Cardiovascular Pharmacology & Delegation Flashcards
(124 cards)
The transference of responsibility and authority of an activity to a competent individual
Delegation
The individual who accepts responsibility for the work
Delegate
The individual who assigns the task but still remains accountable for the outcome
Delegator
The active support of an issue that has importance
Advocacy
When is it acceptable for a nurse to delegate nursing activities to another nurse?
As long as the second nurse is free
Rights of delegation
Right: task, circumstance, person, direction, supervision
Right of delegation by which the delegator must ensure that the task can be delegated according to facility procedures and state regulations
Right task
Right of delegation by which the delegator must determine that the task addresses the patient’s needs and contributes to a desired outcome
Right circumstances
Right of delegation by which the delegator makes sure that the delegate has the right experience and skills to carry out the task
Right person
Right of delegation in which the delegator must provide a clear, concise description of the task along with its limits, objectives and expectations, and ensures the instructions are understood
Right direction
Right of delegation in which the delegator must monitor and evaluate the delegate’s performance and give feedback when necessary
Right supervision
Tasks that can be delegated to UAP
Vital signs, I&O, patient transfers and ambulation, bathing, feeding, weighing
Tasks that cannot be delegated to UAP
Assessment, interpreting data, making NSG diagnosis, care planning, evaluation, care of invasive lines, inserting NG tube, patient education, care of any unstable patient
Principles for delegating to UAP
Nurse must assess patient prior to delegating, patient must be medically stable, task should be considered routine (not skill), task should have predictable outcome, nurse is responsible for assessing UAP’s ability/knowledge
Delegation benefits to the nurse
Time management (more time spent on complex care)
Delegation benefits to delegate
Allows learning of new skills and increase confidence
Delegation benefits to manager
Unit functions at higher and more cost-efficient way
Legal case by which patient with cognitive deficits was left unattended in the bathtub and drowned. Both UAP and nurses were liable
Ferry v. State of Oklahoma (2007)
Legal case by which nurse documented completion of care without evaluation (falsifying records)
Williams vs. West Virginia Board of Examiners (2004)
Class of medications that increase sodium excretion and vasodilate arterial blood vessels
Diuretics
Diuretics decrease
Preload
Diuretics preferred in patients with adequate renal function
Thiazide diuretics (HCTZ)
Diuretics that can be used in patients with reduced renal function
Loop diuretics
Side effects of thiazide and loop diuretics
Hypokalemia, hyponatremia, postural hypotension
