
- instructions
After receiving report from the night shift charge nurse, which activities should Alex anticipate
completing during the first hour? (Select all that apply.)
- Identify tasks needed for assignment and delegation
- Assign clients to staff nurses according to acuity
- Delegate tasks to UAP
- Inspect the code cart equipment and supplies.
Alex checks the code cart and equipment for safety and function. Which inspections are necessary to
ensure that the defibrillator is serviceable and ready for use during an emergency? (Select all that
apply.)
- Defibrillator pads/paddles are available.
- Electrical cords are in good repair.
- Defibrillator passes a system check.
Which action is the most important intervention for Alex to take?
RN Case Study
A registered nurse (RN) who passed their NCLEX-RN exam 5 months ago and is working in a
rural Emergency Department (ED). Their unit is short staffed, and their manager has
determined that they are ready to progress to the charge nurse role, although they are
relatively new to the nursing profession. Today is the first time they have been in the charge
nurse role.
The nurse arrives on the unit at 6:30 am and places their belongings in their locker. They
walk around the unit to see how things are going. Soon, the night charge nurse signals to
begin shift report. They go to the charge nurse office to receive report.
As Alex considers the unit assignments and tasks for the day, he thinks about the evidence-based
guidelines for delegation. Which elements are part of the Five Rights of Delegation? (Select all that
apply.)
- supervision
- task
- circumstances
- instructions
After receiving report from the night shift charge nurse, which activities should Alex anticipate
completing during the first hour? (Select all that apply.)
- Identify tasks needed for assignment and delegation
- Assign clients to staff nurses according to acuity
- Delegate tasks to UAP
- Inspect the code cart equipment and supplies.
Alex checks the code cart and equipment for safety and function. Which inspections are necessary to
ensure that the defibrillator is serviceable and ready for use during an emergency? (Select all that
apply.)
- Defibrillator pads/paddles are available.
- Electrical cords are in good repair.
- Defibrillator passes a system check.
Which action is the most important intervention for Alex to take?
